The relationship between a new type of partogram and rate of cesarean section at Zagazig University

Abstract

Background: The cesarean section (CS) rates have dramatically increased worldwide. The process of labor is associated with both maternal and fetal potential risks, regardless of the mode of delivery. Objective: The aim of this study was to investigate the value of the use of a new type of partogram and compare it with Fisher partogram in reducing the cesarean section rates. Patients and Methods: This cohort prospective study was carried out at the Department of Obstetrics and Gynecology, at Zagazig University Hospital and Menia Al-Kamh Central Hospital during the period study; year 2019. This study included 150 patients. We compared the efficacy of the two types of partograms during labor. Results: There were statistically significant differences between groups as regard newborns’ Apgar at 5th min, and as regard cesarean section rate, which in Group (A) according to Fisher partogram was 6 (5.8%) and according to new type of partogram was 3 (2.9%) while in Group (B) according to Fisher partogram it was 23 (48.9%) and according to new type of partogram was 14 (29.8%). Conclusions: The new partogram is more helpful in the recognition of the initiation of the acceleration stage during the active phase of labor and in the timely use of appropriate actions in order to achieve a safer delivery.