Comparison of two WHO partographs: A one year randomized controlled trial [İki DSÖ partografi{dotless}ni{dotless}n karşi{dotless}laşti{dotless}ri{dotless}lmasi{dotless}: Bir yi{dotless}lli{dotless}k randomize kontrollü çali{dotless}şma]

Objective: to compare two world health organization (who) partographs - a composite partograph including the latent phase with a simplified one without the latent phase in women with uncomplicated pregnancy. material and methods: this was a randomized controlled trial conducted at a tertiary hospital at belgaum,india. 743 women with term,singleton,vertex gestation,in spontaneous labor were included in the study over a period of one year. either of the partographs was used on laboring women. the following outcomes were compared: labor crossing the alert and action line,augmentation of labor,rate of cesarean section,perinatal outcome,user friendliness and maternal complications. statistical analysis was done using chi-square test. results: labor values crossed the alert and action lines significantly more often when composite partograph was used (p<0.001) in each,with increased number of augmentations (p<0.001). the number of vaginal deliveries were high (p<0.005) in the simplified group. there was no significant difference in the rate of cesarean deliveries due to non progress of labor in both groups (p=0.68). nicu admissions were higher in the composite group (p=0.035). most resident doctors (93%) experienced difficulty with the composite partograph,but no resident doctor reported difficulty with the simplified partograph. the mean sd user friendliness score was lower for the composite partograph (2.87±1.86 vs 10.67±1.61; p<0.005). conclusion: the who simplified partograph is easier to use and is a better option for both the laboring women and the user,when compared to composite partograph.