Monitoring the progress of labor in primiparous women using Partograph

Mozhgan  Khalily; Mansour  Rezaei; Sara  Daeichin

Journal of Clinical Research in Paramedical Sciences

The Official Journal of Paramedical School, KUMS

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Monitoring the progress of labor in primiparous women using Partograph

Author(s):

Mozhgan Khalily ¹,

Mansour Rezaei²,

Sara Daeichin ^3,*

1Department of Midwifery, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran

2Department of Biostatistics and Epidemiology, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran

3Maternity Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran

Journal of Clinical Research in Paramedical Sciences:Vol. 1, issue 3; e82193

Published online:Oct 10, 2012

Article type:Research Article

Received:Mar 16, 2012

Accepted:Aug 21, 2012

How to Cite:Khalily M, Rezaei M, Daeichin S, Monitoring the progress of labor in primiparous women using Partograph.J Clin Res Paramed Sci.2012;1(3):e82193.

Abstract

Background: Prolonged and obstructed labor is an important cause of maternal deaths. Most deaths have been occurred because of inability to detect a prolonged labor. The partograph is a tool which can
graphically monitor the progress of labor and delivery. This study was conducted to determine
the length of the first stage of labor and pregnancy outcomes by using partograph.
Methods & Materials: In this descriptive study, data of 365 nulliparous pregnant women who came to the delivery ward of Imam Reza hospital in Kermanshah during June - July 2010was collected. Data was analyzed by SPSS software version 20.
Results: In total, 92.3% of the women had a normal vaginal delivery indicating the cesarean rate 7.7%.
The cervical dilatation of 89.6% was normal and it reached the maximum in less than 14 hours.
75.9% of mothers had an average contraction of 40 seconds and only 0.8 % had meconium in
their amniotic fluid. Bradycardia was seen in 1.1%. Failure to progress of labor in 14.8% of cases
has occurred and induction by oxytocin was helpful. In 91.2% of cases, the placenta and
membranes were completely removed.
Conclusion: This study was found a relationship between the use of the partograph and birth outcomes as the majority of the mothers had a vaginal delivery and only a limited number of those had cesarean
delivery. Partograph is an accurate instrument which can reflect the labor’s state and can warn us
when there is a risk and help to take the most appropriate actions.

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