The partograph is a graphical presentation of the progress of labour, and of fetal and maternal condition during labour. Completion of the modified world health organization who. Engenderhealthfistulacarepartographmeetingreport9 april 12. The observations that are recorded will document the following. Dr achu lordfred faculty of medicine and biomedicalbiomedical sciences. However, it is a tool which is only as good as the healthcare professional who is using it. It is the best tool to help you detect whether labour is progressing normally or abnormally, and to warn you as soon as possible if there are signs of fetal distress or if the mothers vital signs deviate from the normal range. For leading obstetricians in india and teachers in the medical colleges, there was nothing new about active management original article knowledge and practice on partograph abstract. It guides the obstetrician to decide about the need for. Health organization partograph in public health institutions of bale zone, ethiopia. Listing a study does not mean it has been evaluated by the u. Progress of labor was assessed by the use of modified who partograph.
Download fulltext pdf download fulltext pdf download fulltext pdf completion of the modified world health organization who partograph during labour in public health institutions of addis. Pdf completion of the modified world health organization who. Pdf completion of the modified world health organization. Fstopo pdf maps are created using fstopo map symbology and specifications. Labor scale versus who partograph in the management of labor. Results all facilities were using the modified who partograph. Numerous electronic adaptations have also been created as part of medical software packages. The commonest partograph which is used globally is. Uganda improving partograph use in uganda through coaching.
Followup visits to these sites revealed that staff were not using the partograph improving partograph use in uganda. Partograph use this form for monitoring active labour name of facility. The first who partograph or composite partograph, covers a latent phase of labour of up to 8 hours and an active phase beginning when the cervical dilatation reaches 3 cm. Knowledge and utilization of partograph among obstetric care. If you download the isograph software product from the isograph web site then the windows installer 3. In 2008, the uganda moh, with support from fistula care, trained service providers in emergency obstetric care emoc, including the partograph, at 12 health service sites, ranging from health centers to district hospitals. The present study examined the extent of utilization of partogram among nurses and midwives in rwamagana health facilities located in the eastern province of rwanda. Partograph is a very simple tool to note down the progress of labor and it alerts the user to decide on future course of action. The who partograph and variations of it are usually photocopied onto letter paper, and are therefore available at the cost of photocopies. Partograph a partograph is a graphical record of the observations made of a women in labour for progress of labour and salient conditions of the mother and fetus it was developed and extensively tested by the world health organization who 2. Starting a partograph a partograph should be started only when a woman is in active phase of labour contractions must be 1 or more in 10mins, each lasting for 20secs or more cervical dilatation must be 4cms or more.
The partograph consists of a graphic representation of labour and is an excellent visual resource to analyze cervix, uterine contraction and foetal presentation in relation to time. The modified who partograph is an inexpensive but valuable tool that provides a continuous pictorial overview of progress of labor. An fstopo pdf can be viewed using free adobe reader software. The isograph software product cd includes both the. The study group guided with use of modified who partograph. In response to the recommendations of the safe motherhood conference held in nairobi in 1987, the who produced a partograph, and tested its practical value to reduce maternal and perinatal morbidity and mortality 2. The fstopo pdf contains feature layers which can be toggled on and off for display purposes. It deals specifically with the main reprographic function of small offset printing rather than covering areas such as microfilming and document copying. Our partograph is a simpletouse, inexpensive, evidencebased tool designed to aid hospitalbased labor care providers in the early detection of abnormal labor progress among lowrisk, term. Apr 18, 20 the world health organization who recommends using the partograph to follow labour and delivery, with the objective to improve health care and reduce maternal and foetal morbidity and death.
The partograph is a graphic record of the progress of labour and relevant details of the mother and fetus. Jul 01, 2015 labor scale versus who partograph in the management of labor slip the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. The who partograph begins only in the active phase of labour, when the cervix is 4 cm or more dilated see below. To determine future research, education and practice priorities for realizing the potential of the partograph, cohosted by who, usaids maternal and child health integrated program mchip. Effect of using paperless versus modified who partograph on. Pdf study of course of labour by using modified who partograph. Physiologic partograph to improve birth safety and outcomes. Increasing moulding may be a sign of cephalopelvic disproportion, as the fetal skull bones overlap to aid passage through the maternal pelvis. The criteria used in that trial and shown in section 5.
It is a practical teaching aid, simple to use, facilitating the exchange of technical information between caregivers. The high quality of the pdf enables offset lithographic printing. Analysis of mode of delivery of women admitted in the latent and active phase, showed that women admitted in the latent phase had more operative both abdominal and vaginal. Partograph maternal and neonatal directed assessment of. A friedman from new york in 1955 it is the graphic analysis of labour for clinical evaluation of the progress of labour. It was initially introduced as an early warning system to detect labour that was not progressing normally. The collected data was analyzed using spss version 16. The simplified partograph q identification data reg. Reprographic methods december 1986 edition open library. Use of modified who partograph to assess the progress of. The partograph was endorsed and modified by the world health organisation who between 1990 and 2000 to monitor the fetal and maternal wellbeing during the active stage of labour.
A crosssectional quantitative study assessed knowledge and utilization of partograph among obstetric care givers in public health institutions of addis ababa, ethiopia using a structured interviewer administered questionnaire. Background to operations research although a considerable amount of experience and information on the use of the partograph has been accumulated in the past 1520 years, it is not in use in a great many countries and there are significant gaps in our knowledge. Research open access completion of the modified world health. Additionally it is necessary to add information which may provide a proper interpretation of the structure of coastal features. The patients assigned randomly in two groups 1 control group, in which labour was not monitored with partograph and 2 study group, in which labour monitored with partograph.
The objective was to study the frequency and mode of delivery of women admitted in the latent and active phase of labour in st. Partograph made easy lourdes borja magbanua, rm, rn, rt, man, ph. Utilization of the modified who partograph in assessing the. It plots the dilatation of cervix in centimeters against time in hour.
Pdf the objective was to study the frequency and mode of delivery of women admitted in the latent and active phase of labour in st. Normal group, without augmentation, vaginal deliveries. In these surveys, control is achieved by positioning details on the ground which may be identified in images. For rhl summaries related to hivaids, please see the separate hiv topic page. The partograph or partogram is recommended by the world health organisation who, for monitoring labour wellbeing and progress. The modified world health organization who partograph was introduced in wolisso in january 2007. Reprographic methods provides the technical information required by anyone involved in the field of reprographics and general printing. Who modified partograph, labour abnormalities,maternal morbidity. Among the five major causes of maternal mortality in developing countries like ethiopia hypertension, haemorrhage, infection, obstructed labour and unsafe abortion, the middle three haemorrhage, infection, obstructed labour are highly correlated with prolonged labour. Apr 18, 20 completion of the modified world health organization who partograph during labour in public health institutions of addis ababa, ethiopia. All facilities were using the modified who partograph. In many respects, problems with the partograph mirror the ills of underresourced health systems. Utilization of the modified who partograph in assessing the progress of labour. The partograph provides a graphic illustration of the progress of labour.