The Utility of Partogram in Management
- Conditions
- Labor Onset
- Interventions
- Procedure: Partogram
- Registration Number
- NCT06575387
- Lead Sponsor
- Egymedicalpedia
- Brief Summary
The partograph serves as "early warning system" and it has shown to be effective in preventing prolonged labour, in reducing operative interventions and in improving the neonatal outcome.
"A picture is worth a thousand words". A partograph review if well recorded provides rapid and comprehensive information about progress of labour when compared with a review of detailed handwritten case sheets. Partograph is a Latin/Greek hybrid word synonymous with parturition recorded in a graphic form.
- Detailed Description
labour is a natural physiological process characterized by progressive increase in the frequency, intensity and duration of uterine contractions, resulting in effacement and dilatation of the cervix with descent of the foetus through the birth canal. This physiological process may take time lead to pathological one and failure to recognize this would result in prolonged labour with the resultant increase in the intensity in the morbidity and mortality of both foetus and the mother.This leads to surgical intervention with further danger to both the mother and foetus. Hence, prolonged labour and obstructed labour must be prevented by timely and effective measures, so as to give the mother a safe and happy experience of labour and child birth. The safe mother hood initiative (SMI) emphasises that the monitoring of labour for early detection of dystocia is one of the most important approaches for reducing maternal and neonatal morbidity and mortality.
In this context, the partogram has been adopted by the WHO (World health Organization) to monitor labour in maternity clinics in developing countries as a simple managerial tool to prevent prolonged labour, obstructed labour and its sequelle. The paperless partograph refers to monitoring progress of labour and reaching to an accurate decision for intervention to ensure safe delivery.
The partograph, a graphic recording of progress of labour and salient features in the mother and foetus has been used to detect labour that is not progressing normally, to help in early decision on augmentation and termination of labour.
WHO partograph is a composite graphic representation of events that takes place in labour plotted against time in hours on a pre-printed paper. It consists of three parameters:
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- Female
- Target Recruitment
- 200
- Primigravida, 20 and 35 years old
- Gestational age 37 - 41 weeks with vertex presentation
- Singleton pregnancy
- Spontaneous or induced labour
- First stage of labour with cervical dilatation < than 7 cm.
- Abnormal presentation
- Macrosomic baby
- Contacted pelvis
- Multifetal gestations
- Antepartum haemorrhage
- Cases with high risk pregnancy as Severe PIH, Severe anaemia and gestational diabetes mellitus.
- Patient refused to enrolled in the research
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Group A: Uncomplicated Normal Labour Partogram About 140 prime gravidae females delivered before or at alert line Group C: Cesarean Section Labour Partogram About 20 prime gravidae females delivered after action line Group B: Complicated Normal Labour Partogram About 40 prime gravidae females delivered between alert and action line
- Primary Outcome Measures
Name Time Method Mode of Delivery 24 hours The mode of delivery was assessed by the condition of the mother and the fetus by BISHOP score (The Bishop score is a cervical assessment system used to predict the success of labor induction. This scoring system evaluates several clinical parameters of the cervix, including dilation, effacement, position, consistency, and the fetal head's station in the pelvis).
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Al-Azhar University hospitals
🇪🇬Assiut, Egypt