WHOLABOR CARE GUIDE VERSUS TRADITIONAL PARTOGRAM INEVALUATION OF CASES OF DELIVERY AT ELSHATBY MATERNITY HOSPITAL

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Obstetrics & Gynaecology, Faculty of Medicine, University of Alexandria.

2 Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, Egypt

3 Department of Obstetrics and Gynecology, Faculty of Medicine

4 Department of Obstetrics & Gynaecology, Faculty of Medicine, University of Alexandria.

Abstract

Partogram is a universally gold standard tool done by WHO. Its main role is monitoring the progression in active labor and knowing how to intervene when anything abnormal occurs. WHO labor care guidelines include recent recommendations and definitions about the labor process, such as the duration of the different stages of labor, which is usually variable from one woman to another, and the rate of cervical dilation as the only indicator for obstetric intervention. The labor care guide help in reducing CS, limit unnecessary use of oxytocin and avoid prolonged labor. So it has great importance in the first stage active phase and second stage of labor.

AIM OF THE WORK:
The aim of the study was to compare effectiveness of WHO labor care guide versus traditional partogram in evaluation of cases of labor at EL SHATBY Maternity Hospital.

PATIENTS AND METHODS:
This is a prospective observational study will be conducted on 600 pregnant females Atlabour attending obstetrics clinic of EL Shat by university hospital, after approval of the local Ethical committee and having informed written consent for every female included in the study.
All patients were subjected to complete history taking, General examination, Local examination, including (leopold’s maneuvers), Trans vaginal examination in order to evaluate: position, and presentation of the baby, cervical dilation and head descend and cephalo-pelvic disproportions and Sonographic evaluation was done on admission then half of them will be monitiered by traditional partogram and the other half will be monitored by WHO labor care guide

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