Comparison of two WHO partographs: a one year randomized controlled trial

Kenchaveeriah, Swamy Mallaiah; Patil, Kamal; Singh, Tania Gurudeep

doi:10.5152/jtgga.2011.07

Cited by 17 publications

(19 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The study at Belgaum reported 75.7% and 89.25% respectively which is in concordance with our study. 4 Similar results were observed in the Vellore study where 78.8% and 86.5% underwent vaginal delivery in both the groups respectively. 6 The results were also similar to the study done at Calcutta which showed 80.6% vaginal delivery in the composite group and 82.7% in the modified group.…”

Section: Discussionsupporting

confidence: 82%

“…8 Similar results were reported in the Belgaum study where the rate was 6.8% and 6.7% respectively. 4 In the present study 23% and 9% in the composite and modified partograph groups respectively underwent caesarean section (p value = 0.007). The results were statistically significant.…”

Section: Discussionmentioning

confidence: 44%

“…Similar results were reported in the Belgaum study where augmentation was 36.6% and 16.8% in the two groups respectively. 4 In the present study oxytocin was used in 25% in composite group and 10% in modified partograph group. In the Vellore study, augmentation with oxytocin was done in 23.8% and 21.8% in both the groups respectively.…”

Section: Discussionmentioning

confidence: 81%

“…6 Similar observations were reported in the Belgaum study where 10.8% and 1.96% cases crossed the action line in the two groups respectively. 4 Augmentation of labour was required in 32 cases who were randomized to the composite partograph as compared to 15 in the simplified group which was again statistically significant (p value = 0.034). Similar results were reported in the Belgaum study where augmentation was 36.6% and 16.8% in the two groups respectively.…”

Section: Discussionmentioning

confidence: 90%

“…The study is in concordance with the Belgaum study where 28.2% and 13.98% crossed the alert line in the two groups respectively. 4 It was observed that 23.6% of patients crossed the alert line when the composite partograph was plotted in a study conducted in Indonesia. 5 Similar observations were made at Vellore study where 17.7% and 15.1% of partogram crossed alert line in the two groups respectively.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Comparative evaluation of composite and simplified who partograms in a tertiary care centre in North India

Sethi

Sharma

Chawla

2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Early detection of abnormal progress and prevention of prolonged labour can significantly improve the outcome of labour. Partograph is an inexpensive tool which can provide a continuous pictorial overview of labour and is essential to monitor and manage labour. The objectives were to study the course of normal and abnormal labour and to evaluate the maternal and perinatal outcome using simple and composite WHO partogram.Methods: This was a randomized study conducted at Department of Obstetrics and Gynaecology, Government Medical College, Amritsar, a tertiary care centre in North India. 200 women with term, singleton, vertex gestation, in spontaneous labor were included in the study. In 100 cases composite partograph was plotted and in rest 100 cases simple partograph was plotted. The following outcomes were compared: labor crossing the alert and action line, augmentation of labor, rate of cesarean section, perinatal and maternal outcome.Results: The partogram crossed the alert line (p 0.008) and action lines (p 0.017), causing increased need for augmentation (p 0.034) in the composite partogram which was statistically significant. The numbers of vaginal deliveries were high (p<0.001) and decrease number of cesarean sections (p 0.007) and instrumental deliveries (p 0.009) in the simplified group. NICU admissions were also higher in the composite group (p<0.05), though most of the NICU admissions were due to hyperbilirubinemia and low birth weight and was not directly related to monitoring of labour.Conclusions: It was observed in the present study that labour can be managed without the latent phase being plotted on the partograph. The interventions were higher when the latent phase was included, with increased number of labours crossing the alert and action lines, increased no. of augmentations and larger number of caesarean sections. Our study favours the use of the WHO modified partograph, which should become routine practice in monitoring labour for better maternal and perinatal outcome.

show abstract

Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 44%

Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Comparative evaluation of composite and simplified who partograms in a tertiary care centre in North India

Sethi

Sharma

Chawla

2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

Effect of partogram use on outcomes for women in spontaneous labour at term

Lavender

Hart²,

Smyth

2012

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

Background The partogram (sometimes known as partograph) is usually a pre-printed paper form on which labour observations are recorded. The aim of the partogram is to provide a pictorial overview of labour, to alert midwives and obstetricians to deviations in maternal or fetal wellbeing and labour progress. Charts often contain pre-printed alert and action lines. An alert line represents the slowest 10% of primigravid women’s labour progress. An action line is placed a number of hours after the alert line (usually two or four hours) to prompt effective management of slow progress of labour. Objectives To determine the effect of use of partogram on perinatal and maternal morbidity and mortality. To determine the effect of partogram design on perinatal and maternal morbidity and mortality. Search methods We searched the Cochrane Pregnancy and Childbirth Group’s Trials Register (31 May 2012). Selection criteria Randomised and quasi-randomised controlled trials involving a comparison of partogram with no partogram, or comparison between different partogram designs. Data collection and analysis Three review authors independently assessed eligibility, quality and extracted data. When one review author was also the trial author, the two remaining authors assessed the studies independently. Main results We have included six studies involving 7706 women in this review; two studies assessed partogram versus no partogram and the remainder assessed different partogram designs. There was no evidence of any difference between partogram and no partogram in caesarean section (risk ratio (RR) 0.64, 95% confidence interval (CI) 0.24 to 1.70); instrumental vaginal delivery (RR 1.00, 95% CI 0.85 to 1.17) or Apgar score less than seven at five minutes (RR 0.77, 95% CI 0.29 to 2.06) between the groups. When compared to a four-hour action line, women in the two-hour action line group were more likely to require oxytocin augmentation (RR 1.14, 95% CI 1.05 to 1.22). When the three- and four-hour action line groups were compared, caesarean section rate was lowest in the four-hour action line group and this difference was statistically significant (RR 1.70, 95% CI 1.07 to 2.70, n = 613, one trial). When a partogram with a latent phase (composite) and one without (modified) were compared, the caesarean section rate was lower in the partograph without a latent phase (RR 2.45, 95% CI 1.72 to 3.50, n = 743, one trial). Authors’ conclusions On the basis of the findings of this review, we cannot recommend routine use of the partogram as part of standard labour management and care. Given the fact that the partogram is currently in widespread use and generally accepted, it appears reasonable, until stronger evidence is available, that partogram use should be locally determined. Further trial evidence is required to establish the efficacy of partogram use.

show abstract

Effect of partogram use on outcomes for women in spontaneous labour at term

Lavender

Hart²,

Smyth

2013

Cochrane Database of Systematic Reviews

111

View full text Add to dashboard Cite

Background-The partogram (sometimes known as partograph) is usually a pre-printed paper form on which labour observations are recorded. The aim of the partogram is to provide a pictorial overview of labour, to alert midwives and obstetricians to deviations in maternal or fetal wellbeing and labour progress. Charts often contain pre-printed alert and action lines. An alert line represents the slowest 10% of primigravid women's labour progress. An action line is placed a number of hours after the alert line (usually two or four hours) to prompt effective management of slow progress of labour. Objectives-To determine the effect of use of partogram on perinatal and maternal morbidity and mortality. To determine the effect of partogram design on perinatal and maternal morbidity and mortality. Search methods-We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (31 May 2012). Selection criteria-Randomised and quasi-randomised controlled trials involving a comparison of partogram with no partogram, or comparison between different partogram designs. Data collection and analysis-Three review authors independently assessed eligibility, quality and extracted data. When one review author was also the trial author, the two remaining authors assessed the studies independently. Main results-We have included six studies involving 7706 women in this review; two studies assessed partogram versus no partogram and the remainder assessed different partogram designs. There was no evidence of any difference between partogram and no partogram in caesarean

show abstract

Comparison of two WHO partographs: a one year randomized controlled trial

Cited by 17 publications

References 13 publications

Comparative evaluation of composite and simplified who partograms in a tertiary care centre in North India

Comparative evaluation of composite and simplified who partograms in a tertiary care centre in North India

Effect of partogram use on outcomes for women in spontaneous labour at term

Effect of partogram use on outcomes for women in spontaneous labour at term

Contact Info

Product

Resources

About