OBJECTIVE To assess knowledge about the partograph and its utilization among maternity care providers in primary health care in southwestern Nigeria. METHOD Two hundred and seventy-five maternity care providers comprising of 64 CHEWS (23.3%), 74 Auxiliary midwives (26.9%), 123 Nurses/midwives (44.7%) and 14 medical doctors (5.1%) were interviewed in primary health centres and private hospital...

BACKGROUND The partograph is a graphic display of the progress of labour, recommended by the World Health Organization, but often underused in practice in low- and middle-income countries. We were interested in going beyond demonstration of potential efficacy - on which the existing literature concentrates - through a systematic review to identify barriers to and incentives for achieving partog...

The challenge to maternal well-being with associated maternal wastages especially in labor has remained unsurmountable across the three tiers of health care delivery in Nigeria. This study aimed to determine and compare the factors that influence utilization of the partograph in primary, secondary, and tertiary health care delivery levels in Calabar, Nigeria. This was a descriptive study, using...

Problem and Motivation The World Health Organization (WHO) estimates that 300,000 women die every year due to pregnancy-related complications, most of which occur in developing countries [1]. Timely and informed labor monitoring by a skilled attendant can help prevent many of main causes of maternal death – hemorrhage, infection, unsafe abortion, eclampsia, and obstructed labor. Globally, the W...

BACKGROUND Globally, there was an estimated number of 287,000 maternal deaths in 2010. Eighty five percent (245,000) of these deaths occurred in Sub-Saharan Africa and Southern Asia. Among the causes of these deaths were obstructed and prolonged labour which could be prevented by cost effective and affordable health interventions like the use of the partograph. The Use of the partograph is a we...

BACKGROUND The partograph (or partogram) is recommended by the World Health Organisation (WHO), for monitoring labour wellbeing and progress. Concerns about limitations in the way the partograph is used in the clinical context and the potential impact on its effectiveness have led to this realist systematic review of partograph use. METHODS This review aimed to answer two key questions, 1) Wh...

OBJECTIVE To compare two World Health Organization (WHO) partographs - a composite partograph including the latent phase with a simplified one without the latent phase in women with uncomplicated pregnancy. MATERIAL AND METHODS This was a randomized controlled trial conducted at a tertiary hospital at Belgaum, India. 743 women with term, singleton, vertex gestation, in spontaneous labor were ...

BACKGROUND Prolonged labour causes maternal and perinatal morbidity and mortality. Its sequela include obstructed labour, uterine rupture, maternal exhaustion, postpartum haemorrhage, puerperal sepsis, obstetric fistula, stillbirths, birth asphyxia and neonatal sepsis. These complications can be reduced by using the partograph to assess the progress of labour. The Ministry of Health, Kenya has ...

OBJECTIVE the partograph is a tool used globally to record labour progress. Although it has the potential to improve maternal and neonatal outcomes, some midwives struggle with using it in practice. Training in partograph use is limited, and the theory is often divorced from practice. Innovative ways of improving training are urgently required. We therefore aimed to determine whether the use of...

BACKGROUND The enormous challenge to maternal well-being with associated maternal wastages during labour has remained an unsurmountable problem in Cameroon which reflects the current high maternal mortality rate. Evidence abounds that cost-effective and affordable health interventions like the use of the partograph will contribute to curb the alarming number of intrapartum maternal deaths. Howe...