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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.
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Alauddin, Md, Runa Bal, Arunangsu De, Parthajit Mondal, and Mayoukh Chakraborty. "Monitoring of labor with WHO modified partogram – A study report." Nepal Journal of Obstetrics and Gynaecology 3, no. 2 (July 29, 2014): 8–11. http://dx.doi.org/10.3126/njog.v3i2.10824.
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Introduction: Partogram represents labor events. World Health Organisation (WHO) had produced a partogram in the last decade and subsequently modified it to make it easier to use. The present study was conducted to note the effectiveness of the WHO modified partogram. Methods: Altogether 430 primigravida women, at term, having single live fetus in vertex presentation, were included for the study. The women were randomly subdivided into three groups: Group A (180 women) - monitoring of labor done by WHO modified partogram; Group B (150 women)- monitoring of labor done by WHO original partogram and 100 women in Group C (control), the labor would be monitored clinically. The results were noted in each group regarding the length of labor, vaginal delivery, cesarean sections, augmentation of labor etc. The results of Group A were compared with Group B and Group C. Result: The comparison of the results of the Group A and Group B did not reveal any statistically significant difference. The comparison of the results of the Group A and Group C observed that significantly less number of women in Group A (4.44%) was in labor for more than 12 hours than in Group C (18%). The number of vaginal delivery was more and cesarean section was less in Group A than Group C (p < 0.05). More number of women required augmentation of labor in Group C (p<0.001). Conclusion: WHO modified partogram, which is easier to use, gives almost the same effects as the WHO original partogram but significantly better results than clinical monitoring. DOI: http://dx.doi.org/10.3126/njog.v3i2.10824 Nepal Journal of Obstetrics and Gynaecology Vol.3(2) 2008; 8-11
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Sethi, Prachi Sarin, Sujata Sharma, and Indu Chawla. "Comparative evaluation of composite and simplified who partograms in a tertiary care centre in North India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 11 (October 28, 2017): 5003. http://dx.doi.org/10.18203/2320-1770.ijrcog20175016.
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Background: Early detection of abnormal progress and prevention of prolonged labour can significantly improve the outcome of labour. Partograph is an inexpensive tool which can provide a continuous pictorial overview of labour and is essential to monitor and manage labour. The objectives were to study the course of normal and abnormal labour and to evaluate the maternal and perinatal outcome using simple and composite WHO partogram.Methods: This was a randomized study conducted at Department of Obstetrics and Gynaecology, Government Medical College, Amritsar, a tertiary care centre in North India. 200 women with term, singleton, vertex gestation, in spontaneous labor were included in the study. In 100 cases composite partograph was plotted and in rest 100 cases simple partograph was plotted. The following outcomes were compared: labor crossing the alert and action line, augmentation of labor, rate of cesarean section, perinatal and maternal outcome.Results: The partogram crossed the alert line (p 0.008) and action lines (p 0.017), causing increased need for augmentation (p 0.034) in the composite partogram which was statistically significant. The numbers of vaginal deliveries were high (p<0.001) and decrease number of cesarean sections (p 0.007) and instrumental deliveries (p 0.009) in the simplified group. NICU admissions were also higher in the composite group (p<0.05), though most of the NICU admissions were due to hyperbilirubinemia and low birth weight and was not directly related to monitoring of labour.Conclusions: It was observed in the present study that labour can be managed without the latent phase being plotted on the partograph. The interventions were higher when the latent phase was included, with increased number of labours crossing the alert and action lines, increased no. of augmentations and larger number of caesarean sections. Our study favours the use of the WHO modified partograph, which should become routine practice in monitoring labour for better maternal and perinatal outcome.
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Lavender, Tina, Ediri Tsekiri, and Lisa Baker. "Recording labour: a national survey of partogram use." British Journal of Midwifery 16, no. 6 (June 2008): 359–62. http://dx.doi.org/10.12968/bjom.2008.16.6.29593.
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Sanyal, U., S. Goswami, and P. Mukhopadhyay. "The Role of Partograph in the Outcome of Spontaneous Labor." Nepal Journal of Obstetrics and Gynaecology 9, no. 1 (September 28, 2014): 52–57. http://dx.doi.org/10.3126/njog.v9i1.11189.
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Aims: The objective of the paper is to study the role of partogram in the outcome of spontaneous labour in primigravidae at term with singleton pregnancy and vertex as the presenting part. Methods: This prospective observational study was carried out in the labour room of the department of Gynaecology and Obstetrics of Medical College & Hospital, Kolkata, over a period of one year i.e. from June 2011 to May 2012 after obtaining approval from the institutional ethical committee. Analysis of the progress of labour was done in five hundred women with the help of modified WHO partograph. The study population was divided into three groups. Group I had a total observed duration of active stage six hours or less and their cervicograph remained on or to the left of the alert line. Group II had total observed duration of active phase between more than six hours and less than ten hours and their cervicograph remained between the alert and action line. Group III, who had the duration of observed active phase more than 10 hours, had their cervicograph crossing the action line. The different types of abnormal labor were studied. The maternal and fetal outcomes were assessed. Results: 80.8% of the women belonged to group I, 15.2% to group II and 4% to group III. Surgical interference increased as the labour curve moved to the right of the alert line. Use of partogram helped in overall reduction in the duration of labour. Timely intervention reduced the incidence of prolonged labour and its sequelae. 19.2% of the women showed abnormal labour . Severe complications were successfully averted. There were no cases of maternal death, puerperal sepsis, ruptured uterus or fresh still births. Overall neonatal mortality rate was also reduced. Conclusions: The use of modified WHO partograph significantly improves the outcome of labour in both maternal & neonatal perspective. The WHO partograph should be used in all maternity units with incorporated management guidelines. DOI: http://dx.doi.org/10.3126/njog.v9i1.11189 NJOG 2014 Jan-Jun; 2(1):52-57
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McDonald, Ginny. "Diagnosing the latent phase of labour: use of the partogram." British Journal of Midwifery 18, no. 10 (October 2010): 630–37. http://dx.doi.org/10.12968/bjom.2010.18.10.78822.
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Nyamtema, A. S., D. P. Urassa, S. Massawe, A. Massawe, G. Lindmark, and J. van Roosmalen. "Partogram use in the Dar es Salaam perinatal care study." International Journal of Gynecology & Obstetrics 100, no. 1 (September 27, 2007): 37–40. http://dx.doi.org/10.1016/j.ijgo.2007.06.049.
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Fatusi, A. O., O. N. Makinde, A. B. Adeyemi, E. O. Orji, and U. Onwudiegwu. "Evaluation of health workers' training in use of the partogram." International Journal of Gynecology & Obstetrics 100, no. 1 (September 27, 2007): 41–44. http://dx.doi.org/10.1016/j.ijgo.2007.07.020.
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Yazbek, Mariatha, and Julie Jomeen. "Use of the partogram in a private hospital in South Africa." Midwifery 69 (February 2019): 128–34. http://dx.doi.org/10.1016/j.midw.2018.11.009.
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Aguiar, Cláudia de Azevedo, Roselane Gonçalves, and Ana Cristina d’Andretta Tanaka. "Use of the partogram in labor: Analysis of its application in different care models." Open Journal of Obstetrics and Gynecology 03, no. 09 (2013): 1–8. http://dx.doi.org/10.4236/ojog.2013.39a001.
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B, Sheetal, and Kaveri . "The Use of Modified WHO Partogram in Assessing the Outcome of Labour in a Tertiary Care Centre of Karnataka." Indian Journal of Obstetrics and Gynecology 7, no. 3 (P-1) (2019): 359–64. http://dx.doi.org/10.21088/ijog.2321.1636.7319.2.
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Lumadi, T. G., M. M. Moleki, and L. M. Modiba. "CHALLENGES EXPERIENCED BY MIDWIVES ON THE USE OF PARTOGRAM AT LIMPOPO PROVINCE OF SOUTH AFRICA." Africa Journal of Nursing and Midwifery 17, no. 2 (November 1, 2015): 31–45. http://dx.doi.org/10.25159/2520-5293/224.
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Maphasha, OM, I. Govender, DP Motloba, and C. Barua. "Use of the partogram by doctors and midwives at Odi District Hospital, Gauteng, South Africa." South African Family Practice 59, no. 2 (February 6, 2017): 82–86. http://dx.doi.org/10.1080/20786190.2017.1280899.
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Valvekar, Umakant R. "Labour and its outcome compared with and without partogram use in primiparous and multiparous women." MedPulse International Journal of Gynaecology 17, no. 3 (2021): 52–27. http://dx.doi.org/10.26611/10121734.
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Lumadi, T. "Midwives’ Views on Improved Use of the Partogram in Vhembe District of Limpopo Province, South Africa." Africa Journal of Nursing and Midwifery 19, no. 1 (June 1, 2017): 28–40. http://dx.doi.org/10.25159/2520-5293/1271.
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Vlachos, Georgios, Panagiotis Tsikouras, Bachar Manav, Grigorios Trypsianis, Vasileios Liberis, Sakellarios Karpathios, and Georgios Galazios. "The effect of the use of a new type of partogram on the cesarean section rates." Journal of the Turkish German Gynecological Association 16, no. 3 (August 21, 2015): 145–48. http://dx.doi.org/10.5152/jtgga.2015.15074.
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Egbe, Thomas Obinchemti, Evaristus Ngong Ncham, William Takang, Eta-Nkongho Egbe, and Gregory Edie Halle-Ekane. "Use of the Partogram in the Bamenda Health District, North-West Region, Cameroon: A Cross-Sectional Study." Gynecology and Obstetrics Research - Open Journal 2, no. 5 (April 26, 2016): 102–11. http://dx.doi.org/10.17140/goroj-2-124.
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Zinnen, V., M. Borchert, J. F. Dagnon, C. Kabore, A. Tahirou, I. Hassane, L. Puscasiu, and V. De Brouwere. "O170 IMPACT OF TRAINING MATERNITY STAFF IN THE USE AND QUALITY OF THE PARTOGRAM IN WEST AFRICA." International Journal of Gynecology & Obstetrics 119 (October 2012): S320. http://dx.doi.org/10.1016/s0020-7292(12)60600-6.
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Verla, T., M. Ojong-Alasia, J. Sama, E. Tumasang, J. Ndipowa, and M. Atanga. "Various Health Care Providers’ Knowledge of the Partogram Use during Childbirth, at the Bamenda Health District, Cameroon." Asian Journal of Medicine and Health 1, no. 6 (January 10, 2016): 1–12. http://dx.doi.org/10.9734/ajmah/2016/29488.
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Lutfiasari, Dessy, and Mahmudah Mahmudah. "Efektifitas Penggunaan Metode Pembelajaran Simulasi Dengan Latihan Terhadap Keterampilan Pengisian Partograf Pada Mahasiswa Semester II Di Prodi Kebidanan (D-III) Universitas Kadiri Tahun 2015." Jurnal Ilmu Kesehatan 4, no. 1 (June 14, 2017): 12. http://dx.doi.org/10.32831/jik.v4i1.69.
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The use of the current method of learning very big influence on the growth and development of students' creativity and interest for all subjects to be taught, especially in the use of partograf. From interviews to the 10 students of IV semester Prodi Midwifery (D-III) Kadiri University is known that 4 (40%) of students said it was understood, 4 (40%) of other students say they are confused and 2 (20%) of them said that he was a student not familiar with partograf. This shows the lack of understanding of students in filling partograph. The research objective is to determine the effectiveness of the use of learning methods for skills training simulation with filling partograph the second semester students in Midwifery (D-III) Kadiri University Faculty of Health Sciences in 2015. The research design used is pre experiment with design Static Group Comparison/Posttest Only Control Group Design. The population studied were all students of the second semester in Midwifery (D-III) Faculty of Health Sciences University of Kadiri numbered 50 students and sampling techniques Federer totaled 32 students. This is a research instrument partograph sheet. Results of the study were analyzed using the Mann Whitney test with a significance level of 0.05 were used.The results showed 7 respondents (46.7%) are adept at using partograf with simulation teaching methods and 6 respondents (40.0%) are adept at using partograph with practice learning methods. Data were analyzed by Mann Whitney test obtained ρ = 0.965; α = 0.05 means that H0 is accepted and H1 rejected. This means there is no difference in the effective use of learning methods for skills training simulation with partograph filling. Based on the results of this study are expected to choose the method of learning as a learning method in charging partograph because both methods equally effective.; Keywords: simulation methods, drilling methods, partograph filling
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Amin, ET, FN Nyiawung, JA Fondungallah, and TO Egbe. "The Partogram: Knowledge, Attitude and Use by Healthcare Providers at Two Hospitals in the South West Region of Cameroon." Archives of Community Medicine and Public Health 4, no. 2 (October 29, 2018): 073–77. http://dx.doi.org/10.17352/2455-5479.000041.
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Saudia, Baiq Eka Putri. "EFEKTIFITAS KETERAMPILAN PENGISIAN PARTOGRAF DENGAN MENGGUNKAN MEDIA APLIKASI SPART DENGAN LEMBAR PARTOGRAF KONVENSIONAL PADA MAHASISWA PRODI DIV KEBIDANAN DI POLTEKKES KEMENKES MATARAM." Jurnal Midwifery Update (MU) 2, no. 1 (November 19, 2020): 43. http://dx.doi.org/10.32807/jmu.v2i1.76.
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Aplikasi Spart ( Smart Partograf ) terinspirasi dari form partograf manual yang saat ini sering digunakan di semua instansi kesehatan, Dengan mengimplementasikan form partograf manual kedalam bentuk aplikasi yang dapat memudahkan pencatatan kemajuan kala satu fase aktif, Kesejahteraan Ibu dan janin serta mengambil keputusan klinik secara cepat dan tepat. Untuk mengetahui perbandingan penggunaan aplikasi Spart dengan Lembar partograf konvensional terhadap keterampilan sebagai alat bantu media belajar mahasiswa..penelitian ini menggunakan metode penelitian quasi eksperimen, populasi dalam penelitian semua mahasiswa jurusan D-IV Kebidanan, dan sampel dalam penelitian ini adalah mahsisiwa tingkat III semester VI sebanyak 42 Sampel., dari 42 sampel dibagi menjadi 2 kelompok yaitu kelompok media yang menggunkan aplikasi Spart dan Kelompok yang menggunkan lembar partograf konvensional, media belajar yang menggunkan aplikasi spart sebanyak 21 sampel dengan kategori mahir ada 21 (50%) sampel dan katagori tidak mahir ada 0 (0%) sampel sedangkan media belajar yang menggunkan lembar konvensional sebanyak 21 sampel dengan kategori mahir ada 6 (14,3%) sampel dan katagori tidak mahir ada 15 (35,7%) sampel. Media belajar menggunkan aplikasi spart lebih efektif dari pada menggunkan lembar partograf konvensional serta bisa di jadikan media bantu belajar mahasiswa jurusan kebidanan, adapun saran peneliti, aplikai spart tetap digunkan di lingkungan kampus terutama di poltekes kemenkes mataram. The Spart (Smart Partograph) application is inspired by the manual partograph form that is currently often used in all health agencies. By implementing the manual partograph form into an application that can facilitate recording progress during an active phase, the welfare of the mother and the fetus and making clinical decisions quick and precise. To find out the comparison of the use of the Spart application with conventional partograph sheets on skills as a learning media tool for students ... this study used a quasi-experimental research method, the population in the study were all students majoring in D-IV Midwifery, and the sample in this study were students of grade III semester VI. 42 samples., of the 42 samples divided into 2 groups, namely the media group that used the Spart application and the group that used the conventional partograph sheet, 21 samples of learning media that used the Spart application with the advanced category, there were 21 (50%) samples and the category was not proficient. There are 0 (0%) samples while the learning media that uses conventional sheets are 21 samples with the advanced category there are 6 (14.3%) samples and the non-proficient category is 15 (35.7%) samples. Conclusion: Learning media using the spart application is more effective than using conventional partograph sheets and can be used as learning aids for students majoring in midwifery, as for the advice of researchers, the spart application is still used in the campus environment, especially in Poltekkes Kemenkes Mataram.
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Fotinos, C. "Use of a 2 hour partogram action line instead of a 4 hour action line did not reduce caesarean delivery rate." Evidence-Based Medicine 12, no. 2 (April 1, 2007): 46. http://dx.doi.org/10.1136/ebm.12.2.46.
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Rishard, Mohamed, Fathima Fahila Fahmy, Hemantha Senanayake, Augustus Keshala Probhodana Ranaweera, Benedetta Armocida, Ilaria Mariani, and Marzia Lazzerini. "Correlation among experience of person-centered maternity care, provision of care and women’s satisfaction: Cross sectional study in Colombo, Sri Lanka." PLOS ONE 16, no. 4 (April 8, 2021): e0249265. http://dx.doi.org/10.1371/journal.pone.0249265.
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Person-centered maternity care (PCMC) is defined as care which is respectful of and responsive to women’s and families’ preferences, needs, and values. In this cross-sectional study we aimed to evaluate the correlations among the degree of PCMC implementation, key indicators of provision of care, and women’s satisfaction with maternity care in Sri Lanka. Degree of PCMC implementation was assessed using a validated questionnaire. Provision of good key practices was measured with the World Health Organization (WHO) Bologna Score, whose items include: 1) companionship in childbirth; 2) use of partogram; 3) absence of labor stimulation; 4) childbirth in non-supine position; 5) skin-to-skin contact. Women’s overall satisfaction was assessed on a 1–10 Likert scale. Among 400 women giving birth vaginally, 207 (51.8%) had at least one clinical risk factor and 52 (13.0%) at least one complication. The PCMC implementation mean score was 42.3 (95%CI 41.3–43.4), out of a maximum score of 90. Overall, while 367 (91.8%) women were monitored with a partogram, and 293 (73.3%) delivered non-supine, only 19 (4.8%) did not receive labour stimulation, only 38 (9.5%) had a companion at childbirth, and 165 (41.3%) had skin-to-skin contact immediately after birth. The median total satisfaction score was 7 (IQR 5–9). PCMC implementation had a moderate correlation with women’s satisfaction (r = 0.58), while Bologna score had a very low correlation both with satisfaction (r = 0.12), and PCMC (r = 0.20). Factors significantly associated with higher PCMC score were number of pregnancies (p = 0.015), ethnicity (p<0.001), presence of a companion at childbirth (p = 0.037); absence of labor stimulation (p = 0.019); delivery in non-supine position (p = 0.016); and skin-to-skin contact (p = 0.005). Study findings indicate evidence of poor-quality care across several domains of mistreatment in childbirth in Sri Lanka. In addition, patient satisfaction as an indicator of quality care is inadequate to inform health systems reform.
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Rosanti, Aan, Sutopo Patria Jati, and Syamsulhuda Budi Mustofa. "Keterampilan Pengisian Partograf pada Mahasiswa Akademi Kebidanan di Wilayah Kota Jakarta Timur tahun 2015." Jurnal Promosi Kesehatan Indonesia 13, no. 1 (January 21, 2018): 74. http://dx.doi.org/10.14710/jpki.13.1.74-90.
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ABSTRAKPartograf merupakan panduan pengelolaan dan observasi persalinan normal yang akan memudahkan penolong persalinan dalam mendeteksi kasus kegawatdaruratan pada ibu dan janin. Partograf memegang peranan penting dalam menentukan diagnosa persalinan. Jenis penelitian yang digunakan adalah penelitian observasional rancangan cross sectional. Data diperoleh dari sumbernya menggunakan lembar observasi dan kuesioner. Lokasi penelitian ini kampus Akademi Kebidanan yang berada di wilayah Jakarta Timur. Subyek penelitian adalah seluruh mahasiswa yang sudah belajar partograf dan sudah praktik pertolongan persalinan, jumlah sampel 201 mahasiswa bidan berdasarkan kriteria inklusi. Analisis hasil penelitian dengan menggunakan uji Chi square dan regresi logistic multipel. Hasil penelitian menunjukkan keterampilan penggunaan partograf baik (56,7%), umur mahasiswa sebagian besar ≥ 20 tahun (58,7%), motivasi mahasiswa tinggi (57,7%), persepsi mahasiswa terhadap proses pembelajaran baik (52,2%), persepsi mahasiswa terhadap fasilitas pendidian baik (52,75). Adanya hubungan antara motivasi mahasiswa (p=0,005) dengan keterampilan pengisian partograf dan tidak adanya hubungan antara umur, persepsi proses pembelajaran dan persepsi fasilitas pendidikan dengan keterampilan pengisian partograf. Hasil dari uji regresi menunjukkan adanya pengaruh motivasi dengan pengisian partograf ( p value= 0,004, exp ß 2,350). Rekomendasi dari penelitian ini bagi semua mahasiswa bidan yang praktek di ruang bersalin wajib menggunakan partoraf dalam setiap pertolongan persalinan. Bagi institusi kebidanan untuk meningkatkan kerja sama dengan CI lahan praktek dalam memberikan bimbingan dan memonitor laporan persalinan mahasiswanya.Kata Kunci: Keterampilan pengisisan partograf, motivasi, proses pembelajaran, fasilitas pendidikan.ABSTRACTFactors associated with Partograph Charging Skills in Student Midwife Academy in East Jakarta. Partographs an observation management guidelines and normal deliveries which will facilitate birth attendants in detecting emergency cases in the mother and fetus. Partographs plays an important role in determining the diagnosis of labor. This type of research is observational cross-sectional design. Data obtained from the source using observation sheets and questionnaires. The location of this study Midwifery Academy campus located in East Jakarta. Subjects were all students who have already studied partograf and aid delivery practices, the number of samples 201 student midwives based on inclusion criteria. Analysis of the results using the chi square test and multiple logistic regression. The results showed good skills partograf use (56.7%), most of the students age ≥ 20 years (58.7%), high student motivation (57.7%), students' perceptions of the learning process both (52.2%) , students' perceptions of good pendidian facilities (52.75). The relationship between student motivation (p = 0.005) with the charging partograf skills and no correlation between age, the perception of the learning process and perceptions of educational facilities with charging partograf skills. Results of regression test showed the influence of motivation by charging partograf (p value = 0.004, ß exp 2,350). Recommendations from this study for all student midwives who practice in the delivery room must use partoraf in every delivery assistance. For midwifery institutions to enhance cooperation with land CI practice in providing guidance and monitoring the delivery report students.Keywords: Skills filling partograf, motivation, learning, education facilities.
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Abdo, Abdella Amano, Sven Gudmund Hinderaker, Achamyelesh Gebretsadik Tekle, and Bernt Lindtjørn. "Caesarean section rates analysed using Robson’s 10-Group Classification System: a cross-sectional study at a tertiary hospital in Ethiopia." BMJ Open 10, no. 10 (October 2020): e039098. http://dx.doi.org/10.1136/bmjopen-2020-039098.
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ObjectiveThe aim of this study was to assess the caesarean section (CS) rates using Robson’s 10-Group Classification System among women who gave birth at Hawassa University Referral Hospital in southern Ethiopia.DesignCross-sectional study design to determine CS rate using Robson’s 10-Group Classification System.SettingHawassa University Referral Hospital in south Ethiopia.Participants4004 women who gave birth in Hawassa University Referral Hospital from June 2018 to June 2019.ResultsThe 4004 women gave birth to 4165 babies. The overall CS rate was 32.8% (95% CI: 31.4%–34.3%). The major contributors to the overall CS rates were: Robson group 1 (nulliparous women with singleton pregnancy at term in spontaneous labour) 22.9%; group 5 (multiparous women with at least one previous CS) 21.4% and group 3 (multiparous women without previous CS, with singleton pregnancy in spontaneous labour) 17.3%. The most commonly reported indications for CS were ‘fetal compromise’ (35.3%) followed by previous CS (20.3%) and obstructed labour (10.7%).ConclusionA high proportion of women giving birth at this hospital were given a CS, and many of them were in a low-risk group. Few had trial of labour. More active use of partogram, improving fetal heartbeat-monitoring system, implementing midwife-led care, involving a companion during labour and auditing the appropriateness of CS indications may help to reduce the CS rate.
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Iis, Iis. "FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN BIDAN DALAM PENERAPAN PARTOGRAF." Jurnal Kesehatan 6, no. 2 (April 20, 2020): 740–46. http://dx.doi.org/10.38165/jk.v6i2.156.
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Partograf dapat meningkatan mutu dan keteraturan pemantauan janin dan ibu selama persalinan serta dapat membantu menemukan adanya masalah pada janin atau ibu. Kepatuhan bidan dalam penerapan partograf adalah Kepatuhan prosedur yang dilakukan untuk membuat alat bantu pemantauan kemajuan persalinan dan untuk membuat keputusan klinik. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan kepatuhan bidan dalam penerapan partograf. Penelitian ini menggunakan Survei analitik dengan pendekatan Cross sectional. Batasan sampel dalam penelitian ini menggunakan kriteria inklusi yaitu bidan yang bekerja di Puskesmas PONED wilayah kabupaten sukabumi dan mau mengisi inform consent yaitu sebanyak 46 orang. Analisa yang digunakan dalam penelitian ini adalah analisa univariat dan bivariat dengan menggunakan Uji Statistik Chi-Square (X2). Hasil penelitian sebagian besar bidan yang tidak patuh dalam penerapan partograf sebesar 54,3%. Setelah dilakukan Uji Bivariat maka diperoleh hasil bahwa variabel yang bermakna adalah untuk tingkat pengetahuan P-Value 0,021, untuk tingkat pendidikan P-Value 0,016 , untuk tingkat lama bekerja P-Value 0,021 dan untuk pelatihan P-Value 0,004 dan OR = 7,917. Kata Kunci : Partograf, Bidan, Kepatuhan ABSTRACTPartographs can improve the quality and regularity of maternal and fetal monitoring during labor and can help find problems in the fetus or the mother. Compliance partograf midwife in the application of the compliance procedure is done to make the tools of monitoring the progress of labor and to make clinical decisions. The aim of this study was to determine the factors associated with adherence midwife in the application partograf. This study uses Analytical Survey with cross sectional approach. Population in this research is all that is in BEONC Bureau of Sukabumi district, sampling in this research use accidental sampling is a midwife who works at the health center PONED Sukabumi district, would fill informed consent and there at the time of the research conducted as many as 46 people. Methods of data collection using primary data using questionnaires. The analysis used in this research is the analysis of univariate and bivariate descriptive analysis using Chi-Square Test Statistics (x2). Results of the study most of the midwife who do not comply in the application of partograf 54.3%. After Test Bivariat the obtained results that the variables that are meaningful to the knowledge level of the P-Value 0.021, to the level of education P-Value 0.016, to the level of long working P-Value 0,021 and for training P-Value 0.004. Based on the research results in the application of partograf compliance midwife for 21 people (45,7%).Keywords: Partograph, midwives, compliance
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Berman, Joshua, Elizabeth Limakatso Nkabane, Sebaka Malope, Seta Machai, Brian Jack, and William Bicknell. "Developing a hospital quality improvement initiative in Lesotho." International Journal of Health Care Quality Assurance 27, no. 1 (February 4, 2014): 15–24. http://dx.doi.org/10.1108/ijhcqa-01-2012-0010.
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Purpose – Hospital-based quality improvement (QI) programs are becoming increasingly common in developing countries as a sustainable method of strengthening health systems. The aim of this paper is to present the results and lessons learned from a QI program in a large, rural, district hospital in Lesotho, Southern Africa. Design/methodology/approach – Over a 15-month period, a locally-relevant, hospital-wide QI program was developed and implemented. The QI program consisted of: planning meetings with district and hospitals staff; creation of multi-disciplinary QI teams; establishment of a QI steering committee; design and implementation of a locally appropriate QI curriculum; and monthly consultation from technical advisers. Initial QI programming was developed in three distinct areas: maternity care, out-patient care, and referral systems. Findings – Partogram documentation in the maternity department increased by 78 percent, waiting time for critically ill patients in the out-patient department was reduced by 84 percent, and emergency referral times were reduced by 58 percent. Originality/value – The design and early implementation of QI programs should focus on easily achievable, locally-relevant improvement projects. It was found that early successes helped to fuel further QI gains and the authors believe that the work building sustainable QI skill sets within hospital staff could be useful in the future when attempting to tackle larger national-level quality of care indicators. The findings add to the existing evidence suggesting that an increased use of locally-relevant quality improvement programming could help strengthen health care systems in low resource settings.
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Gadappa, Shrinivas, Honey Gemavat, Sonali Deshpande, and Ankita Shah. "Interventions to reduce caesarean section rates at government medical college and hospital Aurangabad, India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 4 (March 25, 2020): 1563. http://dx.doi.org/10.18203/2320-1770.ijrcog20201224.
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Background: Caesarean sections are effective in saving maternal and infant lives, but only when they are performed for medically indicated reasons, The Objective of this study was to reduce caesarean Section rate at GMCH, Aurangabad and to improve overall birthing experience with respectful maternity care.Methods: The caesarean sections done at GMCH Aurangabad were audited using Robson`s Ten Group classification system to identify the major contributors to the overall CS rate. The following clinical and non-clinical interventions were applied dynamically to control the caesarean section rates. Clinical Interventions were changes in protocols regarding induction of labour, Intermittent auscultation as opposed to continuous electronic foetal monitoring in low risk cases, use of a partogram, encouragement of different birthing positions, promoting TOLAC to reduce the secondary CS rate. Nonclinical interventions include encouragement of DOULA (birth companion), ante-natal counselling of the expectant mothers, training of healthcare staff for respectful maternity care and use of evidence based clinical practice guidelines with mandatory second opinion for every non recurrent indication of CS. Auditing of caesarean section using Robson classification.Results: In this study there has been steady decline in LSCS rates from 33% to 26.9%. On analysis with Robson classification, group 5 (previous LSCS) made largest contribution of 36.9% followed by Group 1, 2, 10 each contributed 18.01%,13.2% and 11.2% respectively. Group 6 to 10 account for 23%. Various birthing positions lowered use of oxytocics from 33 % to 19% as well lowered episiotomy rates with greater success in vaginal delivery.Conclusions: Modification of induction protocols have reduced the primary LSCS rates and successful VBAC using FLAMM score was helpful in reducing the repeat caesarean Sections. Various birthing positions, DOULA gave greater success in vaginal delivery. LSCS rates in mothers with breech, multiple or oblique/transverse lies were largely unmodifiable. Limiting the CS rate in low-risk pregnancies by individualizing every labour and not to set a time limit as long as mother and baby are closely monitored.
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Tertyshnyk, D. Yu, Iryna Borysivna Borzenko, O. A. Liashchenko, O. B. Ovcharenko, and M. O. Medviedieva. "PLACENTAL DYSFUNCTION IN PREGNANT WOMEN WITH DIABETES. MODERN APPROACHES TO CHILDBIRTH." International Medical Journal, no. 2 (July 15, 2020): 25–28. http://dx.doi.org/10.37436/2308-5274-2020-2-5.
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Diabetes mellitus is a common chronic disease in the women of reproductive age. Pregnant women with this disease often have placental dysfunction, which manifests itself in fetal growth retardation, dehydration and requires delivery by a cesarean section. To evaluate the effect of antiprogesterone use on cervical maturation and optimization of delivery in pregnant women with placental dysfunction resulted from diabetes, 120 women were examined according to generally accepted norms. Ultrasound examination with Doppler velocimetry of the fetoplacental complex vessels and measurement of the uterus neck, hormonal examination to determine the level of hormones (progesterone, oxytocin, prostaglandin E2) by enzyme−linked immunosorbent assay, endothelial dysfunction factors (VEGF, endothelin, еNOS), assessment of uterus neck according to Bishops' score and the course of childbirth by cardiotocography and partogram, the newborn condition on the Apgar scores, newborn weight, glycometric condition of the mother. Preparation of pregnant women for childbirth was carried out by intracervical injection of prostaglandins of group E2 (dinoprostone); Foley catheter; antiprogesterone drug (mifepristone). The research has found that diabetes complicates the course of pregnancy with placental dysfunction in almost every second pregnant woman due to endothelial dysfunction, especially in the fetoplacental complex, which can be determined at an earlier stage of pregnancy by studying endothelial factors. The need for initiating the premature birth in pregnant women with diabetes is stipulated by the impairments in mother and fetus (placental dysfunction, diabetic fetopathy, distress), which requires preparation of the cervix for the labor induction. The most effective pre−induction of pregnant women with diabetes was the pathogenetic method of intracervical administration of antiprogesterone, which did not have a negative effect on the body of mother and child. Key words: diabetes mellitus, placental dysfunction, pregnant women, antiprogesterone.
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Singh, Shalini, Vishwajeet Singh, Tushita Thakur, A. G. Radhika, Pratima Mittal, Jyotika A. Kashyap, Abhilasha Gupta, and Neelam Aggarwal. "Influence of hospital policy on partograph use in tertiary care facilities in India: a cross sectional survey." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 11 (October 28, 2017): 4890. http://dx.doi.org/10.18203/2320-1770.ijrcog20174995.
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Background: Partograph is an effective, but underutilized tool for monitoring labour. This study examined the influence of hospital policy on the knowledge, attitude, practice and skills of doctors towards partograph plotting.Methods: A cross-sectional survey among doctors posted in labour rooms of tertiary care public teaching hospitals of India was carried out, using self-administered questionnaire to assess knowledge, attitude and practice; and labour case scenarios were provided to assess partograph plotting skills. Chi-square test or Fisher’s exact test were employed to test the significance of association between knowledge, attitude, practice and skills of 150 doctors working in hospitals with (n=3) and without (n=2) policy of routine partograph plotting.Results: The majority of doctors in both groups had correct knowledge about different partograph components. However, doctors working in hospitals with a policy of partograph use, demonstrated significantly better skills using case scenarios for plotting partographs (p<0.01), and a positive attitude towards plotting partograph and its use as a decision support tool (p=0.000) as compared to doctors working in hospitals without a routine partograph plotting policy.Conclusions: Hospital policy of routine partograph plotting may positively influence utilization of partograph in tertiary care public hospitals in India.
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Choden, Karma, and Nidup Dorji. "Knowledge, Attitude and Practice of nurse-midwives on the use of partograph in health care centres of Bhutan." Bhutan Health Journal 7, no. 1 (June 4, 2021): 10–15. http://dx.doi.org/10.47811/bhj.114.
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Introduction: World Health Organization recommends using partograph to reduce maternal and neonatal deaths due to obstetric complications. Proper utilization of partograph by health care providers was noted to be good when it is associated with better knowledge and a positive attitude towards partograph. There is a paucity of scientific study about knowledge, attitude and practice on the use of partograph among healthcare providers in Bhutan. Therefore, this study aimed to assess the knowledge, attitude and practice of nurse-midwives on the use and completeness of partograph in seven hospitals and one Basic Health Unit grade I. Methods: A descriptive study was carried out from September 2017 to February 2018. Non-probability sampling method was used to survey all nurse-midwives who attended deliveries in the selected health facilities using a standard semi-structured questionnaire. All partographs filled three months before the data collection was selected purposefully and reviewed using a checklist. Results: A total of 96 participants consisting of 66 (68.8%) females and 30(31.3%) males consented for the survey. Good knowledge of partograph was reported among 48(50%) of the participants with a mean score of 12.1 (SD: ± 1.52). Attitude on the usage of partograph was found to be favorable with a median of 42 (range 32-48). Partograph usage was reported by 86 (89.6%) while only 10.4% reported having received in-service training on partograph. Out of 426 partographs reviewed, only 68 (16.0%) were found to be complete. Conclusions: Despite the encouraging findings on the use of partograph, completeness of the partograph was very low. This study therefore, recommends the reinforcement of knowledge and practice through periodic continuous medical education and auditing of the partographs.
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Haile, Yosef, Fikru Tafese, Tesfaye Dagne Weldemarium, and Mulugeta Hailu Rad. "Partograph Utilization and Associated Factors among Obstetric Care Providers at Public Health Facilities in Hadiya Zone, Southern Ethiopia." Journal of Pregnancy 2020 (April 30, 2020): 1–8. http://dx.doi.org/10.1155/2020/3943498.
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Background. A partograph is a graphic representation of labor which is used by health professionals for monitoring labor progress and fetal and maternal wellbeing. However, its utilization and associated factors have not been studied yet in Hadiya Zone, Southern Ethiopia. Hence, the aim of this study was to determine partograph utilization and associated factors among obstetric care providers at public health facilities in Hadiya Zone, Southern Ethiopia. Methods. A facility-based cross-sectional study was conducted on 436 health professionals. The study was conducted from March 04 to April 07, 2019. A simple random sampling method was carried out to select 19 health facilities and study participants from selected facilities. Data was collected using a pretested structured questionnaire, entered into EPI-data version 3.1 and exported to Statistical Package for Social Sciences (SPSS) version 20. Descriptive statistics and binary and multivariable logistic regression analyses were done. P values less than 0.05 were used to declare significant association between dependent and independent variables. Results. The overall magnitude of partograph utilization was found to be 54.4%, and finding from data abstraction from a document revealed that out of 18 parameters, only 10 parameters were recorded completely. Type of health facility (hospital as compared to HC) (AOR=2.96; CI=1.71, 5.12), received on-the-job training on partograph (AOR=7.06; CI=4.3, 11.37), knowledgeable about partograph (AOR=2.12; CI=1.3, 3.9), and favorable attitude toward partograph use (AOR=1.8; CI=1.12−2.97) were significantly associated with partograph use. Conclusion. Overall partograph utilization was low, and incomplete recording of required parameters on partograph was observed in this study. Participants who received on-the-job training on partograph, who are working in a hospital, who are knowledgeable about partograph, and who have favorable attitude toward partograph use were factors affecting partograph use positively.
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Lavender, Tina, and Stine Bernitz. "Use of the partograph - Current thinking." Best Practice & Research Clinical Obstetrics & Gynaecology 67 (August 2020): 33–43. http://dx.doi.org/10.1016/j.bpobgyn.2020.03.010.
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Chimala, Eveles, Ursula Kafulafula, Alice Kadango, Jennifer H. Tang, and Elizabeth Chodzaza. "Perceived strengths and challenges of the World Health Organization modified partograph among obstetric care providers in Blantyre, Malawi." African Journal of Midwifery and Women's Health 14, no. 3 (July 2, 2020): 1–13. http://dx.doi.org/10.12968/ajmw.2019.0032.
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Background/Aims The partograph is a tool used to monitor events during labour and was recently modified by the World Health Organization to improve intrapartum care. However, it is unknown how obstetric care providers in Malawi perceive this modified partograph. This study aimed to evaluate the perceived strengths and challenges regarding the World Health Organization's modified partograph design among obstetric care providers in Malawi. Methods For this qualitative study, data were collected from a sample of 34 obstetric care providers from two purposively-selected urban health facilities through in-depth interviews and focus group discussions. The data were subjected to thematic analysis, with the strengths and challenges of using the modified partograph designated as the two major themes. Results The participants reported that there were more challenges than strengths with utilisation of the modified partograph. Two subthemes emerged among the strengths: the partograph is comprehensive and the partograph is clear. Three subthemes emerged from the challenges: 1) unrealistic fetal monitoring intervals, 2) confusing partograph design regarding documentation of caput and moulding and 3) small font. These challenges made partograph use impractical to complete, particularly in the context of chronic understaffing of the labour ward. Conclusions Until staffing levels are improved in Malawi and other resource-limited settings, it is unlikely that the modified partograph design will significantly improve maternal or neonatal outcomes. However, some improvements can be made to the design to help facilitate its use, and more training on its use is needed to prevent confusion.
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Tandiallo, Devianti, Mardiana Ahmad, Syafruddin Syarif, Nasrudin A. Mappaware, Prihantono Prihantono, and Burhanuddin Bahar. "Web-Based Partograph on Early Detection of Emergency Cases and Referral Processes." Global Journal of Health Science 11, no. 6 (May 3, 2019): 79. http://dx.doi.org/10.5539/gjhs.v11n6p79.
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INTRODUCTION: The partograph is designed as a tool to monitor a woman’s progress of labor. If it is used appropriately, the partograph can be used as a means of prevention and an early warning system to the need for further action such as caesarian section. The used of partograph is able to lower the percentage of Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). This study aimed to determine the comparison between word electric browser (WEB)-based partograph and the conventional partograph.
MATERIALS & METHODS: This study aimed to compare between the use of WEB-based patorgaph and conventional patograph. To gain the data, the researcher adopted quasi experimental method. Using purposive sampling technique, 30 women in labour were participated in this study. The data were analyzed by using the Independent T- test and Mann-Whitney test.
RESULTS: The result of the study showed that the utilization of WEB-based partograph is faster in recording the contraction, oxytocin, and the process of giving birth than the utilization of conventional partograph. Furtehrmore, promptness of WEB-based partograph in early detection has p-value 0.000 (<0.05) and p-value in emergency detection is 0.014 (<0.05) which means that there was differences between the use of WEB-based partograph and conventional partograph. Meanwhile, p-value of referral process is 1.000 (>0.05) which means that there was no difference in using both WEB-based partograph and conventional partograph.
CONCLUSION: This means that using the monitoring of the WEB-based partograph or the conventional partograph showed differences. The utilization of WEB-based partograph is better than conventional partograph since it can be used as a means to monitor the progress of labour.
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Markos, Mesfin, Aseb Arba, and Kebreab Paulos. "Partograph Utilization and Associated Factors among Obstetric Care Providers Working in Public Health Facilities of Wolaita Zone, 2017." Journal of Pregnancy 2020 (July 1, 2020): 1–8. http://dx.doi.org/10.1155/2020/3631808.
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Background. Obstructed or prolonged labor is a major cause of maternal deaths. Prolonged and obstructed labor contributed to 13% of global maternal deaths which can be reduced by proper utilization of a partograph during labor. Obstetric caregivers’ use of the partograph during labor has paramount importance in identifying any deviation during labor. Even though partograph use is influenced by different factors as obtained from the literatures, the magnitude of partograph utilization and the factors associated with its use are not well determined in the health facilities of Wolaita Zone. Objective. To assess the magnitude of partograph utilization and factors that affect its utilization among obstetric caregivers in public health facilities of Wolaita Zone, Ethiopia, 2017. Methods. An institution-based cross-sectional study was conducted on obstetric caregivers. A pretested and structured questionnaire was used to collect data. Data was entered to EpiData version 3.01 and exported to SPSS version 23.0 for further analysis. Logistic regression analyses were used to see the association of different variables. Result. A total of 269 obstetric caregivers participated in the study. Among those who were utilizing the partograph, 193 (71.7%) routinely used it for all laboring mothers and 76 (28.3%) of participants reported that they do not routinely utilize it. Greater number of service years (AOR=4.93, 95% CI: 1.53-15.88), on-the-job training (AOR=0.16, 95% CI: 0.06-0.43), good knowledge (AOR=3.35, 95% CI: 1.61-6.97), and favorable attitude towards partograph utilization (AOR=2.99, 95% CI: 1.28-7.03) were significantly associated with partograph utilization. Conclusion and Recommendation. Partograph utilization among obstetric caregivers in the public health facilities was good. Greater years of work experience, in-service training, having good knowledge, and favorable attitude towards partograph utilization among obstetric caregivers independently determined partograph utilization. Provision of on-the-job training to make obstetric caregivers improve knowledge and skill on partograph utilization, maintaining caregivers’ retention to decrease turnover by providing different incentives to more experienced obstetric care providers, and establishing favorable attitude could improve the proper use of the tool.
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Badjie, Burama, Chien-Huei Kao, Meei-ling Gua, and Kuan-Chia Lin. "Partograph use among midwives in the Gambia." African Journal of Midwifery and Women's Health 7, no. 2 (April 2013): 65–69. http://dx.doi.org/10.12968/ajmw.2013.7.2.65.
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Onunwa, Oswald Zion N., Abigael Omowumi Emikpe, Oluwatoyin A. Akinyele, Roseline O. Ayannusi, Moses Oluleye Olawode, and Taiwo A. Obembe. "Knowledge and correlates of using a partograph for labour monitoring among primary healthcare workers in Ibadan, Nigeria." African Journal of Midwifery and Women's Health 15, no. 1 (January 2, 2021): 1–8. http://dx.doi.org/10.12968/ajmw.2020.0015.
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Background The partograph is a graphic record of labour progress, and maternal and fetal condition, which was introduced to detect preventable maternal complications during parturition. It is plotted against time for intrapartum monitoring. There is a difference in how widely the modified partograph is used to monitor labour among health workers in primary healthcare across different countries, according to the World Health Organization. This study assessed primary healthcare workers' knowledge of how to use the partograph for labour monitoring in Ibadan, Nigeria. Methods The study used a cross-sectional descriptive survey to recruit 136 purposively selected respondents. A semi-structured questionnaire was administered for data collection. Data were analysed using the Statistical Package for Social Sciences version 23. Hypotheses were tested using the Chi-square test and logistic regression at P<0.05 significance. Results The majority of respondents reportedly had good knowledge of how to use the partograph (72%) but did not use it when monitoring labour (82.4%). The odds of using a partograph was four times more likely in participants with good knowledge (odds ratio=3.61, P<0.000). Conclusions There is a need for collaboration across all tiers of government with the National Primary Health Development Agency to develop and implement health policies that will encourage the utilisation of a partograph for monitoring labour.
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Zelellw, Desalegne Amare, Teketo Kassaw Tegegne, and Girma Alem Getie. "Knowledge and Attitude of Obstetric Care Providers on Partograph and Its Associated Factors in East Gojjam Zone, Northwest Ethiopia." Advances in Medicine 2016 (2016): 1–8. http://dx.doi.org/10.1155/2016/6913165.
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Introduction. Universal use of partograph is recommended during labor, to improve maternal and fetal outcome. The aim was to assess knowledge and attitude of obstetric caregivers about partograph and associated factors.Methods. Facility based cross-sectional study was conducted on 273 study participants. Study facilities and study units were selected using simple random sampling technique. Midwives, Nurses, Public Health Officers, Medical Doctors, and masters in Emergency Surgery and Obstetric were included in the study. Epi-data and SPSS statistical software were used.Results. About 153 (56.04%) and 150 (54.95%) of the obstetric caregivers had good knowledge and favorable attitude about partograph, respectively. Knowledge of partograph was significantly higher among obstetric caregivers that learnt about partograph during their College and who had received partograph on job training (AOR: 2.14, 95% C.I (1.17–3.93)) and (AOR: 2.25, 95% C.I (1.21–4.19)), respectively. Favorable attitude towards partograph was significantly higher among obstetrical caregivers who had training and learnt about partograph during their college (AOR: 3.37, 95% C.I (1.49–5.65)) and (AOR: 2.134, 95% C.I (1.175–3.877)), correspondingly.Conclusion. Above half of obstetric caregivers had good knowledge and a favorable attitude on partograph. The provision of on preservice and job training is necessary to improve caregivers’ knowledge and attitude.
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Manandhar, D. S., and K. Manandhar. "Low Cost Level II Newborn Care Service: Experience Of Kathmandu Medical College Teaching Hospital." Journal of Nepal Medical Association 43, no. 152 (March 1, 2004): 62–66. http://dx.doi.org/10.31729/jnma.555.
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Newborn infants require special care when they become sick. Majority of the newborn require only feeding,warmth and loving care by the mothers. Nearly 15-20% of newborns become sick requiring care in hospital.Most of these babies can be managed using low cost locally made equipment which makes newborn careaffordable. This is a prospective study of 201 sick newborns looked after in the Special Care Baby Unit(SCBU) of Kathmandu Medical College Teaching Hospital (KMCTH) using locally made low cost equipment.In the period of 28 months from 2nd July, 2001 to 17th Oct. 2003, 882 babies were delivered at KathmanduMedical College Teaching Hospital (KMCTH). 859 were live births. Out of 859 live births, 173 (20.1%)were admitted in the special care baby unit (SCBU). SCBU of this hospital also admitted 28 babies bornoutside the hospital. The main causes of admission in SCBU were low birth weight (37.3%), neonataljaundice (18.9%), birth asphyxia (6.9%), septicaemia (2.4%) and out of 201 babies admitted in SCBU,89% were discharged in good condition, 3.9% of the babies left against medical advice, 2 babies (one withcongenital hydronephrosis and another with congenital hypertrophic pyloric stenosis) were transferred toKanti Children Hospital for surgery and 11 babies (5.4%) expired. The main causes of neonatal deathswere extreme prematurity (70%), septicaemia (23%), birth asphyxia (15.3%) and congenital anomalies(7.6%). The perinatal mortality rate (PMR) and neonatal mortality rate (NMR) during this period were26.4/1000 births and 15.1/1000 live births respectively. In SCBU, locally made low cost equipment(Resuscitaire, Warm cot, Phototherapy and Oxygen hood designed by Prof D.S. Manandhar) are beingused in the manangement of sick babies, since the unit was started on 2nd July, 2001. Babies with birthweight as low as 1020 gms and gestation as low as 28 weeks have survived in this unit. This unit has shownthat Level II care could be provided with simple and low cost equipment and results are quite satisfactory.Good antenatal care, good care during delivery including use of partogram and care during postnatalperiod have helped to make this result good. Expansion of such facilities in district and bigger hospitals inthe country are not only affordable but also will have great impact in saving many lives. This will have amajor impact in reducing the present high IMR and NMR of the country.Key Words: Care of sick neonates, low cost locally made equipment, common neonatal problems,special care baby unit, and level II care.