Vol. 3, Issue 1, Part A (2021)
Effect of 2-hour action line on WHO modified Partograph on maternal outcomes: A prospective analysis
Vinay Kumar, Kranti Bisht
Background: World health organization has promoted modified partograph with action line, 4 hours to left of alert line. While others have used various action line 2, 3, or 4 hours to initiate and guide ‘‘active management’’ decisions. Objectives of the study were to evaluate outcome of labour in terms of action line crossed and augmentation of labour and in whom labour has been managed with 2hour vs no-hour action line on WHO modified partograph. Methods: Every 8th primigravida mother fulfilling the inclusion criteria was enrolled for the study alternatively for 2 hourly and no partogram reading. Results were compared between Group A, with 50 cases, in whom labour has been managed with WHO modified Partograph with 2-hour action line and Group B, with 50 cases, in whom labour has been managed with that of no action line. Results: The present study shows that more women in 2-hour arm crossed the action line, compared with the no partograph arm, and therefore received more interventions to augment labour. Rate of caesarean section was more in group B than in group A which is statistically nonsignificant. Conclusions: Partograph with 2-hour action line did not show any superiority over that of no partograph line but to be associated with higher incidence of intervention. Further research is required in this field of active management.
Pages: 7-9 | 679 Views 278 Downloads
Vinay Kumar, Kranti Bisht. Effect of 2-hour action line on WHO modified Partograph on maternal outcomes: A prospective analysis
. Int. J. Obstet. Gynaecol. 2021;3(1):7-9. DOI: 10.33545/26648334.2021.v3.i1a.19