Original Investigation

The effect of the use of a new type of partogram on the cesarean section rates

10.5152/jtgga.2015.15074

  • Georgios Vlachos
  • Panagiotis Tsikouras
  • Bachar Manav
  • Grigorios Trypsianis
  • Vasileios Liberis
  • Sakellarios Karpathios
  • Georgios Galazios

Received Date: 18.04.2015 Accepted Date: 16.07.2015 J Turk Ger Gynecol Assoc 2015;16(3):145-148 PMID: 26401106

Objective:

To assess the contribution of a new type of partogram, used in labor monitoring, in caesarean section rates.

Material and Methods:

The study included term singleton uncomplicated pregnancies divided into two groups. Two types of partogram were used in labor monitoring. In the first group, the classical WHO partogram (A) was used. In the second group, a new type of partogram, in which cervical dilatation and the position of descending head (B) (one line) were estimated and reported, was used. The labor duration and caesarean section rates were calculated and compared in the two groups.

Results:

A statistically significant decrease in labor duration (from the initiation of the active phase of labor to the delivery time) (dt1+dt2+dt3) (p<0.001, A: median: 318.4±10.4 min, B: 246.56±8.28 min) and in caesarean section rates was noted (p<0.001, A: 89 vs B: 49).

Conclusion:

The new type of partogram seems to have potential benefits such as reducing the incidence of prolonged labor and decreasing the caesarean section rates.

Keywords: New type of partogram, caesarean section rate, labor management