PARTOGRAPHIC ANALYSIS AND COMPARISON OF

SPONTANEOUS LABOUR AND INDUCED LABOUR WITH

PROSTAGLANDIN

THESIS FOR THE DEGREE OF

DIPLOMATE OF NATIONAL BOARD
(OBSTETRICS & GYNAECOLOGY)

NATIONAL BOARD OF EXAMINATIONS

JUNE 2015

By
DR. PRIYADARSHINI
DNB Resident (Registration No: 225-26102-132-108395)
Guide: DR. ANIMA KERKATTA, MD, Sr. Consultant
Department of Obst. & Gynae
Bokaro General Hospital
Bokaro Steel City, Jharkhand

Details of Thesis

Topic

Partographic analysis and comparison of Spontaneous

Labour and Induced labour with Prostaglandin

Course

Secondary DNB (Obstetrics & Gynaecology)

Duration of study

0 1 Year 04 Months (November 2013 March 2015)

Type of study

Prospective study.

Institution

Bokaro General Hospital, Bokaro Steel

City, Jharkhand

Board

National Board of Examination, New Delhi.

Student

Dr. PRIYADARSHINI

Guide

Dr. ANIMA KERKATTA, MD

Sr. Consultant
Dept. of Obstetrics & Gynaecology
Bokaro General Hospital,
Bokaro Steel City, Jharkhand
PIN - 827004.

BOKARO GENERAL HOSPITAL

BOKARO STEEL CITY

CERTIFICATE FROM HEAD OF THE INSTITUTION

This is to certify that the work contained in this thesis entitled PARTOGRAPHIC
ANALYSIS AND COMPARISON OF SPONTANEOUS LABOUR AND INDUCED
LABOUR WITH PROSTAGLANDIN for the Degree of Diplomate National Board
(Obstetrics & Gynaecology) has been carried out independently by Dr. PRIYADARSHINI
(Regd. No. 225-26102-132-108395) in the Department of Obstetrics & Gynaecology,
Bokaro General Hospital, Bokaro Steel City, under the supervision and guidance of
Dr. Anima Kerkatta, MD, Sr. Consultant, Department of Obstetrics & Gynaecology,
Bokaro General Hospital.
It is further certified that the candidate has fulfilled the conditions of DNB
residency as per the rules.
I have great pleasure in forwarding this thesis to National Board of Examination,
New Delhi.

Date:
Director In charge (M & HS)
Bokaro General Hospital,
Bokaro Steel City,
Jharkhand

BOKARO GENERAL HOSPITAL

BOKARO STEEL CITY

CERTIFICATE FROM HEAD OF THE DEPARTMENT

This is to certify that the work contained in this thesis entitled PARTOGRAPHIC
ANALYSIS AND COMPARISON OF SPONTANEOUS LABOUR AND INDUCED LABOUR
WITH PROSTAGLANDIN for the degree of Diplomate National Board (Obstetrics &
Gynaecology) has been carried out independently by Dr. PRIYADARSHINI (Regd. No. 22526102-132-108395) in the Department of Obstetrics & Gynaecology, Bokaro General
Hospital, Bokaro Steel City, under direct supervision and guidance of Dr. Anima Kerkatta,
MD, Sr. Consultant, Department of Obstetrics & Gynaecology.
I have satisfied myself about the authenticity of his observation noted in this
thesis. It is further certified that the candidate has fulfilled the conditions of DNB
residency as per the rules. She has been maintaining log book.
I have great pleasure in forwarding this thesis to National Board of Examination,
New Delhi.

Date:

Dr. Rita Hansda, MD

Jt. Director & HOD Obst. & Gynae
Bokaro General Hospital,
Bokaro Steel City, Jharkhand

BOKARO GENERAL HOSPITAL

BOKARO STEEL CITY

CERTIFICATE FROM THE GUIDE

This is to certify that the work contained in this thesis entitled PARTOGRAPHIC
ANALYSIS AND COMPARISON OF SPONTANEOUS LABOUR AND INDUCED
LABOUR WITH PROSTAGLANDIN for the degree of Diplomate National Board
(Obstetrics & Gynaecology) has been carried out independently by Dr. PRIYADARSHINI
(Regd. No. 225-26102-132-108395) in the Department of Obstetrics & Gynaecology,
Bokaro General Hospital, Bokaro Steel City.
It was carried out under my direct supervision and guidance.
I have great pleasure in forwarding this thesis to National Board of
Examination, New Delhi.

Date:
GUIDE
Dr. Anima Kerkatta, MD
Sr. Consultant
Dept. of Obstetrics & Gynaecology
Bokaro General Hospital,
Bokaro Steel City, Jharkhand

BOKARO GENERAL HOSPITAL

BOKARO STEEL CITY

CERTIFICATE FROM THE CO-GUIDE

This is to certify that the work contained in this thesis entitled PARTOGRAPHIC
ANALYSIS AND COMPARISON OF SPONTANEOUS LABOUR AND INDUCED
LABOUR WITH PROSTAGLANDIN for the degree of Diplomate National Board
(Obstetrics & Gynaecology) has been carried out independently by Dr. PRIYADARSHINI
(Regd. No. 225-26102-132-108395) in the Department of Obstetrics & Gynaecology,
Bokaro General Hospital, Bokaro Steel City.
I have satisfied myself about the authenticity of his observation noted in this
thesis. It is further certified that the candidate has fulfilled the conditions of DNB
residency as per the rules. She has been maintaining log book.
I have great pleasure in forwarding this thesis to National Board of
Examination, New Delhi.

Date:

CO-GUIDE
Dr. Kumari Roopam Singh, MD
Deputy Director
Dept. of Obstetrics & Gynaecology
Bokaro General Hospital,
Bokaro Steel City, Jharkhand

DECLARATION
The work contained in this thesis entitled PARTOGRAPHIC ANALYSIS AND
COMPARISON OF SPONTANEOUS LABOUR AND INDUCED LABOUR WITH
PROSTAGLANDIN for the degree of Diplomate National Board (Obstetrics &
Gynaecololgy) has been carried out independently by me in the Department of Obstetrics
& Gynaecology, Bokaro General Hospital, Bokaro Steel City, under the supervision and
guidance of Dr. Anima Kerkatta, MD, Sr. Consultant, Department of Obstetrics &
Gynaecology and under Co-guidance of Dr. Kumari Roopam Singh, M.D., Deputy
Director, Dept. of Obstetrics & Gynaecology, Bokaro General Hospital, Bokaro Steel
City, Jharkhand.
This work is original and has not been submitted previously to any University by
me for the award of any degree or diploma.

Date:

Dr. PRIYADARSHINI
DNB Resident (Obstetrics & Gynaecology)
(Registration No: 225-26102-132-108395)
Bokaro General Hospital
Bokaro Steel City, Jharkhand.

Dedicated to
my husband,
my son and
my patients

ACKNOWLEDGEMENT
Firstly I must thank almighty God without his blessings no endeavor can start,
continue or complete.
It is a great pleasure to express my hearty and profound sense of gratitude to my
beloved teacher and guide Dr. N.K. Sahoo, Unit Head & Joint Director, Department of
Paediatrics, Bokaro General Hospital, Bokaro Steel City, Jharkhand for his inspiration,
meticulous guidance, expert advice and constant encouragement in preparing this
dissertation.
Words are inadequate to express my sincere thanks to my parents K. Srinivas Reddy
and K. Ramadevi and my loving brother K. Venugopal Reddy, whose unconditioned love,
prayers and blessings have been like a pillar of strength and helped me profoundly by their
constant support and encouragement throughout my studies.
I would also like to thank my dearest friend, and well wisher Dr. M.V. Harin Reddy,
for his valuable suggestions.
I also wish to thank whole heartedly to Dr K.Geethika for standing along with me
and supporting in the tough situations, having faith and helping me constantly in the
completion of this study.
I would like to thank my senior Dr Sourojit and my DNB colleagues and juniors for
their enormous help in completion of my dissertation.
I am grateful to all the newborn babies and their parents, who inspite of all their
sufferings, have helped me for the completion of my dissertation. Am also thankful to the
nursing staff for their contribution to improve my knowledge and complete this dissertation.

Dr. K. Venkataramana Reddy

GLOSSARY OF ABBREVIATIONS
(Used in this study)

ACOG

American College of Obstetrician and Gynecology

CPD

Cephalopelvic disproportion

CRH

Corticotrophin releasing hormone

IOL

Induction of labour

IUFD/IUD

Intrauterine fetal demise/intrauterine death

LSCS

Lower segment cesearean section

mRNA

Mitochondrial ribo nucleic acid

NICU

Neonatal intensive care unit

PD

Post datism

PE

Pre-eclampsia

PG

Prostaglandin

PROM

Premature rupture of membranes

TVUS

Transvaginal ultrasound

WHO

World health organization

INDEX

Sr. No.

Topic

Page No

INTRODUCTION

13

REVIEW OF LITERATURE

4 40

AIMS & OBJECTIVES

MATERIALS & METHODS

42 45

OBSERVATIONS & RESULTS

46 64

DISCUSSION

65 68

SUMMARY

69 70

CONCLUSION

RECOMMENDATIONS

72 73

10

REFERENCES

74 88

41

71

APPENDIX
11

12

CONSENT FORM

PROFORMA

KEY TO MASTER CHART

89 95

96 99

MASTER CHARTS

LIST OF TABLES
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9
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23
24

LIST OF GRAPHS
Sl. No
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11

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LIST OF FIGURES
Sl. No
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