Effect of World Health Organization Labour Care Guide On Reducing Cesarean Section Rates

After taking informed consent for participation in the study, all selected cases will be divided into two groups by lottery method. In group A, patients will receive care using WHO Labour Care Guide while in group B, patients will be monitored using WHO partograph.

After approval from ethical review committee, total 174 women presenting in the inpatient Department of Obstetrics \& Gynaecology, Pak Emirates Military Hospital, Rawalpindi, fulfilling the inclusion criteria will be selected. Informed consent will be taken from each woman. Age, gestational age, parity, height, weight and BMI will be noted. After taking informed consent for participation in the study, all selected cases will be divided into two groups by lottery method. In group A, patients will receive care using WHO Labour Care Guide while in group B, patients will be monitored using WHO partograph. Cesarean section will be noted in both groups. This all data including demographic data will be recorded on a specially designed proforma

Inclusion Criteria: All pregnant women in active phase of labour (\>5cm cervical dilatation) and gestational age of 37 weeks to 41 completed weeks (as assessed on LMP). Previous no caesarean section. Age 18-40 years. Both primiparous and multiparous. Both booked and unbooked. Exclusion Criteria: Women with chronic hypertension (BP \>140/90 mmHg on 2 consecutive occasions). Pregnancy induced Hypertension: women with no history of hypertension (blood pressure \>140/90 mmHg on 2 consecutive occasions) and diagnosed in pregnancy. Gestational Diabetes mellitus: women with no history of diabetes mellitus (FBS \>110 mg/dl on 2 consecutive occasions) and diagnosed in pregnancy. Women who had a caesarean section in the latent phase of labour.