Assessment of labor using a new type partogram compared to the classical Fisher partogram

Abstract

Objective: To assess the quality of a new type partogram used to monitor labor.

Methods: We compared efficacy using two types of partograms. The first was the classical WHO partogram (group A) and the second a new type in which we estimated and reported the sub of cervical dilatation and the position of the descending head (group B).

Results: It was noted that there was a statistically significant decrease of the duration between the initiation of active phase of labor and the delivery time (dt1 + dt2 + dt3) (p < 0.001, A: mean: 318.4 ± 10.4 min, B: 246.56 ± 8.28 min). Also observed was early initiation in the acceleration stage of the active phase in the first phase of labor (dt1) (p < 0.001, A: 108.73 ± 5.29 min, B: 69.96 ± 4.99 min), shorter duration of the acceleration stage of the active phase in the first phase of labor (dt2) (p < 0.001, A: 136.93 ± 4.79 min, B: 91.89 ± 4.04 min) and early initiation in the second phase of labor in women who were studied with the new partogram (B).

Conclusion: The new partogram is more helpful in the recognition of the initiation of the acceleration stage during the active phase of labor and in the timely use of appropriate actions in order to achieve a safer delivery.

• Fisher partogram
• labor progress
• new type partogram

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article.