DOI: 10.36347/sjams.2018.v06i06.028

Pages: 2450-1257

The modified WHO partograph is an inexpensive but valuable tool that provides a continuous pictorial overview of progress of labor. It helps to detect the abnormal progress of labor. It helps the obstetrician to decide about the need for augmentation of labor and helps to recognize prolong labor before obstruction occurs. The objectives were to study the course of labor in normal and abnormal partograph and to evaluate the maternal and perinatal outcome in normal and abnormal partograph. A prospective hospital based observational study of 400 selected cases coming for delivery during June 2016 to May 2017 was done. Progress of Labor was assessed by the use of Modified WHO Partograph. Various parameters like duration of normal and abnormal labor, type of labor abnormalities, mode of delivery, need for augmentation and maternal and perinatal outcome in normal and abnormal partograph were studied. In our study women with normal partograph mostly delivered normal vaginally, less instrumental and caesarean delivery, less required of augmentation of labor, less duration of labor, better maternal and perinatal outcomes as compared to women with abnormal partograph. Routine use of partograph helps in early detection of abnormal course of labor. It assures the best possible maternal and perinatal outcome .It is suggested that every woman in labour must be benefitted by this scientific approach of labor management i.e. with the use of Modified WHO partograph.