Unqualified personnel were found to provide institutional maternity care in up to 59% of all deliveries, and a number of life-saving clinical practices such as partograph
use for monitoring labor, screening for pre-eclampsia/eclampsia and active management of the third stage of labor were rarely observed.
is a composite graphical record of key data (Maternal and foetal) during labour entered against time on a single sheet of paper.
The other cases of non-compliance that were identified and which are of great relevance for childbirth care included failure to start the Partograph
on time, failure to confirm availability of suction and resuscitation supplies, failure to check for abnormal bleeding, failure to start breastfeeding protocol, and failure to allow the presence of a companion during labour.
World Health Organization partograph
in management of labour.
is an important tool to detect deviation from normal labour, and early referral helps in prevention of such castrotrophe.
A study from Mauritania measured quality based on whether the partograph
was filled in and done correctly based on a review of delivery records at facilities covered by insurance; this study found a decrease, over time, in the percentage of deliveries with a partograph
filled in (36).
Likewise, submit the parturient to repeated vaginal examination, besides being extremely inconvenient, can facilitates the possibility of puerperal infection and it is a not justified care, once the partograph
use facilitates the effective control of the labor evolution.
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.
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.
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.