Is partograph being correctly filled or just giving false security
Journal Title: International Journal of Biomedical and Advance Research - Year 2016, Vol 7, Issue 2
Abstract
Context : Retrospective study was carried out to answer whether or not the partographs that are used to monitor mothers in labour are recorded to the standard. A fuller understanding of this process will be important to educate further the personnel filling the partograph and also to make policies and strategies in the provision of maternity care services. Objectives: To determine whether the partographs are correctly being filled, To find out which part of the partograph is not being properly filled. Methods: 100 case records of women delivered in Kasturba Hospital and monitored by partograph, were randomly selected from a period of January May 2015 (20 records per month) and retrospectively studied by a team of 2 assessors. After defining inclusion and exclusion criteria, data was collected through a pre-tested and structured checklist which was developed, after reviewing literature relevant to the problem under study and standard protocols were defined to identify correctly filled partographs and substandard ones. Results :Overall 69 % of the partographs were correctly filled. Fetal heart rate was recorded up to the recommended standard in 78(78%) of the partographs reviewed. In 20 (20%) moulding of fetal head was not recorded at all. The status of membranes was recorded in 78 (78%). Cervical dilatation was recorded in 96 (96%) of the partographs however, 9(9%) of these records were substandard while it was not recorded in 4(4%). Uterine contraction was not recorded in 10 (10 %) while recorded to the standard in 71(71%). Descent of the presenting part was not recorded in 49(49%). 90 (90%) women had their blood pressure monitored. Post delivery baby notes were recorded in 96 (96%) of the partographs. Conclusion: The present study revealed significant proportions of substandard and unrecorded parameters of labour on the modified WHO partograph. This indicates poor documentation, and perhaps monitoring and supervision of labour. Lack and suboptimal documentation of some parameters of the progress of labour could hinder early detection of complications, important to prevent maternal and perinatal mortality and morbidity. Pre-service and periodic on-job training of health workers on the completion of the partograph, regular supportive supervision, provision of guidelines and mandatory health facility policy are recommended.
Authors and Affiliations
Manjiri Podder, Surekha Tayade
Keywords
Related Articles
- EP ID EP356425
- DOI 10.7439/ijbar.v7i2.2967
- Views 90
- Downloads 0
Respiratory compromise in overweight and obese children measured among school going children in Cuttack city, Odisha - A Community based cross sectional study
To find out the correlation between Body mass Index and Peak Expiratory Flow Rate(PEFR) in overweight and obese school going children of Cuttack city. Total 480 children were studied which included 240 obese and overweig...
A study on the variations of arterial supply to adrenal gland
Introduction: Adrenal glands are richly vascular and get their arterial supply by means of three arteries namely superior, middle, inferior suprarenal arteries. The inferior phrenic artery gives off the superior branch,...
Prevalence of hearing impairment among high risk neonates- A hospital based screening study
Background and objectives: Hearing loss present at birth is one of the major disabilities in childhood, the early detection of which can prevent further disability in speech, language and cognition. The prevalence of con...
Enhancing students learning by introducing various interactive teaching-learning methods in large group
Introduction: The factual knowledge says that interactivity leads to better learning outcomes. MCI has recommended interactive and innovative teaching but it is rare to find studies that have emphasized on faculty develo...
Prevalence and Etiology of Tuberculosis from Sputum of Patients using Geno-Type Mycobacterium Tuberculosis Complex (MTBC) in Niger State, North Central, Nigeria
This study aimed at the prevalence of Patients infected with Tuberculosis and their causative Organisms and this was carried out from Six General Hospitals of Niger State,, North Central, Nigeria. Three sputum samples an...