Role of Partogram in Spontaneous Labour in Primigravida

Abstract

Objective: The objective of this study was to evaluate role of partogram in spontaneous labour in primigravida to decrease intrapartum fetal death and decrease early neonatal complication.Methods: This observational study included 100 Primigravida who were selected from attendee of The Obstetrics and Gynecology outpatient at Mansoura University Hospital and Minia AL Nasr Hospital. All patients were divided into: Group A: 50 women without partogram and Group B: 50 women with partogram.Results: There was statistically significant differences between two groups as regards NICU admission, need for oxygen therapy or ventilation, respiratory distress and Apgar score p= 0.009, 0.019, 0.022, 0.026 respectively, but there was no significant difference as regards Sex of neonates and neonatal fetal weight p= 0.685, 0.875 respectively. There was highly Statistical significant difference between two groups as regards patients` satisfaction p<0.001, the majority of participants reported being "very satisfied" (16.0%) and "neither satisfied nor dissatisfied" (40.0%). A significantly larger proportion of the case group achieved shorter labor duration, with 52.0% delivering within <6 hours compared to 30.0% of controls (p=0.001).Conclusion: The newborn status, as evaluated by the Apgar score immediately after birth, is also improved when labor is tracked with the Partograph. The Partograph precisely assesses the fetal state as labor progresses, enabling appropriate measures to ensure a healthy baby. Hence, it is imperative to incorporate the utilization of partograph as a fundamental requirement during the process of executing births in all labor wards.