Comparative Study Between Using WHO Labour Care Guide & Modified WHO Partograph

Comparative Study Between Using WHO Labour Care Guide & Modified WHO Partograph in Reducing Primary Cesarean Section in Primiparous Women in Active First Stage of Labour.

This randomized clinical trial is based on comparing the efficiency of modified WHO partographs vs. the new WHO labour care guide in monitoring and assessing the outcome of labour.

A group of primiparous women in first stage of labour will be randomized into two groups then monitored during first stage of labour. First group will be monitored by modified WHO partograph. The rest of participants will be monitored by WHO labour care Guide. The labour will be monitored regarding progress rate, mode of delivery.

Inclusion Criteria:

• Primiparous women.
• Term gestation between 37 and 40 weeks.
• Maternal age from 18 -35 years
• Body mass index BMI of 18.5 to 29.9 kg/m2
• Cephalic presentation. 6. Active first stage of labour

Exclusion Criteria:

• Women with any medical comorbidities, such as (hypertension, diabetes mellitus, renal disease, or pulmonary disease).
• Women with presence of any obstetrical complications, such as preterm birth, multiple gestation, breech presentation, postdated pregnancy, or bad obstetrical history.
• women who were given intrapartum epidural analgesia.