Abstract            Volume:4  Issue-2  Year-2016         Original Research Articles

Online ISSN : 2347 - 3215 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcret@gmail.com

Partogram is an effective method of identifying various abnormalities early and reducing undue labour prolongation. It is also a powerful research tool. The study was performed prospectively over a period of 2 years in the Department of Obstetrics and Gynaecology, S.N. Medical College, Agra.Women with term singleton pregnancies with vertex presentation with no major disproportion at the onset were identified. Partogram was maintained. Active management of labour was done. A total of 569 women fulfilling the selection criteria were considered for study. Out of 569 women, 44 were dropped due to early fetal distress or early decision for cesarean section. Of the remaining 525 women, 429 showed normal labour pattern and 96 showed abnormal patterns. The incidence of protracted active phase was 12.3% in nulliparas and 6% in multiparas. In abnormal labour, cesarean rate was 62.1% among nulliparas and 54.6% among multiparas. Use of WHO composite partogram with a 4-hour action line produced lower incidence of prolonged labours and lower requirement for augmentation of labours (rates being similar to those in normal labours).

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