Feasibility of use of color-coded rings by nurse midwives: An appropriate technology based on partographic principles

Abstract

Objectives:To study the feasibility of use of color-coded rings as a proxy for partograph for early identification of slow progress of labor.Materials and Methods:Color-coded rings were devised as a tool using appropriate technology to translate the partographic principles into simpler, easy to understand methodology. The rings were in pairs of 4 colors i.e., red, blue, yellow, and green, ranging from 3 cm to 10 cm in diameter with a difference of 4 cm between rings of the same color. The midwife performed p/v examination of the woman in labor to assess the initial cervical dilatation and identify corresponding ring. P/V was to be repeated after 4 hours to reassess the cervical dilatation and compare it with the bigger ring of the same color indicating expected cervical dilatation. If existing cervical dilatation measured lesser, it was interpreted as slow progress of labor indicating referral.Results:44 women [23 (22.1%) primis and 21 (13%) multis] showed delayed progress of labor as judged by use of color-coded rings. 20 women (4 primis and 16 multis) showed satisfactory progress or delivered by the time arrangements for referral were made.Conclusion:Use of color-coded rings may serve as a valuable tool based on appropriate technology to assess slow progress of labor not only in the hands of nurse midwives but it also can serve as a training tool for TBAs to help facilitate timely referral of such cases.

Field Testing of Second Generation of Colour-Coded Rings for Detecting Slow Progress of Labour at Rural Health Centres

“…A feasibility study was undertaken by Pratinidhi et al [14], with encouraging results. This first generation of CCR were based on the cut-off point for active phase of labour of 3 cm which was recommended at that time by WHO.…”

“…A simulation training device was developed to train the birth attendants in identifying the rings having diameter of a given size from 3 to 10 cm by visual and tactile perception in earlier project supported by Government of India [6] which was used in this study for training.…”

“…An appropriate technological tool of colour-coded rings (CCR) based on the principles of cervicography was therefore developed [5] and tested in the rural area of Pune District of Maharashtra, India [6], with encouraging results. The tool developed for all categories of the birth attendants aimed at recognition of onset of active phase of first stage of labour, and periodic accurate assessment of cervical dilatation thereafter for determining the progress of labour as satisfactory or slow, thus needing intervention.…”

Color changes in resin cement polymerized with different curing lights under indirect restorations

“…CIE L*a*b* color appearance attributes are frequently used to calculate CIE L*a*b* color difference (ΔE) as equations. [ 8 9 ]…”

Oral Wellness

“…The project team created this visual system to alert facility care staff to the level of assistance patients need with oral care. Color-coded visual systems have been used in healthcare settings and research projects both to alert healthcare providers about important information regarding patient care and to improve the delivery of intervention (Hindley, 2012;Pratinidhi et al, 2013;Watson, 2009;Woodcock, Hatchett, Winser, & Uzzell, 2013). Following the delivery of the educational toolkit, the project team planned to use an audit tool and a follow up survey to explore the effectiveness of the project in improving oral hygiene delivery at the LTC facility.…”