Effect of partograph use on outcomes for women in spontaneous labour at term and their babies

Abstract

Analysis 2.6. Comparison 2 Partograph with 2-hour action line versus partograph with 4-hour action line (studies carried out in a high-and low-resource settings), Outcome 6 Serious maternal morbidity or death.. .. .. .. Analysis 2.7. Comparison 2 Partograph with 2-hour action line versus partograph with 4-hour action line (studies carried out in a high-and low-resource settings), Outcome 7 Caesarean section (distress).. .. .. .. .. . Analysis 2.8. Comparison 2 Partograph with 2-hour action line versus partograph with 4-hour action line (studies carried out in a high-and low-resource settings), Outcome 8 Caesarean section (delay).. .. .. .. .. .. Analysis 2.9. Comparison 2 Partograph with 2-hour action line versus partograph with 4-hour action line (studies carried out in a high-and low-resource settings), Outcome 9 Instrumental vaginal delivery.. .. .. .. .. . Analysis 2.10. Comparison 2 Partograph with 2-hour action line versus partograph with 4-hour action line (studies carried out in a high-and low-resource settings), Outcome 10 Postpartum haemorrhage-blood loss > 500 mL.. .. Analysis 2.11. Comparison 2 Partograph with 2-hour action line versus partograph with 4-hour action line (studies carried out in a high-and low-resource settings), Outcome 11 Regional analgesia-epidural.. .. .. .. .. Analysis 2.12. Comparison 2 Partograph with 2-hour action line versus partograph with 4-hour action line (studies carried out in a high-and low-resource settings), Outcome 12

Mode of delivery among nulliparous women with single, cephalic, term pregnancies: The WHO global survey on maternal and perinatal health, 2004–2008

“…The analysis found no association between availability of a partogram at the facility and cesarean, but did show that women who were referred during the course of labor had a higher odds of cesarean delivery. Use of the partogram has shown mixed effects in its ability to impact mode of delivery, suggesting that it may not be the ideal intervention to try and reduce cesarean delivery among women in Robson group 1 who are referred during labor . The WHO has asserted that assessment of cervical dilation over time is a poor predictor of severe adverse delivery outcomes, and that the validity of the alert line in the partogram, which is based on the “one‐centimeter‐per‐hour” rule, should be evaluated .…”

A study to assess the knowledge regarding partograph among staff nurses

“…India ranks very higher on the list of countries with high maternal mortality at 420 per 10, 000 live births. 1 In Punjab maternal mortality rate was 28%in 2012. 2 Maternal morbidity and mortality rate increases because of insufficient facilities in health care settings and inadequate knowledge and attitude of plotting the partograph.…”

Comparative feasibility of two World Health Organization partographs to predict prolonged labour: a randomized control trial

“…Cochrane systematic review reported the study included one trial were compared a partograph with the latent phase (including early stages of labour) and one without the latent phase, the caesarean section and oxytocin augmentation rates were higher in the partograph with a latent phase. 17 There were no clear difference between groups for oxytocin augmentation, and Apgar score less than 7 at 5 minutes. Further, trial evidence was required to establish the efficacy of partograph use per se and its optimum design.…”