Study of Second Stage Partogram in Detection of Abnormalities of Second Stage

Abstract

The second stage of labor is critical as well as prime as it affects the maternal and perinatal outcome in the form of risk of prompt hypoxic fetal stress and perineal maternal trauma. The aim of optimizing the second stage management is to understand and rectify the association between the uterine contractions, fetus, and birth canal to reduce the maternal and perinatal complications. Background: Emphasis has been laid on the first stage of labor using partogram and on the third stage of labor, including active management of labor, to provide habile care and decrease complications of the second stage of labor have been ignored. Methods: Once full dilation was achieved, per vaginal examination was done after proper consent. Position and station of head was noted and scored. After 30 minutes, per vaginal examination was repeated and position and station was noted, and then at 15 minutes till delivery. Results: Second stage partogram helps us to early detect the abnormal progress of second stage and to intervene early in terms of augmentation of labor or operative vaginal delivery and prevent maternal and fetal complications. Conclusion: Second stage partograph may help to prognosticate obstetric and perinatal outcome by using variables, such as station and position of head.