Comparison of neonatal outcome after labour monitoring by paperless partograph and modified who partograph

Krupa Verma; Rekha Menghani; Babita Panwar; Nupur Hooja; Aanchal; Pooja Meena

doi:10.18203/2320-6012.ijrms20250251

Authors

Krupa Verma Department of Obstetrics and Gynecology, Sawai Man Singh Medical College, Jaipur, Rajasthan, India
Rekha Menghani Department of Obstetrics and Gynecology, Sawai Man Singh Medical College, Jaipur, Rajasthan, India
Babita Panwar Department of Obstetrics and Gynecology, Sawai Man Singh Medical College, Jaipur, Rajasthan, India
Nupur Hooja Department of Obstetrics and Gynecology, Sawai Man Singh Medical College, Jaipur, Rajasthan, India
Aanchal Department of Obstetrics and Gynecology, Sawai Man Singh Medical College, Jaipur, Rajasthan, India
Pooja Meena Department of Obstetrics and Gynecology, Sawai Man Singh Medical College, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20250251

Keywords:

Neonatal mortality rate, Neonatal outcome, Modified WHO partograph, Paperless partograph

Abstract

Background: The sustainable development goal (SDG) 3.2 aims to reduce preventable neonatal mortality to 12 deaths per 1,000 live births by 2030. Monitoring of women in labour helps in the decrease, yet the modified WHO partograph is often not used. For use by clinicians in low resource areas, a paperless partograph has been developed. It is a simple, quick, easy to learn calculation to help monitor the progress of labour. One can decide the time to take action or to transfer a woman to another centre. The aim of the study was to compare neonatal outcome when labour is monitored by paperless partograph and modified WHO partograph.

Methods: 1040 women admitted in labour room were divided into two groups. and assessed during labour using Modified WHO partograph (group A) or using paperless partograph (group B). Neonatal outcome of two groups was observed and compared in terms of APGAR scores, NICU admissions (rate, reason and duration of admission).

Results: The Apgar score at 5 minutes was >7 for 99.03% in the paperless partograph and 98.07% in WHO partograph groups. There was no significant difference between the NICU admission rates, duration or reason in the two groups.

Conclusions: Since the outcome in the two groups is similar, paperless partograph can replace modified WHO partograph for monitoring of the labour in low resource settings.

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References

Ministry of Health and Family Welfare. HFW/SRS 2020-Child Mortality rates, 2022. Available at: https://pib.gov.in/Pressreleaseshare.aspx?PRID=1861710#:~:text=Union%20Health20Famil. Accessed on 01 December 2024.

UN. Sustainable Development Solutions Network (SDSN), 2020. Available at: https://indicators.report/targets/32/#:~:text. Accessed on 01 December 2024.

WHO. Trends in Maternal Mortality :1990 to 2013, Estimates by WHO, UNICEF, UNFPA, The World Bank and the United Nations Population Division. Available from: https://iris.who.int/bitstream/handle/ 10665/112682/9789241507226_eng.pdf?sequence=2. Accessed on 11 August 2024.

Ogwang S, Karyabakabo Z, Rutebemberwa E. Assessment of partograph use during labour Rujumbura Health Sub District, Rukungiri District, Uganda. Afr J Health Sci. 2009;9(Supplement 1):S27-34.

Debdas AK. Paperless Partogram. 41st Annual Scientific Session 2008. Sri Lanka Coll Obstet Gynaecol. 2008;30(1):124..

Thakur N, Bhagat BR, Dadwal VDS, Rachana, Preeti. An observational study to compare WHO modified partogram and paperless partogram. N Indian J Obstet Gynecol. 2022;8(2):161-5. DOI: https://doi.org/10.21276/obgyn.2022.8.2.3

Deka G, Sharma R, Das GC. The paperless partograph-can it be effective to replace the WHO modified partograph. Int J Reprod Contracept Obstet Gynecol. 2016;5:452-5. DOI: https://doi.org/10.18203/2320-1770.ijrcog20160389

Bansal S, Mandrelle K, Varughese PV. To study the clinical utility of WHO modified and paperless partograph in the management of labour and its outcome. Indian J Obstet Gynecol Res. 2023;10(4):403-7. DOI: https://doi.org/10.18231/j.ijogr.2023.078

Mohammed AA, Fouly HA, Abbas AM, Mostafa MF. Effect of using the paperless partograph versus the original partograph on labor outcomes in women's health hospital. Assiut Sci Nurs J. 2018;6(13):67-73. DOI: https://doi.org/10.21608/asnj.2018.67471

Reshma S, Ambarkar SL. Paperless partogram: a simple clinical tool in effective labour management. Int J Reprod Contracept Obstet Gynecol 2021;10:2308-11. DOI: https://doi.org/10.18203/2320-1770.ijrcog20212167

Fatouh E, Ramada S. Effect of using paperless partogram on the management and outcome of labour and the nurses’ opinion. J Educ Pract. 2015; 6(8):17-23.

Jain A, Agarwal M, Kumar B. Study of the role of paperless partograph in monitoring primiparous and multiparous labour at RIMS Raipur. Int J Sci Res. 2017;6(1).