Academic literature on the topic 'Use of partogram'
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Journal articles on the topic "Use of partogram"
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Maphasha, Olga, Indiran Govender, Pagollang D. Motloba, and Champak Barua. "Use of the partogram by doctors and midwives at Odi District Hospital, Gauteng, South Africa." South African Family Practice 59, no. 2 (May 11, 2017): 33. http://dx.doi.org/10.4102/safp.v59i2.4574.
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Background: There is scientific evidence that using the partogram reduces maternal and foetal morbidity and mortality. The use of partograms by doctors and midwives at Odi District Hospital has been reported as inadequate by external audits. The level of knowledge of and use of partograms amongst doctors and midwives at Odi District Hospital was investigated.
Methods: A cross-sectional survey of doctors and midwives was undertaken using a self-administered questionnaire. A mixed-methods research approach was used to elicit information on the knowledge and use of the partogram.
Results: Despite 57 (83.8%) participants having had some form of training on the partogram, only 54 (79.4%) routinely used it. All but one participant had heard of the partogram. Reasons for not using the partogram included being unsure how to use it (13%), partogram charts not available (8.7%), partogram takes too long (21.7%), being too busy (26.1%), and a feeling that the partogram was not the doctor’s responsibility (26.1%). Overall knowledge of partograms was insufficient, resulting in inadequate use of partograms. In-service training is required to improve the skills of doctors and midwives in the correct knowledge and use of partograms.
Conclusion: Partograms are not used as required by doctors and midwives, and further training is needed.
(Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp)
S Afr Fam Pract 2017; DOI: 10.1080/20786190.2017.1280899
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Choudhary, Anjali, and Meenakshi Tanwar. "Partogram and its relevance in modern obstetrics." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 4 (March 26, 2019): 1500. http://dx.doi.org/10.18203/2320-1770.ijrcog20191207.
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Background: Normal labor and childbirth is fraught with complexities. In the modern times the child birth has proven to be more challenging than ever. Partogram has proven to be a simple and useful tool in monitoring normal labor. The objective of this endeavor was to site our experiences in using partogram for ‘plotting’ labors, to assess its utility, limitations and cite controversies.Methods: Authors analyzed progress of labor plotted on partograms in parturient women to see whether their labor patterns conform to the standard partogram, and can logical conclusions be drawn from their use to decide partogram’s utility and applicability.Results: The use of partogram was not universal and its charting inadequate due to lack of motivation on part of labor room residents, busy labor rooms. When plotted meticulously they showed a wide variation, and many women did not conform to the rates of dilatation of the graph. The use of partogram did not alter the rate of cesarean section for non-progressive labors with use and non-use of partogram.Conclusions: Philpott’s partogram is a very visual and useful tool to monitor labours and detect labour abnormalities timely. Although it has served as a labour management tool across the labour rooms its use is not universal. There is a plethora of conflicting opinions regarding its utility in modern obstetrics today, ranging from a complete faith in the tool to finding it obsolete and in need of a revision to calling it a medicalization of a natural process.
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Boubacar Siddi Diallo, Boubacar Alpha Diallo, Ibrahima Sory Sow, Abdourahamane Diallo, Daniel Leno, Ibrahima Sory Balde, Telly Sy, Yolande Hyjazi, and Namory Keita. "Evaluation of the use of the partogram in the obstetric gynecology department of the National Hospital Donka University Teaching Hospital Conakry Guinea." World Journal of Advanced Research and Reviews 11, no. 2 (August 30, 2021): 366–72. http://dx.doi.org/10.30574/wjarr.2021.11.2.0412.
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Objectives: To calculate the proportion of partogram use in the department, to describe the epidemiological profile of parturients, to identify the main reasons for not filling out the partogram and to establish the maternal and fetal prognosis in the gynaecology-obstetrics department of the Donka National Hospital, University Teaching Hospital of Conakry. Methodology: This was a prospective analytical cross-sectional study lasting six (6) months. All patients admitted to the department during the study period with a longitudinal presentation (cephalic, breech), permeable pelvis with a minimum of 28 weeks of gestational age with a live fetus were included in the study. The following were not included in this study: patients admitted for extreme obstetric emergencies (haemorrhagic placenta previa, retro-placental haematoma, uterine rupture, eclampsia....), patients admitted for prophylactic caesarean section; patients with a gestational age of less than 28 weeks of amenorrhoea and all contraindications to vaginal delivery with a live foetus. Word software from the 2007 office pack, Epi DATA3.1 was used for data entry, SSPS 20.0 was used for data analysis and Power Point software for presentation. The Chi-square test was used for the variables and a probability of p<0.05 was obtained in favour of an association between the variables compared. Results: Out of a total of 402 patients, the partogram was opened in only 269 patients, i.e. 67%, while 133 patients, i.e. 33%, did not receive a partogram. The epidemiological profile of the patients was that of women aged 20-24 years (31.3%), a housewife (34.1%), primiparous women (64.2%) and women who had not attended school (39.1%). 13.02% of the partograms were filled in correctly and 86.98% were filled in inadequately. 60% of the partograms were filled in correctly when they were carried out by a doctor, and only 12.8% were carried out by a midwife. Hypokinesia was found to be the most common anomaly, 60.59%, and the majority of patients (96.3%) did not cross the alert line. The reasons given by the staff interviewed for not filling out the patients were: lack of motivation on the part of the providers (25.56%), emergencies and overflowing activities in the delivery room (15.03%). Half of the staff interviewed did not give any reason for not filling out the partogram (50.37%). A previous caesarean section at the last delivery was found in 2.7% of the patients. The proportion of newborns without labour monitoring with a partogram with an APGAR score of less than 7 was 30.8%, compared with 11.2% with labour monitoring with a partogram. More than 2/3 of the births, 79.56%, that took place before the alert line was crossed, against 20.44% of the alert line. The morbidity is 3.7% for births before crossing the alert line against 20% after crossing it. The overall maternal morbidity is 6.5%: It is 5.57% under partogram, and 8.3% without partogram. Fetal mortality is 2.6% for those who gave birth under labour monitoring with partogram, and 3% for those who did not give birth under labour monitoring with partogram. We did not record any maternal deaths. Conclusion: The partogram is an indispensable tool in labour monitoring. We note a better maternal-fetal prognosis in patients who have given birth under partogram monitoring. The improvement of the quality of filling in the partogram would be achieved through the motivation of medical staff and supervision.
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Wacker, J., B. Utz, D. Kyelem, J. Lankoande, and G. Bastert. "Introduction of a Simplified round Partogram in Rural Maternity Units: Seno Province, Burkina Faso, West-Africa." Tropical Doctor 28, no. 3 (July 1998): 146–52. http://dx.doi.org/10.1177/004947559802800308.
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After a 3-day seminar on the utilization of a rectangular World Health Organization (WHO) version of the partogram and the round partogram, both versions were used under supervision in the maternity rooms of the Seno province, Burkina Faso, West-Africa, for 3 months. After this period a semi-standardized questionnaire was distributed among the partogram users. Using the round partogram with a plastic dial (dilatation indicator for the assessment of labour — DIAL), the two most common errors in the utilization of the rectangular partogram, incorrect recording at the initial examination and at the transition from latent to active phase, were largely avoided. Although the partogram was used in only 46.6% of all deliveries at the health unit level, 86% of the maternity staff using the partograms preferred the round partogram because of its time-saving and user-friendly qualities. Eighty-six per cent of its users felt that by starting the alert- and action-lines at a point later than that in the WHO partogram they would be able to avoid transferring patients unnecessarily. The wide acceptance of the simplified round partogram among the peripheral health units surveyed shows that the partogram would be an attractive tool for its users when it is made easy to use and a useful indicator for determining whether a patient transfer is necessary.
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Tarannum, Nazli, and Nishat Akhtar. "Utility of paperless partogram in labor management." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 3 (February 27, 2020): 1045. http://dx.doi.org/10.18203/2320-1770.ijrcog20200872.
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Background: Partograph use in labor has revolutionized the obstetric care. WHO recommends universal use of WHO modified partograph, which in clinical setup is less often used. Debdas (2006) proposed the paperless partogram which is designed for use by clinician/nurses/midwives as it is very simple and low skill method. The present study is proposed to evaluate the effectiveness of paperless partogram as a bedside tool and its comparison with WHO modified partograph.Methods: It was a prospective analytical study done in department of obstetrics and gynecology, JNMCH, AMU, Aligarh from September 2017 to July 2019 and included 400 pregnant women at term, divided into 2 groups of 100 each Group A (paperless partogram) and Group B (WHO modified partograph) and their labor events were followed.Results: Out of 200 women that were included in each group, maximum women were multigravida, 58.5% in group A and 61.5% women in Group B. Mean age in Group A was 24.68±3.8years and Group B was 24.93±3.75 years. The mean duration of labor in Group A was 3.57±2.20 hours and Group B was 3.40±2.03 hours. There were 87.5% of women who delivered before alert ETD, likewise in Group B; women who delivered before alert line are 88.5%. These differences were statically not significant. Perinatal outcome was also similar in both groups.Conclusions: In our study, the paperless study was found to be as efficient as WHO modified partograph for management of labor. The mean delivery time was 3.57 hours similar to WHO partograph of difference between alert and action line. Thus, for resource poor setting like India with overburdened population paperless partogram can be used as an alternative to WHO modified partograph which is complex and time consuming.
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Ghanghoriya, Vineeta, and Kirti Patel. "Study of partogram in relation to labour outcome and significance of alert line in partogram." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 4 (March 27, 2018): 1361. http://dx.doi.org/10.18203/2320-1770.ijrcog20180997.
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Background: The partogram is a simple, inexpensive tool to provide a continuous pictorial overview of labor. The goal of this study is to use partograph to monitor labor, initiate uterine activity that is sufficient to produce cervical changes, fetal descent while avoiding uterine hyperstimulation, hypostimulation and fetal distress and provide timely surgical intervention where required.Methods: Total 200 term patients, both primigravida and multigravida were selected for study and partograph recording were commenced at 4 cm dilation close maternal and fetal monitoring was done throughout the labour and partogram was plotted to detect any deviation from normal course.Results: Patients were grouped into primigravida and multigravida and based on partogram finding divided into delivered “before alert line” and “between alert and action line” and after action line.175 women delivered vaginally, out of this 106 delivered before alert line ,83 between alert line and action line and 11 after crossing action line.Conclusions: Partographic management of labour is a time honored and evidence based scientific way of managing labour. Partograph improves the quality of delivery care, since it permits to identify dystocia and make logical and effective interventions. It reduces unnecessary strain on mothers by reducing total duration of labour, without any increased foetal morbidity and mortality.
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Jain, Prekshi, Akshay C. Shah, Babulal S. Patel, and Shashwat K. Jani. "Partographic analysis of labour by modified WHO partograph in tertiary care centre." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 5 (April 23, 2021): 1920. http://dx.doi.org/10.18203/2320-1770.ijrcog20211512.
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Background: The partograph is a simple, inexpensive tool to provide a continuous pictorial overview of labor. The goal of this study is to use partograph to monitor labor, initiate uterine activity that is sufficient to produce cervical changes, fetal descent while avoiding uterine hyperstimulation, hypostimulation and fetal distress and provide timely surgical intervention where required. Methods: A hospital-based observational study involving prospective review of partographs for births that occurred in 2020 was conducted in 2 hospitals including SVP Hospital and V.S hospital Ahmedabad. A partographic analysis of labour was done in randomly selected 200 patients using modified WHO partogram. The study population was divided into Primigravida (96) and Multigravida (104) term patients. partograph recording were commenced at 4 cm dilatation. close maternal and fetal monitoring was done throughout the labour and partogram was plotted to detect any deviation from normal course.Results: Patients were grouped into primigravida and multigravida and based on partogram finding divided into mode of delivery. 22 of total 96 primigravida underwent caesarean section and 74 delivered vaginally. 8 of total 104 multigravida underwent caesarean section and 96 delivered vaginally. Out of 200 newborn only 11 had Apgar score <7 at 5 minutes.Conclusion: The WHO modified partograph is highly effective in reducing both maternal and neonatal morbidity. It aids in assessing the progress of labour and to identify when intervention is necessary. It is effective in preventing prolonged labour, obstructed labour, reducing operative intervention and improving neonatal outcome.
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M., Faswila, and Smitha B. Rao. "Comparative study of user friendliness of paperless partogram compared to WHO partogram in preventing prolonged labour." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 1 (December 26, 2018): 229. http://dx.doi.org/10.18203/2320-1770.ijrcog20185429.
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Background: Partogram is being used since 1954 when Friedman described it for monitoring progress of labour. The Paperless Partogram proposed by Dr. Debdas is a low-skill method for detection of abnormal labour. The objective of the present study was to know efficacy and user friendliness of paperless partogram in comparison with WHO partogram in monitoring and management of labourMethods: It’s a comparative study. Total of 100 patients were included in the study where half of the patients were monitored by paperless partogram and the other half by WHO modified partogram. The plotting of the WHO partographs started as soon the cervical dilatation was 4 cm along with regular painful uterine contractions. In the paperless partogram calculation will be two times, an ALERT ETD (estimated time of delivery) and an ACTION ETD. The outcome of labour will be recorded at the end of each partographs.Results: Paperless partogram was better than WHO partogram in terms of documentation, ease of use, learning, time factor, cost effectiveness and monitoring of labour, identification of abnormal labour.Conclusions: In present study paperless partogram was found to be preferred for monitoring of labour.
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Souberbielle, BernardE, and MaryE R. O'Brien. "Use of WHO partogram in developing countries." Lancet 344, no. 8916 (July 1994): 193. http://dx.doi.org/10.1016/s0140-6736(94)92794-4.
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Krishnaswamy, Priyanka H., Achal Shetty, and Padmalatha Venkatraman. "A Comparative Study of e-Partogram with Conventional Partogram." Journal of South Asian Federation of Obstetrics and Gynaecology 8, no. 4 (2016): 319–23. http://dx.doi.org/10.5005/jp-journals-10006-1442.
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ABSTRACT Introduction Obstructed labor remains an important cause of not only maternal death but also short- and long-term disability. Even though the partogram serves to assist in effective monitoring of the progress of labor and the condition of the mother and baby, its use in developing countries is limited. Aim To compare the reliability of mobile application-based e-partogram for feto-maternal monitoring in labor with the conventional World Health Organization (WHO) partogram. Setting A total of 40 patients in the delivery suite at Rangadore Memorial Hospital, Shankarapuram, Bengaluru. Design A randomized controlled trial. Materials and methods Study population was randomized into two groups of 20 patients each. Labor events, delivery, and baby details were randomly filled either in the modified WHO partogram or in the e-partogram app. Outcome measures The primary outcomes analyzed were regularity of monitoring of maternal and fetal parameters, consultant supervision of labor, and retrospective filling of data. Secondary outcomes studied were the mode of delivery, blood loss up to 24 hours of delivery, 1 and 5 minutes neonatal APGAR score. Statistical analysis used Averages and proportions were calculated for the study and appropriate statistical tests like chi-square test, Fisher's exact test, Z-test, and Levene's test for equality of variances were done using MiniTab version 16. Results The regularity of monitoring maternal parameters (p-value of 0.001) and consultant supervision (p-value of 0.000) was significantly higher using the e-partogram compared with those whose labor was monitored using the paper partogram. Retrospective filling of the partogram was higher in the modified WHO (on-paper) partogram (p-value of 0.000). The secondary outcomes — mode of delivery, blood loss up to 24 hours of delivery, 1 and 5 minutes neonatal APGAR score — were not significantly different between the two groups (p-value > 0.05). Conclusion The e-partogram can provide safe births by increasing the quality and regularity of important observations on the progress of labor and early detection of problems by consultants, which can lead to better decision-making and earlier referrals. It also makes remote monitoring of labor possible, promotes logical human resource allocation, supports recordkeeping, and is thus a pragmatic way to reduce both maternal and newborn mortality and morbidity. How to cite this article Krishnaswamy PH, Venkatraman P, Shetty A. A Comparative Study of e-Partogram with Conventional Partogram. J South Asian Feder Obst Gynae 2016;8(4):319-323.
Dissertations / Theses on the topic "Use of partogram"
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Mareka, Kedibonye Mmachere. "Refinement of the partogram: an educational perspective." Diss., 2001. http://hdl.handle.net/10500/1044.
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A deductive, descriptive, quanitative study was undertaken at Nyangabgwe Hospital, Francistown, Botswana, situated in the north east of the country. Its focus was on the use of partogram by midwives.
The population consisted of 395 obstetric records for the period of one month. A sample of 303 obstetrics records was drawn. Data were collected through auditing the bed letters of delivered mothers and interviews with and observation of midwives using the partogram in practice.
The Statistical Package for Social Sciences (SPSS) program was used to analyse the data. The findings indicate that there are problems regarding, and factors that can have a negative influence on the use of the partogram by midwives.
It is suggested that a supportive teaching programme for the midwives should be designed, that will support the system of supervision in the labour ward that already exists, in the use of the partogram throughout the labour process.Health Studies
M.A. (Advanced Nursing Sciences)
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Mehari, Tesfai T. "The application and use of the partogram in evaluating the Saving Mothers programme in South Africa in 2002." Thesis, 2004. http://hdl.handle.net/10413/7586.
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The SA National Department of Health made maternal deaths notifiable in 1997. It also commissioned a National Committee on Confidential Enquiries into Maternal Deaths (NCCEMD) to confidentially investigate all maternal deaths, to write the "Saving Mothers Report" and to make recommendations based on the findings of the study. The Department of Health in 2003 commissioned an evaluation of the extent to which the 10 recommendations contained in the first "Saving Mother's Report" had been implemented. This rapid appraisal was carried out by Centre for Health and Social Studies (CHESS), University of Natal. A report 'The Progress with the Implementation of the Key
Recommendations of the 1998 "Saving Mothers Report" on the Confidential Enquiry into Maternal Deaths in South Africa - A Rapid Appraisal," was published in 2003. The data collected on Recommendation 5 on the use of the obstetric partogram in 46 selected provincial hospitals in all the 9 provinces was only partially analysed in this report. This study reports on a secondary analysis of the 942 questionnaires that were completed on the use and application of the partogram in hospitals in South Africa. In the rapid appraisal experienced field workers evaluated the use of the partogram using a 36-point
checklist. Provincial and national averages for each of these variables were calculated and hospitals were evaluated into how they performed according to these averages using Lot Quality Assurance Sampling methodologies. Using national and provincial averages, the hospitals in each province are compared with one another provincially and nationally. In addition, the application and use of partograms in areas and levels of hospitals are described. An attempt is made to show if there is relation between the number of deliveries and the recording of the partogram. The main findings were that, of all the provinces KwaZulu-Natal had the lowest number variables below the national average from the 36 variables used as a checklist. Eastern Cape and Limpopo had the highest number of variables below the national average. The hospital with the highest number below the national average is in the Eastern Cape. In the
recording of the chart rural and level one hospitals are low in comparison with urban and level three hospitals. There was no relation in the recording of the chart and the number of deliveries.Thesis (M.PH.)-University of KwaZulu-Natal, 2004.
Book chapters on the topic "Use of partogram"
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Underwood, Heather, John Ong’ech, Grace Omoni, Sabina Wakasiaka, S. Revi Sterling, and John K. Bennett. "Improving Partograph Training and Use in Kenya Using the Partopen Digital Pen System." In Biomedical Engineering Systems and Technologies, 407–22. Berlin, Heidelberg: Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-662-44485-6_28.
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Singh, Tania. "Use of a Partograph." In Ward Rounds in Obstetrics and Neonatology, 193. Jaypee Brothers Medical Publishers (P) Ltd., 2016. http://dx.doi.org/10.5005/jp/books/12789_71.
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Kanagalingam, Devendra. "The management of labour." In Oxford Textbook of Obstetrics and Gynaecology, edited by Sabaratnam Arulkumaran, William Ledger, Lynette Denny, and Stergios Doumouchtsis, 331–38. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198766360.003.0026.
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Normal labour is a process of spontaneous expulsion of the fetus, placenta, and membranes at term. This process is initiated by complex endocrine mechanisms that cause uterine contractions which lead to effacement and dilatation of the cervix and descent of the fetus, resulting in delivery. About 10% of women go into labour in the preterm period. The progress is dependent on uterine contractions (power), the size and presentation of the fetus (passenger), and the size of the pelvis (passage). For ease of management, the observed labour is artificially divided into three stages. The partogram is used to manage labour and is where maternal and fetal observations can be plotted in addition to cervical dilatation and descent of the presenting part. The value of active management is still debated but has been adapted in routine practice. More research is needed to decide the best management of labour to optimize the maternal and fetal outcomes.
Conference papers on the topic "Use of partogram"
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Sutrisni. "EFFECT OF SEVEN JUMP LEARNING METHOD ON THE COMPETENCE TO USE PARTOGRAPH." In THE 2ND INTERNATIONAL CONFERENCE ON PUBLIC HEALTH. Masters Program in Public Health, Sebelas Maret University, 2017. http://dx.doi.org/10.26911/theicph.2017.162.
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