Partogram use in the Dar es Salaam perinatal care study
2008 (English)In: International Journal of Gynecology & Obstetrics, ISSN 0020-7292, Vol. 100, no 1, 37-40 p.Article in journal (Refereed) Published
Objective: To assess the quality of partograms used to monitor tabor in Dar es Salaam hospitals, Tanzania. Methods: The study team reviewed the records of the parameters of tabor, 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 tabor. 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 tabor and indicate urgent in-service training to address the importance of documentation and regular partogram audit in order to reduce maternal and perinatal deaths. (c) 2007 International Federation of Gynecology and Obstetrics.
Place, publisher, year, edition, pages
2008. Vol. 100, no 1, 37-40 p.
partogram, progress of labor, parameters, pregnancy outcome, Tanzania
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-16526DOI: 10.1016/j.ijgo.2007.06.049ISI: 000253025900009PubMedID: 17900578OAI: oai:DiVA.org:uu-16526DiVA: diva2:44297