UTILITY OF PAPERLESS PARTOGRAM IN LABOR MANAGEMENT

Author:

Choubisa Pallavi,Chauhan Madhubala,Rawal Pramod,Kanwat Babita,Singhal Megha

Abstract

Objective: To compare WHO-modified partograph and paperless partogram in the effective management of labor. Methods: A prospective analytical study was carried out in the Department of Obstetrics and Gynecology, Pannadhay Zanana Hospital at RNT Medical College, Udaipur. A sample of 400 pregnant women was recruited by random sampling from the labor room, for 1 year (June 01, 2021, to May 31, 2022). Women fulfilling inclusion criteria were randomly assigned for monitoring of labor in an active phase of labor ≥ 4 cm of cervical dilatation. Results: The mean age was 26.46 ± 3.90 years with an age range of 18–37 years, 65% were rural. 11% crossed alert line and 1.5% crossed action line. 94.75% had a normal vaginal delivery and 21 (5.25%) cases had lower segment cesarean section (LSCS). As indication for LSCS 16 (76.19%) had fetal distress and 5 (23.81%) had secondary arrest of dilatation and descent head. 17 (4.25%) had APGAR <7 at 5 min and no stillbirth was reported. Conclusion: We concluded that the paperless partogram was effective and user-friendly in the management of labor and prevention of abnormal or prolonged labor when compared to the WHO partogram in low-risk cases.

Publisher

Innovare Academic Sciences Pvt Ltd

Subject

Pharmacology (medical),Pharmaceutical Science,Pharmacology

Reference18 articles.

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2. WHO, UNICEF, UNFPA, The World Bank. Trends in Maternal Mortality. Geneva: WHO; 2019. p. 2000-17.

3. Debdas AK, Singh V. Role of Partogram in Indian Scenario, OBGYN Highlights-an Evidence-Based Review. In: Chatterjee A, Das Mahapatra P, editors. Jointly Published by AICC-RCOG, Eastern Zone and Ministry of Health and Family Welfare, Govt of India, on the Occasion of 21st AICC RCOG Conference. Kolkata; 2006. p. 37-44.

4. Debdas AK. Paperless partogram. 41st annual scientific sessions 2008: Sri Lanka college of obstetrics and gynaecologists. Sri Lanka J Obstet Gynaecol 2008;30:124.

5. Friedman E. The graphic analysis of labor. Am J Obstet Gynecol 1954;68:1568-75. doi: 10.1016/0002-9378(54)90311-7, PMID 13207246

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