Assessment of the Results of using Partogram in Labor Management

Document Type : Original Article


1 Assistant Professor of Obstetrics & Gynecology, Islamic Azad University, Karaj Branch, Karaj, Iran.

2 Instructor of Midwifery, Faculty of Nursing & Midwifery, Islamic Azad University, Karaj Branch, Karaj, Iran.


Introduction: Manner and time of intervening labor management causes difficulty in decision making in labor cares. This study was conducted to assess the result of using partogram in labor management and recognition of abnormal labor and appropriate intervention time.
Methods: In this prospective clinical trial, 200 primigravid women who admitted in Alborz hospital of Karaj in 1995-1996 were randomly divided into case group and control group. Partogram was recorded for all patients and in the case group, decision-making was based upon the resulting curve, but in control group decision making was based on routine care without using partogram. Collected data were analyzed by using SPSS 13 software and t-test, Chi-square test and Mann-Whitney test.
Results: Mean length of first stage of labor in case group (208.71±33.8) was significantly lower than control group (289.26±20.3) (P=0.0001), but mean length of second stage of labor was not significantly different in two groups. Total length of labor was significantly shorter in case group (P=0.0001). There was significantly higher rate of cesarean section in case group (p=0.042). First minute Apgar score was significantly higher in the case group (p=0.014).
Conclusion: Partogram, causes a decrease in length of labor and corrects the time of intervention and is beneficial in better decision making in labor management and therefore reduces the complications of abnormal and prolonged labor and is useful as a means of labor management in correct decision making in labor cares.


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