Use of the partograph - Current thinking

Lavender, Tina; Bernitz, Stine

doi:10.1016/j.bpobgyn.2020.03.010

Cited by 19 publications

(18 citation statements)

References 36 publications

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“…Accordingly, labor development should be monitored with the aid of partogram. Partogram has been incorporated to several services [26]. Its use allows monitoring labor based on graphical analysis, as well as defining whether, or not, the professional controlling the whole process needs to intervene in it [26].…”

Section: Discussionmentioning

confidence: 99%

“…Partogram has been incorporated to several services [26]. Its use allows monitoring labor based on graphical analysis, as well as defining whether, or not, the professional controlling the whole process needs to intervene in it [26]. Another practice that should be adopted is to encourage women to eat during labor to ensure the energy they need to experience the whole process of giving birth [27].…”

Section: Discussionmentioning

confidence: 99%

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Coexistence and prevalence of obstetric interventions: an analysis based on the grade of membership

Souza

Silva

Damasceno

et al. 2021

BMC Pregnancy Childbirth

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Background Obstetric interventions performed during delivery do not reflect improvements in obstetric care. Several practices routinely performed during childbirth, without any scientific evidence or basis - such as Kristeller maneuver, routine episiotomy, and movement or feeding restriction - reflect a disrespectful assistance reality that, unfortunately, remains in place in Brazil. The aims of the current study are to assess the coexistence and prevalence of obstetric interventions in maternity hospitals in Belo Horizonte City, based on the Grade of Membership (GoM) method, as well as to investigate sociodemographic and obstetric factors associated with coexistence profiles generated by it. Methods Observational study, based on a cross-sectional design, carried out with data deriving from the study “Nascer em Belo Horizonte: Inquérito sobre o Parto e Nascimento” (Born in Belo Horizonte: Survey on Childbirth and Birth). The herein investigated interventions comprised practices that are clearly useful and should be encouraged; practices that are clearly harmful or ineffective and should be eliminated; and practices that are inappropriately used, in contrast to the ones recommended by the World Health Organization. The analyzed interventions comprised: providing food to parturient women, allowing them to have freedom to move, use of partogram, adopting non-pharmacological methods for pain relief, enema, perineal shaving, lying patients down for delivery, Kristeller maneuver, amniotomy, oxytocin infusion, analgesia and episiotomy. The current study has used GoM to identify the coexistence of the adopted obstetric interventions. Variables such as age, schooling, skin color, primigravida, place-of–delivery financing, number of prenatal consultations, gestational age at delivery, presence of obstetric nurse at delivery time, paid work and presence of companion during delivery were taken into consideration at the time to build patients’ profile. Results Results have highlighted two antagonistic obstetric profiles, namely: profile 1 comprised parturient women who were offered diet, freedom to move, use of partogram, using non-pharmacological methods for pain relief, giving birth in lying position, patients who were not subjected to Kristeller maneuver, episiotomy or amniotomy, women did not receive oxytocin infusion, and analgesia using. Profile 2, in its turn, comprised parturient women who were not offered diet, who were not allowed to have freedom to move, as well as who did not use the partograph or who were subjected to non-pharmacological methods for pain relief. They were subjected to enema, perineal shaving, Kristeller maneuver, amniotomy and oxytocin infusion. In addition, they underwent analgesia and episiotomy. This outcome emphasizes the persistence of an obstetric care model that is not based on scientific evidence. Based on the analysis of factors that influenced the coexistence of obstetric interventions, the presence of obstetric nurses in the healthcare practice has reduced the likelihood of parturient women to belong to profile 2. In addition, childbirth events that took place in public institutions have reduced the likelihood of parturient women to belong to profile 2. Conclusion(s) Based on the analysis of factors that influenced the coexistence of obstetric interventions, financing the hospital for childbirth has increased the likelihood of parturient women to belong to profile 2. However, the likelihood of parturient women to belong to profile 2 has decreased when hospitals had an active obstetric nurse at the delivery room. The current study has contributed to discussions about obstetric interventions, as well as to improve childbirth assistance models. In addition, it has emphasized the need of developing strategies focused on adherence to, and implementation of, assistance models based on scientific evidence.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Coexistence and prevalence of obstetric interventions: an analysis based on the grade of membership

Souza

Silva

Damasceno

et al. 2021

BMC Pregnancy Childbirth

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“…In the normal active phase of labor, plotting of the fetal head station will have a four-hour progress. If it lasts more than four-hour, labor may be prolonged [ 32 ]. Abnormal progress in trans-labial ultrasound : Abnormal labor included protracted and arrest disorders.…”

Section: Methodsmentioning

confidence: 99%

The success of vaginal birth by use of trans-labial ultrasound plus vaginal examination and vaginal examination only in pregnant women with labor induction: a comparative study

Nouri-Khasheh-Heiran

Montazeri

Conversano

et al. 2023

BMC Pregnancy Childbirth

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Background Predicting the success of vaginal delivery is an important issue in preventing adverse maternal and neonatal outcomes. Thus, this study aimed to compare the success rate of vaginal birth by using trans-labial ultrasound and vaginal examination, and vaginal examination only in pregnant women with labor induction. Methods This was a comparative study including 392 eligible pregnant women with labor induction attending to a teaching hospital affiliated with Iran University of Medical Sciences from April to October 2018 in Tehran, Iran. Women were randomly assigned to two groups; the trans-labial ultrasound plus vaginal examination (group A), and the vaginal examination only (group B). Women were included in the study if they satisfied the following criteria: singleton pregnancy, 37 to 42 weeks of gestational age, fetal head presentation, a living fetus with no abnormalities, uncomplicated pregnancy, and no previous cesarean section or any uterine surgery. We used a partograph for both groups to assess the fetal head position and the fetal head station. In group 1, the Angle of Progression (AoP) and Rotation Angle (RA) were also assessed. Finally, the success and progression of vaginal delivery in two groups were compared by predicting the duration of delivery and mode of delivery. Results The findings showed that 8.68% of women in the trans-labial plus vaginal examination group delivered by cesarean section, while 6.13% in the vaginal examination only group delivered by cesarean section (P = 0.55). In women with cesarean section in positive fetal head stations, Angle of Progression (AoP) was significantly decreased ranging from 90 to 135 degrees compared to women who delivered vaginally (135–180 degrees; P < 0.001). In addition, the Rotation Angle (RA) was significantly decreased in women with cesarean section ranging from 0 to 30 degrees compared to women who delivered vaginally (60-90degrees; P < 0.001). Further analysis indicated that a higher risk of cesarean section was associated with vaginal examination only as compared to trans-labial ultrasound plus vaginal examination (HR: 8.65, P < 0.001). Conclusion Angle of Progression (AoP) and Rotation Angle (RA) indexes might be useful parameters to predict labor progression and successful vaginal delivery among women undergoing labor induction.

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“…); no maternal pregnancy complications (preeclampsia, bleeding during pregnancy, and infection); no fetal heart rate abnormalities; willingness to participate and physiological labor and delivery conditions. Exclusion criteria include: cesarean indication; vomiting; signs of fetal distress during the research (tachycardia, bradycardia, late or severe variable deceleration of fetal heart rate; meconium repel); disorder during delivery (based on labor partogragh which is available in Ministry of Health)[ 16 ]; hypertonic uterus; bleeding more than a sign of labor (show); consumption of dates and saffron during the study in the control group; the use of epidural anesthesia and the need to emergency cesarean.…”

Section: Methodsmentioning

confidence: 99%

Comparison of the effects of Date Syrup with Saffron-Honey Syrup on the Progress of Labor in Nulliparous Women

Sohrabi

Shamsalizadeh

Moradpoor

et al. 2022

Iranian Journal of Nursing and Midwifery Research

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Background: Assessing the progress of labor is a primary step in intrapartum care. This study was performed to assess comparison of the effects of date syrup with saffron–honey syrup on the progress of labor in nulliparous women. Materials and Methods: A randomized single-blind clinical trial study was conducted on 189 women who were referred to Bea'sat Hospital of Sanandaj from October 2019 to March 2020. Patients were randomly divided into three groups saffron–honey syrup, date syrup, and placebo syrup each including 63 cases. Each participant in the intervention and control groups received a maximum volume of 150 ml of saffron–honey syrup, date syrup, or placebo syrup. The syrups were given at the 4 cm dilation, and every 30–60 min until the end of the active phase of the first stage of labor. Data collection tools included a two-part questionnaire and a partograph form. The results were analyzed by Statistical Package for the Social Sciences (SPSS) 24 using Chi-squared test, analysis of variance, and last significant difference as a post hoc test, the significance level was set at 0.05. Results: The duration of the active phases of the first (F 2 = 92.70, p < 0.01), second (F 2 = 66.76, p < 0.01), and third (F 2 = 12.34, p < 0.01) stages of labor was shorter in the date syrup and saffron–honey syrup groups than in the control group (p < 0.01). Additionally, both experimental groups exhibited no significant difference in terms of duration between the first (p = 0.312), second (p = 0.724), and third (p = 0.911) stages of labor. Conclusions: Date syrup and saffron–honey syrup can be used as one of the safe and available herbal methods to facilitate labor.

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Use of the partograph - Current thinking

Cited by 19 publications

References 36 publications

Coexistence and prevalence of obstetric interventions: an analysis based on the grade of membership

Coexistence and prevalence of obstetric interventions: an analysis based on the grade of membership

The success of vaginal birth by use of trans-labial ultrasound plus vaginal examination and vaginal examination only in pregnant women with labor induction: a comparative study

Comparison of the effects of Date Syrup with Saffron-Honey Syrup on the Progress of Labor in Nulliparous Women

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