The Effect of Application of the WHO Partogram and Active Management of Labor on the Caesarean Section Rate in Baqouba Maternity Hospital, Diala, Iraq

Anwer, Faris; Jamil, Kamil; A. Mohammed, Nasir

	The Effect of Application of the WHO Partogram and Active Management of Labor on the Caesarean Section Rate in Baqouba Maternity Hospital, Diala, Iraq
IRAQI JOURNALOF COMMUNITY MEDICINE
Article 1, Volume 19, Issue 2, 2006, Pages 158-161
Authors
Faris Anwer; Kamil Jamil; Nasir A. Mohammed
Abstract
Abstract: Objective: This study was done to evaluate the effect of application of the world health organization partogram and active management of labor on the caesarean section (CS) rate in Baqouba maternity hospital, Diala, Iraq. Patients & Methods: Retrospective study, hospital records. Conducted at Baqouba maternity hospital, from Oct. 1998 to the end of Sept. 1999. Total number of patients delivered at the hospital six months before (4392 from Oct. 1998 to the end of March 1999, group 1) and six months after the application of the WHO partogram (4173 from April 1999 to the end of Sept. 1999, group 2). Intervention: A partogram was applied by a resident doctor for every patient admitted for delivery and was in the first stage of labor, active management of labor policy was used for the primigravida. Results: The total (CS) rate showed no significant difference, 22.3% in group 1 and 22% in group 2 and also in the multiparus woman 22.5% and 23.9% respectively. Significant difference was observed in CS rate in the primigravida from 21.5% in group 1 to 17.8% in group 2. Conclusion: This study confirmed the value of the application of the WHO partogram and active management of labor in the primigravidae. Key words: Partogram, Labor, Caesarean, Section
Keywords
Partogram; Labor; Caesarean; Section

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