Outcome of Labour in Primigravida Using WHO Labour Care Guide at Tertiary Care Hospital, Larkana

Introduction: Labour complications contribute to maternal and neonatal morbidity in low-resource settings. The WHO Labour Care Guide (LCG) is an evidence-based tool designed to improve labour outcomes and reduce unnecessary caesarean sections (CS) (1). Objective: To evaluate labour outcomes in primigravida women using the WHO LCG at Sheikh Zayed Woman Hospital, Larkana. Materials and Methods: This descriptive study, conducted from February, 2025 to May, 2025 at Sheikh Zayed Woman Hospital Larkana, enrolled 237 primigravida women. Labour was monitored using the WHO LCG, with data on delivery mode and maternal/fetal parameters analyzed in SPSS version 20 using chi-square tests (p≤0.05). Results: Vaginal delivery occurred in 86.9% (206/237) of cases, with 13.1% (31/237) requiring CS, primarily due to fetal distress (41%) and prolonged first stage (22%). Supportive care (92.4% with companions, 78% with pain relief) enhanced outcomes. CS rates were lower than the institutional baseline (25–30%) (19). Conclusion: The WHO LCG improved labour monitoring, reduced avoidable CS, and enhanced maternal outcomes in primigravida women.