Maternal and Neonatal Outcomes Using WHO Labour Care Guide versus Modified Partograph in Mansoura University Hospital

Document Type : Original Article

Authors

1 Department of Obstetrics and Gynecology, Mansoura University Hospital, Mansoura Faculty of Medicine, Mansoura, Egypt

2 Department of Obstetrics and Gynecology, Mansoura University Hospital, Mansoura Faculty of Medicine, Mansoura, Egypt;

3 Obstetrics & gynecology department, Faculty of medicine, Mansoura University, Mansoura, Egypt

Abstract

Background: Compare the application of the WHO Labour Care Guide and its impact on the Maternal and Neonatal outcome to WHO Modified Partograph.
Design: Randomised clinical controlled study.
Setting: Department of obstetrics and gynecology, Mansoura University Hospitals.
Methods: 60 primigravida women were assessed for eligibility during the study period (30 in the Modified partograph group and 30 in the labour care guide group).
Results: Labour Care Guide group had a slightly higher oxytocin intake and a slightly longer duration of labour, but these differences were not statistically significant. Rates of normal vaginal delivery, cesarean section, postpartum hemorrhage, maternal mortality, and neonatal outcomes (Apgar scores, birth weight, NICU admissions) were similar between the two groups (p>0.05). No maternal or neonatal deaths occurred.
Conclusion: In contrast to the modified Partograph, the WHO Labour Care Guide offers a more thorough and adaptable method of labor monitoring during the first and second stage labour. This will help midwives and junior obstetricians to identify early complications and to make the right decisions to ensure that every pregnant woman has a positive childbirth experience and to lower the rate of CS, particularly in settings with limited resources.

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