Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 12 , ISSUE 6 ( November-December, 2020 ) > List of Articles

Original Article

Calculating Expected Time of Delivery in Laboring Women Using Paperless Partogram: An Innovation for a Resource-limited Nation

Aloke Debdas, Jayeeta R Mitra, Ritesh Singh

Keywords : Expected time of delivery, Obstructed labor, Paperless partogram, Partogram

Citation Information : Debdas A, Mitra JR, Singh R. Calculating Expected Time of Delivery in Laboring Women Using Paperless Partogram: An Innovation for a Resource-limited Nation. J South Asian Feder Obs Gynae 2020; 12 (6):363-365.

DOI: 10.5005/jp-journals-10006-1837

License: CC BY-NC 4.0

Published Online: 12-04-2021

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: Partogram is an important tool to monitor the progress of labor. Existing WHO partogram is too cumbersome for the busy healthcare providers working in labor rooms in developing nations. There is a need to develop a more user-friendly way to measure the progress of labor and thus prevent the unfortunate events during labor. Methods: The descriptive study was conducted in the Department of Obstetrics and Gynaecology of a teaching medical institution of India. The participants were patients in labor. Patients were enrolled once they fulfilled eligibility criteria and gave informed consent. Expected time of delivery (ETD) was calculated by application of Friedman\'s formula of cervical dilatation in “active phase” of labor of 1 cm/hour, which is applicable from 4 cm dilatation onwards. It was written in bold letters on the case sheet. Women were managed as usual, and the progress of labor was monitored. Proportion of women delivered within reasonable time of the ETD was calculated. Results: Out of the 110 women included in the study, 73 (66.4%) were nulliparous. The mean (SD) gestational age of them was 38.47 (1.4) weeks. More than half of the women presented at 4 cm cervical dilatation. 11.7% of the women required either 2.5 or 5 U of Syntocinon injection. 75 (68.2%) women delivered on or before time of the calculated ETD. 33 (30%) women delivered within ±60 minutes of the calculated ETD. There was no significant association between the parity status of the woman and the induction of the labor. Similarly, parity status had no association with the time difference between the actual and expected time of delivery. Conclusion: Paperless partogram is an important alternative to the conventional partogram. It can be used in resource-constraint settings to save resources and future mothers.


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