alexa Partogram use in the Dar es Salaam perinatal care study.
Reproductive Medicine

Reproductive Medicine

Journal of Pregnancy and Child Health

Author(s): Nyamtema AS, Urassa DP, Massawe S, Massawe A, Lindmark G,

Abstract Share this page

Abstract 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. This article was published in Int J Gynaecol Obstet and referenced in Journal of Pregnancy and Child Health

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version