Effectiveness of paperless partograph in the management of labour

Abstract

Background: The partogram has gained acceptance as one of the most valuable tools to prevent
prolongation of labor, making it possible to minimize maternal- infant’s adverse outcomes. Paperless partograph is simple new method with no
graph paper , no extra time and using the residents
already using it to follow up progress of labour.
Aim: To evaluate the effectiveness of paperless
partograph in the management of labour.
Setting: Labour room in Mukalla Maternity government Hospital in Hadhramout Yemen.
Population: Sample of 100 women who have met
the criteria of full term, spontaneous labour, single
fetus and cephalic presentation with no previous
uterine surgery or acute obstetrics complications
like acute antepartum heamorrhage or hypertension.
Methods: Hospital based prospective analytical study was carried on within the period of 6
months, from 13th March to 3rd September
2016by trained residents by following women
during labour and filling the well-structured questionnaire. Statistical analysis was done by SPSS
package version 25 using appropriate analysis and
chi square test were P value less than 0.05 was
considered significant.
Results: Mean age of the participant women
was27.7 years and mean gestational age were
39weeks. More than half of them (55%) were multipara . Vaginal delivery occurs in 89% of women.
Cesarean section delivery occurs in 11%. Mean
duration of delivery for all women was 3.9 hours
, primiparous women was 4.2hours while it was
3.8hours in multiparous. All vaginal deliveries occurs before reaching the ACTION ETD.
Conclusion: Paperless partograph is an effective
tool on the management of labour.