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Partograph initiation and completion: a criteria-based audit study in Uganda

Partograph initiation and completion: a criteria-based audit study in Uganda Background:Although it is a cost effective tool in labour management, the partograph is not always used appropriately. The aim of this audit was to assess the initiation and completion of the partograph for women in labour at Mulago Hospital.Methods:A criteria-based audit was conducted, using patients’ files and delivery records from February to May 2016. A checklist was used to gather data and descriptive statistics computed.Findings:Of 7170 files, 256 (3.57%) had the partograph initiated. The recording of maternal wellbeing was low. For example, pulse was recorded in 20% of cases and blood pressure in 35%. Recording of vaginal examination results was 90% on admission but reduced to 57% in the first stage of labour. Similarly, recording of fetal heart rate in the first stage of labour was 62%.Conclusions:Partograph initiation was unacceptably low. Maternal well-being documentation was generally low compared to the set standard. There is need to strengthen the use of a partograph to improve care during labour http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png African Journal of Midwifery and Women's Health Mark Allen Group

Partograph initiation and completion: a criteria-based audit study in Uganda

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Publisher
Mark Allen Group
Copyright
Copyright © 2017 MA Healthcare Limited
ISSN
1759-7374
eISSN
2052-4293
DOI
10.12968/ajmw.2017.11.2.72
Publisher site
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Abstract

Background:Although it is a cost effective tool in labour management, the partograph is not always used appropriately. The aim of this audit was to assess the initiation and completion of the partograph for women in labour at Mulago Hospital.Methods:A criteria-based audit was conducted, using patients’ files and delivery records from February to May 2016. A checklist was used to gather data and descriptive statistics computed.Findings:Of 7170 files, 256 (3.57%) had the partograph initiated. The recording of maternal wellbeing was low. For example, pulse was recorded in 20% of cases and blood pressure in 35%. Recording of vaginal examination results was 90% on admission but reduced to 57% in the first stage of labour. Similarly, recording of fetal heart rate in the first stage of labour was 62%.Conclusions:Partograph initiation was unacceptably low. Maternal well-being documentation was generally low compared to the set standard. There is need to strengthen the use of a partograph to improve care during labour

Journal

African Journal of Midwifery and Women's Health – Mark Allen Group

Published: Apr 2, 2017

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