Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
This study was conducted to evaluate the effect of the cervical effacement to rate of cervical dilatation in spontaneous onset labour in low risk pregnant women in order to improve the accuracy of the current partogram. We conducted an observational study of women who were admitted for vaginal delivery at SSMC, Rewa from august 2017 to july 2018. During labor, dilatation curve was plotted in different graphs for women with spontaneous onset labour admitted at SSMC,Rewa during this time period..They were divided into 2 groups based on degree of effacement at admission,whether it was more than 80% or less than equal to 80% and then their labour curve was separately evaluated and compared with each other. From 8839 women admitted during this time period, 1386 nulliparous and primiparous and 145 multiparous women were eligible for the study. An adjusted generalized estimating equations multivariable model showed that effacement had a significant relationship with rate of cervical dilatation and speed of labour progression . In women With effacement greater than or equal to 80% at 4 cm dilatation rate of cervical dilatation was 1.57 cm/hr which decreases to 1.20 cm /hr for women with effacement <80% at 4 cm dilatation and this association is found statistically significant. Mean dura on of ac ve phase of first stage of labour was 241.8 minutes with study group having effacement < 80% at 4 cm cervical dilation, which decreased significantly to 204.6 minutes in study group having effacement $80% at 4 cm cervical dilation. Regarding the acceptable predictive value of effacement, we believe considering effacement and dilatation together can improve the power of the existing partogram for the assessment of labor progression and detection of failure to progress.
How to cite this article:
Beenu Singh Kushwah, Nrapika Pathariya, Saumya , Neha Khatik and Jatin Khatodkar. Analysis of Effect of Cervical Effacement on Labour Progression in Spontaneous Onset Labour.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.1.265.268
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.1.265.268