Document Detail

The relationship between the use of the partograph and birth outcomes at Korle-Bu teaching hospital.
MedLine Citation:
PMID:  23146139     Owner:  NLM     Status:  Publisher    
OBJECTIVE: maternal mortality represents the single greatest health disparity between high and low income countries. This inequity is especially felt in low income countries in sub Saharan Africa and Southeast Asia where 99% of the global burden of maternal death is borne. A goal of MDG 5 is to reduce maternal mortality and have a skilled attendant at every birth by 2015. A critical skill is ongoing intrapartum monitoring of labour progress and maternal/fetal well-being. The WHO partograph was designed to assess these parameters. DESIGN AND SETTING: a retrospective review of charts (n=1,845) retrieved consecutively over a 2 month period in a tertiary teaching hospital in Ghana was conducted to assess the adequacy of partograph use by skilled birth attendants and the timeliness of action taken if the action line was crossed. WHO guidelines were implemented to assess the adequacy of partograph use and how this affected maternal neonatal outcomes. Further, the timeliness and type of action taken if action line was crossed was assessed. FINDINGS: partographs were adequately completed in accordance with WHO guidelines only 25.6% (472) of the time and some data appeared to be entered retrospectively. Partograph use was associated with less maternal blood loss and neonatal injuries. When the action line was crossed (464), timely action was taken only 48.7% of the time and was associated with less assisted delivery and a fewer low Apgar scores and NICU admissions. CONCLUSION: when adequately used and timely interventions taken, the partograph was an effective tool. Feasibility of partograph use requires more scrutiny; particularly identification of minimum frequency for safe monitoring and key variables as well as a better understanding of why skilled attendants have not consistently 'bought in' to partograph use. Frontline workers need access to ongoing and current education and strategically placed algorhythims.
Florence Gans-Lartey; Beverley A O'Brien; Faustina Oware Gyekye; Donald Schopflocher
Related Documents :
6269639 - Evidence for a regulatory role of ctp : choline phosphate cytidylyltransferase in the s...
19289449 - Early weight gain predicts retinopathy in preterm infants: new, simple, efficient appro...
21144679 - Perinatal cerebral insults alter auditory event-related potentials.
3484569 - Microcolon of prematurity: a form of functional obstruction.
10028309 - Management of a premature infant with moderate haemophilia a using recombinant factor v...
6702809 - Prematurity and occupational activity during pregnancy.
7493699 - Biochemical and doppler predictors of poor perinatal outcome in a fetus with four umbil...
12915219 - Stability of recombinant human alpha-1-antitrypsin produced in rice in infant formula.
1415149 - Infant resuscitation is associated with an increased risk of left-handedness.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-9
Journal Detail:
Title:  Midwifery     Volume:  -     ISSN:  1532-3099     ISO Abbreviation:  Midwifery     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8510930     Medline TA:  Midwifery     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier Ltd. All rights reserved.
Presbyterian Nurses' Training College, Box 16, Agogo, A/A, Ashanti Region, Ghana. Electronic address:
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Optimising the location of antenatal classes.
Next Document:  Keeping baby SAFE in pregnancy: Evaluating the brochure.