Background: Physiologically, labour is different in primigravida. It raises the apprehension of physicians. In last two decades, rising cesarean section rate attributed to many factors, amongst which primigravida with unengaged head one significant cause. Objective were study outcome a at term gestation labourMethods: An institution based prospective was conducted among 120 subjects. Primigravi...

Background: Systematically detecting and handling complication at early stage of labor is part guaranteeing quality obstetric service. Proper use Partograph during delivery helps in achieving a healthy child maintaining the health mother with least possible level intervention, detection, manage causes accordingly timely referral. Even though; partograph influenced by different factors it not we...