Comparison of two World Health Organization partographs

Mathews, Jiji Elizabeth; Rajaratnam, Annie; George, Ajith John; Mathai, Matthews

doi:10.1016/j.ijgo.2006.08.016

Cited by 53 publications

(88 citation statements)

References 1 publication

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“…Labor crossing the action line was observed in 10.8% and 1.96% parturients in the composite and simplified group respectively (p=0.005). Almost similar observations were made by the study done at Vellore where labor had crossed the action line in 7.0% in the composite group as compared to 1.0% in the simplified group (12). Action line was crossed in 38% of cases in the composite partograph group at a study done in Liverpool (15).…”

Section: Discussionsupporting

confidence: 75%

“…In the present study, labor crossing the alert line was found in 28.2% of patients in the composite partograph group and 13.7% of patients in the simplified partograph group (p=0.0001). Similar study done at Vellore, India reports 17.7% and 15.1% in the two groups respectively (12). A study done in Pakistan showed 11.6% of labors to cross the alert line in the simplified partograph group (13).…”

Section: Discussionmentioning

confidence: 60%

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

Kenchaveeriah¹,

Patil²,

Singh³

2011

J Turkish German Gynecol Assoc

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Objective:To compare two World Health Organization (WHO) partographs -a composite partograph including the latent phase with a simplified one without the latent phase in women with uncomplicated pregnancy. Material and Methods:This was a randomized controlled trial conducted at a tertiary hospital at Belgaum, India. 743 women with term, singleton, vertex gestation, in spontaneous labor were included in the study over a period of one year. Either of the partographs was used on laboring women. The following outcomes were compared: labor crossing the alert and action line, augmentation of labor, rate of cesarean section, perinatal outcome, user friendliness and maternal complications. Statistical analysis was done using Chi-square test. Results:Labor values crossed the alert and action lines significantly more often when composite partograph was used (p<0.001) in each, with increased number of augmentations (p<0.001). The number of vaginal deliveries were high (p<0.005) in the simplified group. There was no significant difference in the rate of cesarean deliveries due to non progress of labor in both groups (p=0.68). NICU admissions were higher in the composite group (p=0.035). Most resident doctors (93%) experienced difficulty with the composite partograph, but no resident doctor reported difficulty with the simplified partograph. The mean SD user friendliness score was lower for the composite partograph (2.87±1.86 vs 10.67±1.61; p<0.005). Conclusion:The WHO simplified partograph is easier to use and is a better option for both the laboring women and the user, when compared to composite partograph. (J Turkish-German Gynecol Assoc 2011; 12: 31-4) Key words: World Health Organization, partograph, latent phase, action line, alert line, user friendliness Received: 18 October, 2010 Accepted: 23 February, 2011 Amaç: İki Dünya Sağlık Örgütü (DSÖ) partografını karşılaştırmak -komplike olmamış gebeliği olan kadınlarda latent fazı içeren bileşik bir partograf ile latent fazı olmayan basit bir partograf. Gereç ve

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 60%

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

Kenchaveeriah¹,

Patil²,

Singh³

2011

J Turkish German Gynecol Assoc

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show abstract

“…In the classical Fisher partogram, cervical dilatation and action line are the recorded parameters of the progress of labor. It consists of two straight diagonal parallel lines, where the action line is parallel and at the right of the alert line, but the fetal head descent is not included (21). The alert line drawn from APGAR at 1 min 9 9 1.000 (mean±SD) APGAR at 5 min 10 10 1.000 (mean±SD) 3 cm to 10 cm represents the dilatation rate.…”

Section: Discussionmentioning

confidence: 99%

“…An early decision about the appropriate management to overcome the labor delay is possible with the use of the new type of partogram with only one graphic line (22). The wide variation in the published records of labor observation suggests that midwives and some obstetricians prioritized cervical dilatation over the other parameters (21). It is notable that the partogram and particularly the new partogram can only be used by health workers with adequate experience in midwifery and who are responsible and authorized to observe and conduct normal labor, perform vaginal examination, assess cervical dilatation and fetal head descent accurately, and immediately note cervical dilatation and head descent on a graph against time.…”

Section: Discussionmentioning

confidence: 99%

The effect of the use of a new type of partogram on the cesarean section rates

Vlachos¹,

Tsikouras²,

Manav³

et al. 2015

J Turkish German Gynecol Assoc

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“…There were some other minor changes which include considering two squares in 1 hour instead of one square in 1 hour in cervical dilatation curve. 4 WHO further modified the partograph for the third time, this time for used by skilled attendants in health centre. This simplified partograph is colour coded.…”

Section: Introductionmentioning

confidence: 99%