title: Assessment of labor using a new type partogram compared to the classical Fisher partogram.
abstract: OBJECTIVE
  To assess the quality of a new type partogram used to monitor labor.
  
  
  METHODS
  We compared efficacy using two types of partograms. The first was the classical WHO partogram (group A) and the second a new type in which we estimated and reported the sub of cervical dilatation and the position of the descending head (group B).
  
  
  RESULTS
  It was noted that there was a statistically significant decrease of the duration between the initiation of active phase of labor and the delivery time (dt1+dt2+dt3) (p<0.001, A: mean: 318.4±10.4 min, B: 246.56±8.28 min). Also observed was early initiation in the acceleration stage of the active phase in the first phase of labor (dt1) (p<0.001, A: 108.73±5.29 min, B: 69.96±4.99 min), shorter duration of the acceleration stage of the active phase in the first phase of labor (dt2) (p<0.001, A: 136.93±4.79 min, B: 91.89±4.04 min) and early initiation in the second phase of labor in women who were studied with the new partogram (B).
  
  
  CONCLUSIONS
  The new partogram is more helpful in the recognition of the initiation of the acceleration stage during the active phase of labor and in the timely use of appropriate actions in order to achieve a safer delivery.
authors.affiliation: Department of Obstetrics and Gynecology, Democritus University of Thrace , Alexandroupolis , Greece .
authors.forename: Georgios
authors.initials: G
authors.lastname: Galazios
authors.forename: Vlad
authors.initials: V
authors.lastname: Tica
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Vrachnis
authors.forename: Georgios
authors.initials: G
authors.lastname: Vlachos
authors.forename: Stefanos
authors.initials: S
authors.lastname: Zervoudis
authors.forename: Iuliana
authors.initials: I
authors.lastname: Ceausu
authors.forename: Grigorios
authors.initials: G
authors.lastname: Trypsianis
authors.forename: Christos
authors.initials: C
authors.lastname: Zographou
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Tsikouras
mesh_terms: D000328:Adult; D000465:Algorithms; D005260:Female; D006801:Humans; D007743:Labor, Obstetric; D011247:Pregnancy; D012189:Retrospective Studies; D055815:Young Adult
keywords: Fisher partogram; labor progress; new type partogram