Labour Outcomes Among Low-Risk Women Using WHO Labour Care Guide Versus WHO Modified Partograph
https://doi.org/10.5281/zenodo.18482040
Keywords:
LCG (Labour Care Guide), WHO (World Health Organization), Paperless Partogram, And Delivery Method.Abstract
Objectives: To compare the outcomes of labour in terms of labour duration and mode of delivery using WHO Labour Care Guide and WHO modified partograph in low-risk pregnant women.
Study Design: Randomized controlled trial.
Settings and duration of study: Gynae & Obs Department Unit II Holy Family hospital Rawalpindi, between November 2024 and April 2025
Methodology: There were 120 low-risk pregnant women with cephalic presentation, spontaneous labour, full term, and singleton pregnancies. Admission cervical dilation of above 8cm and head station of > +1 were excluded. All the women were allocated into two study groups through lottery method. Patients in group no. 1 were given care according to WHO modified partograph. Patients in group no. 2 were given care according to Labour Care Guide. Partograph was filled by post graduate resident (who was trained on labour care guide workshop). Duration of labour was noted among two groups. Partograph was followed till delivery and mode of delivery was evaluated.
Results: Frequency of requirement for caesarean section among World Health Organization Labour Care Guidelines group was in 02 (3.33%) and in modified partograph monitoring of labour group was in 13 (21.67%) (p-value = 0.0024). Group 1 had the active phase of labor for 115.55 ± 57.35 minutes, which was substantially shorter than group 2's duration (183.95 ± 63.30 minutes) (P = 0.0001).
Conclusion: This study concluded that the World Health Organization Labour Care Guide is more efficacious when reducing the frequency of cesarean section compared to partograph monitoring of labour.
