UTILITY OF PAPERLESS PARTOGRAM IN LABOR MANAGEMENT
DOI:
https://doi.org/10.22159/ajpcr.2023.v16i12.48499Keywords:
Paperless partograph, WHO partograph, Labor managementAbstract
Objective: To compare WHO-modified partograph and paperless partogram in the effective management of labor.
Methods: A prospective analytical study was carried out in the Department of Obstetrics and Gynecology, Pannadhay Zanana Hospital at RNT Medical College, Udaipur. A sample of 400 pregnant women was recruited by random sampling from the labor room, for 1 year (June 01, 2021, to May 31, 2022). Women fulfilling inclusion criteria were randomly assigned for monitoring of labor in an active phase of labor ≥ 4 cm of cervical dilatation.
Results: The mean age was 26.46 ± 3.90 years with an age range of 18–37 years, 65% were rural. 11% crossed alert line and 1.5% crossed action line. 94.75% had a normal vaginal delivery and 21 (5.25%) cases had lower segment cesarean section (LSCS). As indication for LSCS 16 (76.19%) had fetal distress and 5 (23.81%) had secondary arrest of dilatation and descent head. 17 (4.25%) had APGAR <7 at 5 min and no stillbirth was reported.
Conclusion: We concluded that the paperless partogram was effective and user-friendly in the management of labor and prevention of abnormal or prolonged labor when compared to the WHO partogram in low-risk cases.
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Copyright (c) 2023 Dr Pallavi Choubisa, Dr Madhubala Chauhan, Dr Pramod Rawal, Dr Babita Kanwat, Dr Megha Singhal
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