The Partograph in Childbirth: An Absolute Essentiality or a Mere Exercise?

Dalal, Asha; Purandare, Ameya

doi:10.1007/s13224-017-1051-y

Cited by 27 publications

(21 citation statements)

References 19 publications

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“…The need for and importance of training in this regard has been suggested by many authors from India and abroad. [ 13 28 29 30 ] This differs from the findings of Ameh et al . (2016) who observed the least improvements following training in knowledge and skills in recognition and management of obstructed labor using the partograph.…”

Section: Discussioncontrasting

confidence: 61%

Steering the predictors to improve the knowledge and utilization of partograph by skilled birth attendants: An intervention study

Gupta

Raghav

Gautam

et al. 2020

J Family Med Prim Care

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Context: It was hypothesized that knowledge of skilled birth attendants (SBAs) about partograph and its utilization can be improved by modifying their predictors through training workshops. Aim: To upgrade the knowledge regarding partograph and its utilization by SBAs by modifying their predictors through training workshops. Settings and Design: This was an intervention study, which was conducted in a rural area of the Jodhpur district of Rajasthan state. Subjects and Methods: The SBAs were interviewed through pre and postintervention with the help of a prevalidated semi-structured interview schedule. As a part of an intervention, a series of half-day training workshops were conducted in the intervention block. Data were analyzed using SPSS version 23. Statistical Analysis Used: Descriptive statistics, univariate (Chi-square, t -test), and multivariate (logistic regression) analysis. Results: A total of 213 SBAs (105 from intervention and 108 from control block) were included in the study. SBAs who had received training related to the partograph were having significantly higher odds of knowing (AOR = 22.6[10.7–47.9]) as well as utilization (AOR = 22.5[7.05–72.1]) of partographs as compared to their counterparts. Knowledge was also a significant predictor of the utilization of partograph. Intervention could significantly improve the knowledge of SBAs about partograph as well as its utilization in the intervention block. Conclusion: Significant impact of the intervention on knowledge about partograph and its utilization was evidenced in the present study. There is a need to conduct training and refresher courses for healthcare workers on partograph use.

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Section: Discussioncontrasting

confidence: 61%

Steering the predictors to improve the knowledge and utilization of partograph by skilled birth attendants: An intervention study

Gupta

Raghav

Gautam

et al. 2020

J Family Med Prim Care

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“…Appropriate caring for premature newborns and use of partograph to monitor each woman continuously throughout the duration of labor is very important intervention in low-resource settings as prolonged labor and delay in decision making are important causes of adverse obstetric outcomes. Besides, health facilities should invest more in ensuring that the availability of priority equipment's for NR to perfectly perform the procedure within the golden minute [16].…”

Section: Discussionmentioning

confidence: 99%

Quality of neonatal resuscitation in Ethiopia: implications for the survival of neonates

et al. 2020

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Background: Birth asphyxia accounts for one-quarter newborn deaths. Providing quality care service of neonatal resuscitation reduces neonatal mortality. However, challenges to providing quality neonatal resuscitation are not well investigated in Ethiopia. Hence, this study is conducted to assess the quality provision of neonatal resuscitation in Ethiopia. Method: We used data from the Ethiopian 2016 Emergency Obstetric Newborn Care survey, conducted in 3804 health facilities providing maternal and newborn health services. We described the quality of neonatal resuscitation services according to the structure, process and outcome triad of quality dimension. Data from registers and birth records for the last 12 months prior to the survey were extracted. In each facility, the three last eligible charts of resuscitated neonates were reviewed and the highest frequency of chart of resuscitated baby was considered to the analysis. Thus, a total of 555 charts were assessed. Logistic regression model was used to assess the relationship between the neonatal resuscitation processes, provider, facility and newborn characteristics with neonatal outcome at the time of discharge. Results: The finding suggested that, around two-third, 364(65.6%) of the asphyxiated babies resuscitated by bag and mask type of neonatal resuscitation. Of the babies who had got neonatal resuscitation 463 (83.4%) survived. Resuscitated neonates with a gestational age of greater than 37 weeks and above (Adjusted Odds Ratio (AOR) =1.82; 95% Confidence Interval (CI) (1.09-3.04)), availability of priority equipment in health facilities for neonatal resuscitation (AOR = 1.24, 95% CI (1.09, 1.54)) and women who had 12 h and less duration of labor (AOR = 1.76; 95% CI (1.23, 3.13)) were the independent factors of survival of the neonate. Conclusion: Only half of the health facilities were ready for neonatal resuscitation (NR) in terms of priority equipment's. However, eight out of ten babies survived after NR in Ethiopia. Gestational age, priority equipment for NR and duration of labor were determinants of survival of resuscitated neonates in Ethiopia. Therefore, the availability of priority equipment and attentive care and follow-up for premature neonates and those face prolonged labor need to be improved in Ethiopia.

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“…Friedman (1956) designed the partograph to improve maternal and neonatal outcomes and its use has contributed to reduced undesirable maternal and child outcomes (Friedman, 1956). In 2000, the World Health Organisation (WHO) introduced the composite partograph, which was later modified with the removal of the latent phase and active phase beginning from 4 cm dilatation (Dalal and Purandare, 2018). The partograph is recommended for routine monitoring of the first stage of labour to assist the skilled birth attendant to identify slow progress of labour and hence prevent prolonged labour and its complication including atonic postpartum haemorrhage, ruptured uterus and obstetric fistula.…”

Section: Introductionmentioning

confidence: 99%

Partograph use among skilled birth attendants in selected counties, Western Kenya

Kibiwott¹,

Mwangi²,

Kang’ethe³

2021

Int. J. Nurs. Midwifery

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Participants was 35.3 (standard deviation: 7.1) years. The demographics (98%), foetal heart rate (80.5%), temperature, pulse and respiratory (74.5%) and maternal blood pressure (73.2%) section of the partograph were the most charted. The least charted sections were foetal descent (19.5%), cervical dilatation (21.5%) and uterine contractions (24.8%). Use of the partograph was associated with the female gender with a 58% (aOR: 0.42. 95% CI: 0.19-0.91) lower odds compared to male nurses. The findings highlight a persistent gap in the use of the partograph in Kenya despite the recent countrywide BEmONC training. There is a need for enhanced on-job training for nurses and midwives on the use of the partograph but also a need to explore the possibility of using the electronic partograph that are effective in reducing adverse foetal outcomes and improve adherence to labour care and strengthen routine support supervision to review nurses-midwives in the use of the partograph. In low resource setting, the completion rate of partograph is low despite heavy investment in training of healthcare workers on Basic Emergency Obstetric and Neonatal Care (BEmONC), which promotes the use of partographs to monitor the progress of labour. In Kenya, the rate of caesarean section, instrumental delivery and APGAR score less than 7 at 1 min has increased. Therefore, this study determined the extent of use of partograph as a tool for monitoring the progress of the mother and the foetus during labour in selected Western counties in Kenya. This cross-sectional study was conducted in Kisumu and Vihiga counties in Western Kenya between May and June 2019. Validated self-administered questionnaires and checklists were used to collect data from participants and randomly chosen participant-filled partograph. Sample characteristic and extent of use of partograph were described using frequencies and percentages while factors associated with partograph use were assessed using multivariable logistic regression. Statistical significance was set at p<0.05. Out of 149 participants, 104 (69.8%) were female, 144 (96.6%) were nurses, 52% worked in health centres, 37% had worked for seven or more years and trained on BEmONC within 1 to 2 years.

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The Partograph in Childbirth: An Absolute Essentiality or a Mere Exercise?

Cited by 27 publications

References 19 publications

Steering the predictors to improve the knowledge and utilization of partograph by skilled birth attendants: An intervention study

Steering the predictors to improve the knowledge and utilization of partograph by skilled birth attendants: An intervention study

Quality of neonatal resuscitation in Ethiopia: implications for the survival of neonates

Partograph use among skilled birth attendants in selected counties, Western Kenya

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