Document Detail

Partogram use in the Dar es Salaam perinatal care study.
MedLine Citation:
PMID:  17900578     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess the quality of partograms used to monitor labor in Dar es Salaam hospitals, Tanzania. METHODS: The study team reviewed the records of the parameters of labor, and maternal and fetal conditions in 367 partograms, and interviewed 20 midwives. RESULTS: All midwives interviewed had been previously trained to use the partogram. Of all partograms reviewed, 50% had no records of duration of labor. Although cervical dilation and fetal heart rates were recorded in 97% and 94% of the partograms respectively, 63% and 91% of these were judged to be substandard. Substandard monitoring of fetal heart rates was strongly associated with poor fetal outcome (P<0.001). Blood pressure, temperature, and pulse rates were not recorded in 47%-76% of partograms. CONCLUSION: These findings reflect poor management of labor and indicate urgent in-service training to address the importance of documentation and regular partogram audit in order to reduce maternal and perinatal deaths.
A S Nyamtema; D P Urassa; S Massawe; A Massawe; G Lindmark; J van Roosmalen
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Multicenter Study     Date:  2007-09-27
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  100     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2007-12-14     Completed Date:  2008-04-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  37-40     Citation Subset:  IM    
Tanzanian Training Centre for International Health, Ifakara, Tanzania.
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MeSH Terms
Developing Countries*
Infant, Newborn
Labor, Obstetric*
Medical Audit
Medical Records / statistics & numerical data*
Midwifery / statistics & numerical data
Perinatal Care*
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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