الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
In recent years, one focus in obstetrical research was the physiological progress of labor and the discrimination between physiological and non-physiological labor, especially in order to reduce cesareans and optimize labor management.
Friedman’s, Hendrick’s, and Philpott’s Partographs and Nesheim’s regression equation are the results of such efforts. For the assessment of labor progress, the partogram is a well-established tool. The use of a partogram is associated withimproved quality of care and pregnancy outcome.
The widespread used partogram of the World Health Organization (WHO), based on Friedman’s work in the 1950s, has been modified in recent years, and more recent labor curves have been assessed.
Maintenance of cervicographs during labor is of great help in the management of problematic cases. Partograms are very useful in early identification of slowly progressing and dystocic labor.
The abnormal cervical Dilatation pattern does not dictate the therapy, but indicates the need for clinical evaluation and possible intervention. When the cervicograph crosses the action line, usually active management is required. Practicing obstetricians learn through experience to recognize the early signs of abnormal labor.
The objective of this study was to assess the predictive value of initial cervical dilatation and initial dilatation rate at hospital admission in nulliparous laboring women for subsequent intervention and mode of delivery.
This cohort study was conducted at Department of Obstetrics and Gynecology of Qwesna General Hospital included 60 nulliparous pregnant women with singleton cephalic deliveries at 36-42 weeks who were admitted in spontaneous labor at various grades of cervical dilatation.