Comparative Analysis of Life Curve Mobile Application: an Easier Alternative to Existing Traditional Paper Partograph

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Brief description: Approximately 303,000 maternal deaths occurred globally in 2015, of which 99% occurred in the developing countries1. On an average 239 women die per 100,000 live births every year in developing countries2. Majority portion of this maternal death are seen in Sub-Saharan Africa and Southern Asia1. Thus  Maternal mortality ratio continues to be the major index of the widening discrepancy in the level of care and the outcome of reproductive health between the advanced and developing countries3. From 1990 to 2015 Bangladesh has achieved 69.1 percent reduction in maternal mortality ratio but failed to achieve Millennium Development Goal of 75% reduction and in 2015 there were about 176 maternal deaths per 100000 live births2.  Causes of maternal mortality include postpartum hemorrhage, eclampsia, obstructed labor, and sepsis. Among those obstructed labor accounts for 8% of maternal deaths5. The reported incidence of obstructed labor expected to reach 20% in developing countries though other causes are also significant6. Obstructed labor may also lead to atonic postpartum hemorrhage, maternal exhaustion and dehydration, uterine rupture and obstetric fistulas7,8 eventually leading to maternal mortality. For these reasons WHO recommended paper Partograph to monitor the labor and early identification of impending complication.