COMPARISON OF NORMAL AND ABNORMAL LABOUR BY USING MODIFIED WHO PARTOGRAPH BY THE JUNIOR RESIDENTS AND NPM STAFF POSTED IN LABOUR ROOM.

Abstract

Objective : The aim of this study was to check the patterns of labour employing a modified WHO Partograph and conjointly to compare the
outcomes of labour, maternal and infant outcomes in traditional(normal) and abnormal labour.
Methods : This is a prospective observational hospital based study of two hundred cases coming to GGG Hospital, Jamnagar for delivery
throughout the last one year. Progress of labour was assessed using modified WHO Partograph. numerous parameters like period of labour, mode of
delivery, maternal and neonatal outcomes were studied.
Results : The average duration of active first stage of labour was five and half hours in normal labour. Arrest of descent was responsible for 33.3%
of abnormal labour that occurred in this study. Complications like obstructed labour were avoided by timely intervention in the form of cesarean
section and instrumental delivery.
Conclusion : Routine use of modified WHO Partograph helps in early detection of abnormal labour and should be enforced in all institutions and
all labour rooms in developing countries where delivery care is being given and especially in places where operative and new born facilities are
lacking to facilitate early referral.