A randomized comparative study of progress of labour amongst spontaneous and induced labour in term pregnancy primigravida by using modified WHO partograph

Abstract

Background: Pregnancy extending after 37 weeks poses risk to neonates in terms of their survival and other complications. When it is risky to continue pregnancy, induction of labour is done which is artificial initiation of uterine contraction prior to its spontaneous onset. This study aimed to compare the progress of labour between nulliparous women with spontaneous labour and in whom labour was induced.Methods: Primigravida females admitted in labour room at term, were divided into Spontaneous and Induced labour group after reaching cervical length at least 4 cm. Both the groups were monitored according to modified WHO partograph and compared for progress of labour. Results: Total 180 females were compared with 90 in each group. Cases falling between alert line and action line in the cervicograph were significantly more in Induced Group (p<0.05). Mean duration of labour was more in Spontaneous group which was significant in 1st stage and 2nd phase. There was no significant difference between postpartum stay in hospital in both the group (p>0.05). Conclusion: We concluded from this study that though requirement of augmentation for progress of labour was found significantly more in induced group but duration of labour was shorter in induced labour when monitored with modified WHO partograph.