Comparative study of Partogram of spontaneous labour with induced labour in tertiary care centre

M. Hindumathi; P.Sneha; A. Saritha

Volume : VII, Issue : XII, December - 2018

Comparative study of Partogram of spontaneous labour with induced labour in tertiary care centre

M. Hindumathi, P. Sneha, A. Saritha

Abstract :

Introduction: Partogram is a simple reliable tool for graphically recording the progress of labour and monitoring the health of mother and fetus .It also serves as an early warning system and assists early decision making on intervention in labour¹.

Labor is a dynamic phenomenon characterized by progressive increase in the frequency, intensity and duration of uterine contractions with progressive dilatation and effacement of the cervix along with the descent of the fetus through the birth canal. This physiological process many a time may lead to pathological one and failure to recognize this would result in prolonged labor with resultant increase in the morbidity and mortality of both the mother & fetus . Induction of labour is to achieve vaginal delivery by stimulating uterine contractions before the onset of labour⁵. Generally, Induction of labour has merit as a therapeutic option when the benefits of expediting the delivery outweighs the risks of continuing the pregnancy⁵. The benefits of Induction of labour must be weighed against the potential maternal and fetal risks associated with this procedure.

The objective of this study was to analyze the patterns of labour amongst spontaneous parturients and compare outcomes of induced parturient using a WHO modified partogram

AIMS AND OBJECTIVES

The main objectives of the study are :

1. To compare partogram of spontaneous and induced labour of term gravid women.

2. 2 To evaluate maternal and perinatal outcome of spontaneous and induced labour of term gravid women.

METHODOLOGY : The present study "Comparative study of partogram of spontaneous and induced labour" is a clinical study involving 100 gravid women with term gestation admitted in department of OBSTETRICS AND GYNAECOLOGY labor room, Santhiram Medical College, Nandyal from year November 2016 to October 2018.

On admission to the labour room, the data was collected by an interview and clinical examination of the patients based on a prepared questionnaire (as in proforma) which also included the plotting of labour progression on a partogram

RESULTS: The mean gestational age in Group A was 40.03 +0.89 weeks and in Group B was 39.89 +0.88 weeks.The parity based distribution of cases shows that out of the total 50 cases under group A, 33(66%) cases are primigravida and 17(34%) cases are multigravida. In group B, 32(64%)cases are primigravida and 18(36%)cases are multigravida

Most of patients in spontaneous group delivered before the alert line. Compared to spontaneous group, more patients from induced group crossed the alert line i.e., group B, or the action line i.e., group C, this difference is found to be significant (p=0.0323).

The mean duration of 1st stage in induction group is 10.76+ 5.414 while in the spontaneous group is 8.646+ 3.497 hrs. This finding was found to be statistically significant.

The mean duration of 2nd stage in induction group is 22.087+ 13.7mins while in spontaneous group is 19.75+13.78 mins, though the difference is not significant.

The difference in rates of caesarean section or operative deliveries in induced and spontaneous groups is similar. Meconium staining was seen more in induced group than in spontaneous group, This association was found to be statistically significant.

Conclusion: There was no diffirence in maternal and neonatal outcome in both the groups.Since the size of the study was small and there is a paucity of information, more randomized control trails are required in this area.