Evaluation of Digital Partograph Application Case Study On Normal Labor by Community Midwife

Abstract

The use of partograph in labor is still low, that is 25% Hospital, Community Health Centers 45%, and Maternity Clinic54%. The low use of partograph because it is considered difficult and takes a long time, for it needs the effort of using partograph become easier, faster, without losing the essence of partograph function. Digital partographs become one of the solutions for the use of partograph at the time of birth to be increased. The study has been done by using qualitative research method with case study approach. Sampling technique using Snowball sampling. Data collection with in-depth interviews, FGDs and document review. Analyze data with techniques, create keywords, categorize and create themes. Research shows that the information system contained in the digital partograph has met the aspect of system quality, information quality and user satisfaction. The application of digital partograph has fulfilled the use in clinical decision making, monitoring the progress of labor, documentation, monitoring of mother and fetal condition, digital partographs, and support from stakeholders for digital partograph applications. Based on the results of the study concluded digital partograph applications can already be used as a tool to monitor the progress of birth and already accessible on Google Playstore. With the digital partograph, there is a change in midwife behavior in its use.

Partograf Digital: Berbasis Android dalam Pengambilan Keputusan Klinik Persalinan

“…Ketepatan pengisian partograf memperoleh nilai mean 10,58 dengan nilai minimum dan maksimum yaitu 8-12 kemudian kecepatan pengambilan keputusan memperoleh nilai mean 6,78 dengan nilai minimum dan maksimum 6-8 . Partograf manual sudah lama digunakan untuk memantau kemajuan persalinan, hal ini sangat dipengaruhi oleh pengetahuan, sikap dan motivasi khususnya bidan dalam penggunaannya (Okokon et al, 2014) masih banyak bidan yang mengisi partograf namun belum tepat dalam pengisiannya (Ningrum et al, 2019b) Menunjukkan bahwa hasil analisis data menggunakan Uji Mann Whitney pada variabel ketepatan dan kecepatan data diperoleh nilai p Value < 0,05 artinya ada perbedaan efektivitas yang signifikan antara partograf manual dan partograf digital dari aspek ketepatan dan kecepatan terhadap pengambilan keputusan klinik pada proses persalinan.…”