Friedman Curve Positively Correlates with Cesarean Section and Oxytocin Augmentation in Active Phase Delivery as Compared to Partograph

Abstract

Objective: To investigate the correlation between cesarean section and oxytocin augmentation in childbirth monitored with the Friedman curve compared to the World Health Organization (WHO) partographs. Methods: An analytic cross-sectional study was conducted from March to May 2021, involving mothers giving birth whose delivery process was monitored using either the Friedman curve or the WHO partograph (n=28 for each group) at Wangaya Hospital in Denpasar City. The duration of the active phase until delivery, occurrence of cesarean section, and administration of oxytocin augmentation were assessed using the Friedman curve and the WHO partograph. The normality of the data was tested using the Kolmogorov-Smirnov test, and the Spearman correlation test was employed to measure the direction and strength of the correlation. Results: There was no signifi cant difference between the groups in terms of monitoring the active phase until delivery using the Friedman curve compared to the WHO partograph (p=1.000 > 0.05). Maternal monitoring with the Friedman curve showed a positive correlation with the occurrence of cesarean section compared to the WHO partograph (r=0.296, p=0.027). Additionally, monitoring childbirth with the Friedman curve exhibited a positive correlation with the administration of oxytocin augmentation compared to the WHO partograph (r=0.298, p=0.026). Conclusion: The fi ndings suggest a stronger positive correlation between the incidence of cesarean section and the administration of oxytocin augmentation in childbirth monitored with the Friedman curve compared to the WHO partograph.