Partograph utilization as a decision-making tool and associated factors among obstetric care providers in Ethiopia: a systematic review and meta-analysis

Ayenew, Asteray Assmie; Zewdu, Biruk Ferede

doi:10.1186/s13643-020-01505-4

Cited by 15 publications

(16 citation statements)

References 41 publications

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“…Being a degree holder decreases, partograph utilization by 68 % compared to diploma holder obstetric caregiver. This finding is in contrast to similar research finding [ 13 , 18 , 19 ]. Degree-holding obstetric caregivers prefer to monitor the progress of labor with a piece of paper, but diploma-level caregivers are subject to strict supervision and control, so they could have used partographs more frequently to monitor women in labor.…”

Section: Discussioncontrasting

confidence: 99%

“…Similar studies conducted in Ethiopia and elsewhere supported the findings. [ 13 , 14 , 18 ]. Midwives may receive more training on how to use a partograph than a nurse or health officer, and midwives may remain in the obstetric ward while the nurse or health officer rotates from ward to ward.…”

Section: Discussionmentioning

confidence: 99%

“…According to different studies done in Ethiopia the magnitude of the utilization of partograph shown to have a wide variation from region to region and across zones of the same region [ 9 – 18 ]. Studies from the Central and Eastern zone of Tigray regional state reported the highest level of utilization from around 70 to 83 % [ 10 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Utilization of partograph and its associated factors among obstetric caregivers in public health institutions of Southwest Ethiopia

Girma

Gebeyehu

Adinew

et al. 2021

BMC Pregnancy Childbirth

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Background Partographs should be used universally to monitor the mother and fetus’s conditions during delivery. However, its application in different parts of the world, including Ethiopia, is inconsistent. Moreover, its magnitude has not been determined in study area. As a result, the aim of this study was to investigate the utilization of partograph and associated factors among obstetric caregivers in public health institutions of Southwest Ethiopian. Methods An institutional-based cross-sectional study was conducted in Southwest Ethiopia from March 1st to June 30th, 2018. A simple random sampling technique was used to select study participants. A self-administered questionnaire was used to gather data on background characteristics, knowledge of partograph, and partograph utilization. The collected data were entered into an EPI Info and analysed using SPSS Version 22. We used bivariate and multivariate logistic regression analysis. Frequencies, tables, and graphs were used to present the final results. To determine statistical significance, a P-value of less than 0.05 was used. Result The response rate of this study was 393(92.2 %). The magnitude of utilization of partograph was 43 % with (95 % CI: 38.4, 48.1). According to the multivariate analysis being nurse or health officer [AOR = 0.37(0.21, 0.66)], degree level educational qualification [AOR = 0.32 (0.17, 0.60)], being trainined on partograph [Adjusted OR = 7.83 (95 % CI: (4.54, 13.50)], good knowledge about partograph [AOR = 5.84 (95 % CI: (3.27, 10.44)] and working at health center [AOR = 1.99 (95 % CI: (1.12, 3.52)] were found as determinants of partograph utilization. Conclusions The magnitude of partograph utilization among obstetric caregivers was found to be low in this study. Partograph utilization was determined by the type of profession, qualification level, knowledge of partograph, in-service training, and type of institution. To ensure its regular, obstetric caregivers must receive training and gain knowledge about it.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Utilization of partograph and its associated factors among obstetric caregivers in public health institutions of Southwest Ethiopia

Girma

Gebeyehu

Adinew

et al. 2021

BMC Pregnancy Childbirth

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“…Based on the report of this study, this finding is consistent with average national magnitude of proper partograph utilization in Ethiopia (59.9%) [ 24 ]. This might indicate the finding of this study is more reliable estimate than others.…”

Section: Discussionsupporting

confidence: 88%

Proper partograph utilization among skilled birth attendants in Hawassa city public health facilities, Sidama region, Ethiopia, in 2021

Negash

Alelgn

2022

BMC Women's Health

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Abnormalities of labor are the major causes of maternal and fetal mortality and morbidity. Proper partograph utilization is a key intervention to detect labor abnormalities and subsequent initiation of management. Although a great deals of studies were conducted about partograph utilization, they have failed to explore some critical factors which correlate with correct filling of partograph so far. To assess magnitude and factors associated with proper partograph recording among skilled delivery attendants in public health facilities of Hawassa city, Sidama Ethiopia, in 2021. An institution based cross-sectional study was conducted to assess proper partograph filling practice among skilled delivery providers of public health facilities of Hawassa city, Sidama region, Ethiopia from November to December 15, in 2021. Data were collected using self-administered questionnaire, and client chart review. Data were entered, cleaned, and analyzed using SPSS software. Binary and multivariate logistic regression analysis was used to show association between outcome and explanatory variables. Multi-collinearity test was done using VIF. Adjusted Odds Ratio with 95% CI and p value less than 0.05 was taken as cuff of value for statistically significant value at final model. Out of 405 study participants, only 370 study subjects have provided full response for questions making a response rate of 91.4% in this study. The reason of non-responders was evaluated as not related with the issue of the outcome variable. The mean age of study subjects was 28 ± 3.9 years. Magnitude of proper partograph utilization was found to be58.4% (95% CI, 55.8–60.9%) among skilled delivery attendants in this study. Factors associated with partograph uptake were: On job training (AOR = 1.9, 95% CI: (1.1, 3.2), good knowledge (AOR = 3.1, 95% CI: (1.8, 5.3) and supportive supervision (AOR = 4.5, 95% CI, 2.5, 7.9), client took Uterotonics (AOR = 2.3, 95% CI: 1.4, 3.9), and day time admission (AOR = 3.5, 95% CI, 1.9–6.4). These factors were associated positively with proper partograph utilization. In conclusion, magnitude of proper partograph utilization was found to be lower than magnitude of WHO threshold. Hence, on job training should be enhanced about proper partograph utilization. Furthermore, monitoring, supervision and strengthening the human resource of delivery process would be mandatory by managers of delivery units.

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“…2,9,10 The overall pooled prevalence of partograph utilization among health care providers in Ethiopia was 59.95%. 11 Proper partograph utilization among obstetric care providers varies from place to place in Ethiopia. The magnitude varies from 73.3% in Tigray region, 69% in Addis Ababa and 40.2% in North Shewa zones.…”

Section: Introductionmentioning

confidence: 99%

Level of partograph utilization and associated factors among obstetric caregivers in public health facilities of Hawassa city administration, sidama state, Ethiopia, 2021

Dola¹,

Zewdie²

2022

MOJPH

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Background: Systematically detecting and handling complication at early stage of labor is part of guaranteeing quality obstetric service. Proper use of Partograph during labor and delivery helps in achieving a healthy child and maintaining the health of the mother with the least possible level of early intervention, early detection, manage the causes accordingly and timely referral. Even though; partograph use is influenced by different factors it is not well identified in the study area. Objectives: This study aimed to assess level of partograph utilization and associated factors among obstetric caregivers in public health facilities of Hawassa City Administration, Sidama State, Ethiopia, 2021. Methods: A facility based cross-sectional study was conducted from June 10 to June 30, 2021 among 221 study subjects sampled by simple random sampling technique in the selected health facilities. Data was collected using structured self-administered questionnaire. The data was coded, cleaned, entered using Epi data version 3.1 and analyzed using SPSS version 23 statistical software. A descriptive statistics for categorical and continuous variables was done and summarized as numbers, percentages, means and standard deviation. Bi-variable and multi variable logistic regressions were performed to identify factors associated with partograph utilization. The strength of statistical association was measured by adjusted odds ratios (AOR) and 95% confidence intervals. In all cases P-value, less than 0.05 were considered as statistically significant. Result: From the total study participants 62.5% (95%CI: 56%, 69%) of them utilized partograph to monitor women’s in labor. Respondents educational status (AOR=0.038, 95%CI: 0.003, 0.506), profession (AOR=9.9, 95%CI: 1.06, 92.65), service training (AOR 2.28, 95% CI: 1.1, 4.7) and attitude towards partograph utilization (AOR = 3.7, 95% CI: 1.76, 7.83) were factors significantly associated with partograph utilization Conclusion: In this study level of partograph utilization is about 62.5%. Educational status, profession, service training and attitude were significant factors associated with partograph utilization. The concerned bodies should strengthen supportive supervision and provide training to obstetric care providers in order to promote partograph utilization

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Partograph utilization as a decision-making tool and associated factors among obstetric care providers in Ethiopia: a systematic review and meta-analysis

Cited by 15 publications

References 41 publications

Utilization of partograph and its associated factors among obstetric caregivers in public health institutions of Southwest Ethiopia

Utilization of partograph and its associated factors among obstetric caregivers in public health institutions of Southwest Ethiopia

Proper partograph utilization among skilled birth attendants in Hawassa city public health facilities, Sidama region, Ethiopia, in 2021

Level of partograph utilization and associated factors among obstetric caregivers in public health facilities of Hawassa city administration, sidama state, Ethiopia, 2021

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