World Health Organization partograph
in management of labour.
We are awaiting USAID approval for a further collaborative project on 'Prevention of PPH and Promotion of Use of Partograph
in the country'.
The conference entitled The Role of Midwives in Saving Women's Lives included the following topics: The use of partograph
as a decision-making tool in the hands of midwives for monitoring progress of labour; Safe abortion and post abortion care and role of midwives; neonatal resuscitation; role of midwives at home and hospital; and mother-to-child transmissions and role of midwives.
Although the partograph
is used to monitor the progress of labour throughout Zimbabwe, its action guidelines need to be researched and adapted to the unique situations in Zimbabwe.
Improved provider of pregnancy, labor use of partograph
Health care workers may have to acquire new technical skills, such as the use of the partograph
in labor or manual vacuum aspiration, to manage pregnancy complications and make appropriate referrals.
Qualitative aspects include partograph
correctly and completely filled out; mother and newborn alive (if delivery in health facility); antenatal records correa and complete; proportion of women with caesarean delivery according to national guidelines; and written invitation sent within a week after non-attendance at a family planning appointment.
The current suggested partograph
does not have the first eight hours of the latent phase.
use and care for third stage complications varied widely.
Monitor midwifery practice including the reinforcement of the use of the partograph
in all health units offering skilled care
Use of partograph
and active management of third stage of labour--both essential skills for safe delivery--were not included in the training curriculum.
For example, referral was considered when the partograph
crossed the alert line, when transverse lie was detected or when a woman presented in labour with a twin pregnancy.