Background: Labour has been termed the most dangerous journey a human ever under takes Any failure to recognize such, would result in prolonged labour which may result in morbidity or mortality of both the mother & fetus [2]. Objective: To assess the progress of labour and to identify if intervention is needed using modified WHO Partograph. Methodology: This is a cross sectional study which was conducted in a VIMS (Vijayanagar Institute of Medical Sciences) Bellary, over a period of 12 months. All primigravida with full term pregnancy with vertex presentation without any risk factors and those suitable for vaginal delivery on initial examination were included in the study. Results: Out of the 200 patients who were admitted in labour room 124 (62%) belonged to group A, 47 (23.5%) to group B and 29 (14.5%) to group C. Of the patients who belonged to Group A majority had a vaginal delivery 118 (95.1%) and the rest 6 (4.9%) underwent LSCS. None had any assisted (forceps or vacuum) delivery. Those in group B most of them had vaginal delivery 33 (70.2%) followed by LSCS 10 (21.2%). The rest 4 patients had assisted delivery with 3 (6.3%) vacuum and 1 (2.1%) forceps assisted delivery. Of the patients in Group C majority underwent LSCS 25 (86.2%) followed by vaginal delivery 2 (6.8%). Only 2 had assisted delivery with 1 (3.4%) vacuum and 1 (3.4%) forceps assisted delivery.