Parveen Shahida Khanum1, Md. Mushfiqur Rahman2
1. Assistant Professor, Dept. of Gynae & Obst. NEMC, Sylhet
2. Registrar, Dept. of General Surgery. NEMC, Sylhet
Abstract
This study was done to see the role of partograph in the management of labour on 87 pregnant women who were at term, admitted in Gynae and Obstetric Department of North East Medical College Hospital from 1st October 2007 to 31st March 2008. Their labour was monitored by modified WHO partograph. A partogram and data sheet was filled in for each woman.
The main objective of this study was partographic assessment of labour and to see the mode of delivery among labours not crossing and crossing the action line of partograph, neonatal outcome and the maternal morbidity.
In this study, 83.61% had vaginal delivery and 8.19% delivered by caesarean section who did not cross the action line, on the other hand 69.23% delivered by caesarean section and 19.23% by vaginally and 11.34% needed instrumental delivery that crossed action line in partograph.
There was no maternal and perinatal mortality in the series because partograph was filled-up in every case and meticulous monitoring done and necessary action was taken according to need. Thus no woman developed ruptured uterus or obstetrical fistula and only one woman developed PPH.
Because of the use of partograph unnecessary intervention has been reduced. 83.61% parturient within
action line (zone-I & zone-2) have delivered vaginally, about 69.23% women required caesarean section, and 30.77% women delivered vaginally that crossed action line (zone-3).
It is concluded that, if one remains strongly vigilant & takes appropriate and necessary action after crossing of the action line of partograph a good percentage of delivery may occur vaginally with good pregnancy outcome.