Middle-East OBGYN graduate education (MOGGE) foundation practice guidelines: use of labor charts in management of labor. Practice guideline no. 04-O-21

Abstract

Since the 50 s of the last century, labor charts have been proposed and appraised as a tool to diagnose labor abnormalities and guide decision-making. The partogram, the most widely adopted form of labor charts, has been endorsed by the world health organization (WHO) since 1994. Nevertheless, recent studies and systematic reviews did not support clinical significance of application of the WHO partogram. These results have led to further studies that investigate modifications to the structure of the partogram, or more recently, to reconstruct new labor charts to improve their clinical efficacy. This guideline appraises current evidence on use of labor charts in management of labor specially in low-resource settings.

Keywords:

• Partogram
• Zhang partogram
• Friedman curve
• labor dystocia
• cesarean delivery

Acknowledgement

Middle-East Obstetrics and Gynecology Graduate Education (MOGGE) Foundation would like to thank Dr. Mohamed Sabry, Dr. Shaimaa Gamal, and “uptodate in obstetrics and gynecology” workgroup for facilitating provider-based surveys.

Disclosure statement

The authors have no conflicts of interest