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Abstract

Objective: To compare the progress, mean duration, mode of delivery, need for augmentation
and fetomaternal outcome in spontaneous versus induced labour by simplified partograph
and also to promote the utilization of simplified partograph during labour.
Methods: A prospective observational analytical study conducted in tertiary hospital, over
18 months. Total sample size was 300(150 in spontaneous labour-Group A and 150 in
induced labour -Group B). Parameters in both groups were compared with Simplified
partograph.
Result: Vaginal delivery was significantly higher in spontaneous group as compared to
induced group (64.7% vs 40.0%). Delivery between Alert & Action line was significantly
higher in Induced group as compared to Spontaneous group (51.5% vs 34.5%); delivery
before Alert line was significantly higher in spontaneous group as compared to induced
group (60.1% vs 39.9%). Different parameters in induced and spontaneous group were
compared. Maternal complication (11.3% vs 1.3%), Fetal distress (32.1% vs 17.3%),
SNCU admission (28.7% vs 13.3%), Pathological CTG (31.3% vs 19.3%) were found to
be higher in the induced group.
Conclusion: Partogram is efficient, time saving and gives a clear picture of labour. Induction
of labour can be safe among primigravida if labour is partographically monitored.

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