Study And Evaluation Of Partograph In Primi And Multigravidae In Labor
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Date
2025-07
Authors
Sujatha, R.
L, Umamaheswari.
Subhashini
Journal Title
Journal ISSN
Volume Title
Publisher
The Indian Society for Health and Advanced Research
Abstract
Introduction: The partograph is a graphical tool used to monitor the progress of labor, fetal condition, and maternal well- being. To assess the progress of labor,t o evaluate the role of partogram in preventing prolonged labor, toObjectives: evaluate the maternal and fetal outcome in both primi and multigravidae. This observational prospective studyMaterials And Methods: involved patients admitted to the labor room in Government Medical College, Vizianagaram. 100 patients of each group participated in the study and were randomly selected, one group consisted of primigravida while the other group was multigravida after meeting the inclusion and exclusion criteria. The study period is twelve months. All women spontaneous or induced labour,in first stage of labour with cervical dilatation not more than 7 cms. Singleton pregnancy of more than 36 weeks and less than 42 weeks, in cephalic presentation without any medical or obstetric complications were included disorders. Partogram was constructed according to WHO guidelines and labor managed accordingly. Results: Mean age group in primi was 22.7yrs with standard deviation of 3.7yrs and in multi mean age group was 26.8 yrs with standard deviation of 5.2yrs. Out of 100 primigravida, 70% had FTND, 9% had outlet forceps, 6% had vacuum application and 15% underwent LSCS. Out of 100 multigravida 80% had FTND, 6% had outlet forceps, 4% had vacuum application and 10% underwent LSCS. In group A in primi 68% had FTND, 2% had forceps and 2% had vaccum application and no LSCS whereas in multi 72% had FTND and 2% had forceps application. No vacuum/LSCS. In group B, in primi 2% had FTND, 7% had forceps, 4% had vacuum application and 6% underwent LSCS whereas in multi 8% had FTND, 4% had forceps, 2% had vacuum application and 4% LSCS. In group C, in primi and multi, there were no FTND and forceps application. In primi 9% had LSCS and in multi 6% underwent LSCS. Only 2% had Vacuum in multi in group C. 90% in primi and 82% in multi had no maternal complications and 66% in primi and 83% in multi had no neonatal complications. The partograph can be used toConclusion: assess the progress of labor and to identify when intervention is necessary. This study has shown that using the partograph can be highly effective in reducing possible complications of prolonged labor and others for both the mother and the baby. It has shown to be effective in preventing prolonged labor, in reducing operative intervention and in improving the neonatal outcome.
Description
Keywords
Partograph, Labour progress.
Citation
Sujatha R., L Umamaheswari., Subhashini. Study And Evaluation Of Partograph In Primi And Multigravidae In Labor. Indian Journal Of Applied Research. 2025 Jul; 15(7): 26-28