Maternal and Neonatal Outcomes Using WHO Labour Care Guide versus Modified Partograph in Mansoura University Hospital

Objective: Compare the application of the WHO Labour Care Guide and its impact on the Maternal and Neonatal outcome to WHO Modified Partograph. Design: Randomized clinical controlled study Setting: Department of obstetrics and gynecology, Mansoura University Hospitals Patients: 60 primigravida women were assessed for eligibility during the study period (30 in Modified partograph group and 30 in labour care guide group) Measurements and Main Results: Labour Care Guide group had a slightly higher oxytocin intake and a slightly longer duration of labour, but these differences were not statistically significant. Rates of normal vaginal delivery, cesarean section, postpartum hemorrhage, maternal mortality, and neonatal outcomes (Apgar scores, birth weight, NICU admissions) were similar between the two groups (p>0.05). No maternal or neonatal deaths occurred. Conclusions: In contrast to the modified Partograph, the WHO Labour Care Guide offers a more thorough and adaptable method of labor monitoring during the first and second stage labour. This will help midwives and junior obstetricians to identify early complications and to make the right decisions to ensure that every pregnant woman has a positive childbirth experience and to lower the rate of CS, particularly in settings with limited resources.