Partogram (Partograph) is a graphical tool represents the events during labor, that helps the care provider to recognize slow progress of labor early, and to start appropriate interventions to prevent prolonged and obstructed labor. In this study, we compared between the percentage of birth trauma which occurred during labor for patients that crossing the alert line of partograph (Group I), and those who crossing the action line (Group II). This study showed that there is no difference statistically between Group I and Group II according to gravida and maternal age. while Group I is higher than Group II according to APGAR score >7 (P value =0.001). There is statistical differences between Group I & II , that Group I is lower than Group II according to perineal tear, fetal birth injuries and rate of C sections ( P value: 0.004 , 0.009 and 0.000). In conclusion: partograph may be a scientific evidence based to manage labour by early diagnosis, identifying and preventing problems during delivery.