Comparative Analytical Study of Role Of Partograph in Primigravida versus Multigravida

Sundaravani C; Nesam Susanna Minnalkodi

Volume : IV, Issue : XII, December - 2015

Comparative Analytical Study of Role Of Partograph in Primigravida versus Multigravida

Sundaravani C, Nesam Susanna Minnalkodi

Abstract :

Background and Objectives: Partogram is a concise method of conveying information and recognizing and predicting abnormality in labor patterns at a glance. Partogram serves as an early warning system, allowing for the early detection of abnormal evolution in labor. The purpose of this analytical study is to compare progress of labor in primigravida and multigravida and to evaluate the role of partograph in early intervention of active management of labor. Materials and Methods: 150 Primigravida and 150 multigravida were selected in random, labor was monitored with partogram and a comparative study of labor patterns was done.45% of the study group belonged to the age group of 21 to 25 years. Results: Average duration of active phase in primigravida was 4.1 hours and 2.9 hours in multigravida. Rate of cervical dilatation in primigravida was 1.1cm per hour and 1.5 cm per hour in multigravida. Active management with amniotomy and oxytocin reduces the duration of labor.62.6% of primigravida and 86.6% of multigravida had safe vaginal delivery. Caesarean section rate was 24.6% in primigravida and 8% in multigravida. The rate of the instrumental vaginal delivery in primigravida was 4.6% and 5.3% in multigravida. In this study 12% crossed alert line and 6% crossed action line. Conclusion: Partogram serves as an early warning system, allowing for the early detection of abnormal evolution in labor. If used with other appropriate measures has a considerable impact in the reduction of maternal and neonatal mortality.