Document Detail

A randomized controlled trial of a bedside partogram in the active management of primiparous labour.
MedLine Citation:
PMID:  17346475     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The partogram is a pictorial representation of the progress of labour, used in an effort to enhance early recognition of dystocia and help avoid Caesarean section (CS). The objective of this study was to evaluate the effect of partogram use on the CS and obstetric intervention rates. METHODS: We conducted a randomized controlled trial of use of the partogram in 1932 primiparous women with uncomplicated pregnancies at term. Patients were randomly assigned to one of two groups: the standard group, who had the progress of labour charted in written notes, or the partogram group, whose progress in labour was recorded using a bedside graphical partogram as well as in written notes. Outcomes were stratified according to whether labour was spontaneous or induced and whether membranes were initially intact or ruptured. The primary outcome was the rate of CS; secondary outcome measures were rates of obstetric intervention for dystocia. RESULTS: There was no significant difference between the groups in rates of CS (partogram 24%, standard notes 25%), rates of other interventions, amniotomy, oxytocin use, or the mean cervical dilatation in labour. CONCLUSION: In this study, the use of a partogram without a mandatory management of labour protocol had no effect on rates of CS or other intrapartum interventions in healthy primiparous women at term.
Rory Windrim; P Gareth Seaward; Ellen Hodnett; Hani Akoury; John Kingdom; Mary Ellen Salenieks; Shafagh Fallah; Greg Ryan
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC     Volume:  29     ISSN:  1701-2163     ISO Abbreviation:  J Obstet Gynaecol Can     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-03-09     Completed Date:  2007-07-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101126664     Medline TA:  J Obstet Gynaecol Can     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  27-34     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, University of Toronto, Toronto, ON, Canada.
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MeSH Terms
Cesarean Section / statistics & numerical data*
Diagnostic Techniques, Obstetrical and Gynecological
Labor, Obstetric*
Monitoring, Physiologic / methods
Point-of-Care Systems*
Uterus / physiology

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