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Aim: The aim of this study is to assess midwives and nurses' knowledge and skills of the partograph before and after the training. Methods: This cross-sectional study was conducted in Balikesir in Turkey. This study was 45 midwifes and nurses who were given partograph training. A scale measuring the partograph knowledge before and after the training was administered and participants were asked to mark on the partograph by giving a case sample to measure skills of using partograph. The questions prepared to measure knowledge of the partograph were multi-item propositions. Correct answers to the partograph knowledge questions were scored "2", missing answers were scored "1" and wrong answers or unanswered questions were scored "0". Results: Partograph knowledge score averages were meaningfully higher in midwives and nurses who worked in obstetrics clinics, who used partograph and who received partograph training previously (p

Context: It was hypothesized that knowledge of skilled birth attendants (SBAs) about partograph and its utilization can be improved by modifying their predictors through training workshops. Aim: To upgrade the knowledge regarding partograph and its utilization by SBAs by modifying their predictors through training workshops. Settings and Design: This was an intervention study, which was conducted in a rural area of the Jodhpur district of Rajasthan state. Subjects and Methods: The SBAs were interviewed through pre and postintervention with the help of a prevalidated semi-structured interview schedule. As a part of an intervention, a series of half-day training workshops were conducted in the intervention block. Data were analyzed using SPSS version 23. Statistical Analysis Used: Descriptive statistics, univariate (Chi-square, t-test), and multivariate (logistic regression) analysis. Results: A total of 213 SBAs (105 from intervention and 108 from control block) were included in the study. SBAs who had received training related to the partograph were having significantly higher odds of knowing (AOR = 22.6[10.7–47.9]) as well as utilization (AOR = 22.5[7.05–72.1]) of partographs as compared to their counterparts. Knowledge was also a significant predictor of the utilization of partograph. Intervention could significantly improve the knowledge of SBAs about partograph as well as its utilization in the intervention block. Conclusion: Significant impact of the intervention on knowledge about partograph and its utilization was evidenced in the present study. There is a need to conduct training and refresher courses for healthcare workers on partograph use.

Copyright of Journal of Anatolia Nursing & Health Sciences / Anadolu Hemsirelik Ve Saglik Bilimleri Dergisi is the property of Ataturk University Coordinatorship of Scientific Journals and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The partograph is a graphic record of labour progress, and maternal and fetal condition, which was introduced to detect preventable maternal complications during parturition. It is plotted against time for intrapartum monitoring. There is a difference in how widely the modified partograph is used to monitor labour among health workers in primary healthcare across different countries, according to the World Health Organization. This study assessed primary healthcare workers' knowledge of how to use the partograph for labour monitoring in Ibadan, Nigeria. Methods: The study used a cross-sectional descriptive survey to recruit 136 purposively selected respondents. A semi-structured questionnaire was administered for data collection. Data were analysed using the Statistical Package for Social Sciences version 23. Hypotheses were tested using the Chi-square test and logistic regression at P<0.05 significance. Results: The majority of respondents reportedly had good knowledge of how to use the partograph (72%) but did not use it when monitoring labour (82.4%). The odds of using a partograph was four times more likely in participants with good knowledge (odds ratio=3.61, P<0.000). Conclusions: There is a need for collaboration across all tiers of government with the National Primary Health Development Agency to develop and implement health policies that will encourage the utilisation of a partograph for monitoring labour. [ABSTRACT FROM AUTHOR]

Context: It was hypothesized that knowledge of skilled birth attendants (SBAs) about partograph and its utilization can be improved by modifying their predictors through training workshops. Aim: To upgrade the knowledge regarding partograph and its utilization by SBAs by modifying their predictors through training workshops. Settings and Design: This was an intervention study, which was conducted in a rural area of the Jodhpur district of Rajasthan state. Subjects and Methods: The SBAs were interviewed through pre and postintervention with the help of a prevalidated semi-structured interview schedule. As a part of an intervention, a series of half-day training workshops were conducted in the intervention block. Data were analyzed using SPSS version 23. Statistical Analysis Used: Descriptive statistics, univariate (Chi-square, t-test), and multivariate (logistic regression) analysis. Results: A total of 213 SBAs (105 from intervention and 108 from control block) were included in the study. SBAs who had received training related to the partograph were having significantly higher odds of knowing (AOR = 22.6[10.7–47.9]) as well as utilization (AOR = 22.5[7.05–72.1]) of partographs as compared to their counterparts. Knowledge was also a significant predictor of the utilization of partograph. Intervention could significantly improve the knowledge of SBAs about partograph as well as its utilization in the intervention block. Conclusion: Significant impact of the intervention on knowledge about partograph and its utilization was evidenced in the present study. There is a need to conduct training and refresher courses for healthcare workers on partograph use. [ABSTRACT FROM AUTHOR]

Introduction: Labor is a process of giving birth to a child. It is the most wonderful moment in women's life and comes after the anticipated period of uncertainty, anxiety and fear. Hence the continuous monitoring is very important. Partograph is graphic method of monitoring the progress of labor and it is very important for doctors and nurses to foll, understand and interpret partograph. Objective: To assess the knowledge and practice regarding partograph among staff nurses working in labor room. Methodology: This descriptive study was conducted among 60 staff nurses working in the labor room selected by using purposive sampling from SGRD Hospital Vallah and Civil Hospital, Amritsar, Punjab. The data was collected by using knowledge questionnaire and expressed practices on partograph. The obtained data was analyzed by using descriptive and inferential statistics. Results : The findings revealed that 75% staff nurses had average knowledge and 25% had good knowledge regarding the partograph where as in practice of partograph, half of staff nurses (51%) had average practice and 15% staff nurses have good practice. There was week positive correlation between the knowledge and practice. Conclusion : The study concluded that staff nurses were de?cit in both knowledge as well as in practice regarding partograph. Hence, there is need to plan in-service education for enhancement of the knowledge and practice regarding partograph. [ABSTRACT FROM AUTHOR]

Abstract Background The partograph is a vital tool for health professionals who need to be able to identify pathological labor. It is used to recognize complications in childbirth on time and to take appropriate actions. We aimed to assess the knowledge and utilization of the partograph and associated factors among health professionals at public health institutions in eastern Ethiopia. Methods An institution based cross-sectional quantitative study was carried out among health professionals who were working in public health institutions. Multistage sampling with proportional to size allocation was used to recruit a total of 441 study participants. Self-administered questionnaire was used to collect data in this study. Eight midwives were recruited and trained to facilitate the data collection activities. Data were entered into Epi data software and exported into SPSS (22.0) for analysis. Descriptive statistics, bivariate and multiple logistic regression were computed to determine proportions and significant association with knowledge and use of the partograph among health professionals. Results More than half of health professionals, 232(53.7%) had a good level of knowledge about the partograph. However, only 196(45.4%) of health professionals had fair knowledge of partograph. Nevertheless, the proportion of the partograph utilization to follow labor progress by health professionals was 92.6%. Working in the health center [AOR = 0.31, 95% CI: 0.20, 0.48], being a midwife [AOR = 2.80, 95% CI: 1.60, 5.60] and in-service training [AOR = 2.0, 95% CI: 1.22, 3.42] were significantly associated with good level of knowledge. Health professionals who had in-service training about the partograph [AOR = 3.10, 95% CI: 1.35, 4.98] and who had positive attitude about the partograph [AOR = 2.90, 95% CI: 1.30, 6.30] were significantly associated with utilization of the partograph. Conclusion Only less than half of health professionals had fair knowledge about the partograph. Having in-service obstetric care training, type of health institutions and profession were significantly associated with knowledge of the partograph. Health professionals who had positive attitude towards use of the partograph were significantly associated with the partograph utilization. We suggest regular in-service training of health professionals can enhance their knowledge and utilization of the partograph.

Partograph is a graphical record used to monitor the progress of labour. It helps the caregiver to identify deviations from normal and make prompt decisions and interventions in treating complications related to labour. World Health Organization (WHO) recommends use of partograph to monitor all labour, still, it is not widely used in the developing world. Caregivers feel that completing the partograph is a time-consuming task. This study was undertaken with the aim to assess the effectiveness of structured teaching programme on knowledge and practice of partograph among nurse midwives working in labour room of a tertiary hospital. Knowledge was assessed using a self-administered questionnaire and a checklist was used to assess the practice of partograph among 51 nurse midwives. It was found that 74.5% of nurse midwives had moderately adequate knowledge and 52.9% of the nurse midwives had adequate knowledge before and after the structured teaching programme respectively. In regard to practice of partograph it was found that 62.7% of them had inadequate practice before the structured teaching programme. After the teaching programme it was found that 52.9% of the nurse midwives had moderately adequate practice. Practice was assessed three months after the structured teaching programme and it was found that 58.8% of them had moderately adequate practice. While comparing the knowledge and the skill before and after the intervention it was found that there was significant increase in knowledge and practice among the nurse midwives. It was also found that there was no significant correlation between knowledge and practice and also there was no association between knowledge, practice and the selected demographic variables. The findings of this study revealed that constant reinforcement and support with supervision will enable the nurse midwives to practice partograph adequately. [ABSTRACT FROM AUTHOR]

Background: Maternal mortality continues to be a global burden, with more than 200 million women becoming pregnant each year and a large number dying as a result of complications of pregnancy or childbirth. The World Health Organisation has recommended use of the partogram to monitor labour and delivery in order to improve healthcare and reduce maternal and foetal mortality rates. Objective: This study described factors affecting utilisation of the partogram among nurses and midwives in selected health facilities of Rwanda. Method: A descriptive quantitative and cross-sectional research design was used. The population comprised 131 nurses and midwives providing obstetric care in 15 health institutions (1 hospital and 14 health centres). Data collection was through a self-administered questionnaire, and a pre-test of the data collection instrument was carried out to enhance validity and reliability. The Statistical Package for Social Sciences (version 21) was used to capture and analyse data. Ethical clearance was obtained from the University of the Western Cape (Republic of South Africa) and from the Institutional Review Board of Kigali Health Institute (Rwanda). Patricia Benner’s model of nursing practice was used to guide the study. Results: It was found that 36.6% of nurses and midwives did not receive any in-service training on how to manage women in labour. Despite fair knowledge of the partogram among nurses and midwives in this study, only 41.22% reported having used the partogram properly, while 58.78% reported not having done so. Conclusion: Nurses’ and midwives’ years of professional experience and training in managing pregnant women in labour were found to be predictors of the likelihood of proper use of the partogram. In-service training of obstetric caregivers in the Eastern Province of Rwanda is recommended to improve use of the partogram while managing women in labour.

Background: The partograph is a vital tool for health professionals who need to be able to identify pathological labor. It is used to recognize complications in childbirth on time and to take appropriate actions. We aimed to assess the knowledge and utilization of the partograph and associated factors among health professionals at public health institutions in eastern Ethiopia.Methods: An institution based cross-sectional quantitative study was carried out among health professionals who were working in public health institutions. Multistage sampling with proportional to size allocation was used to recruit a total of 441 study participants. Self-administered questionnaire was used to collect data in this study. Eight midwives were recruited and trained to facilitate the data collection activities. Data were entered into Epi data software and exported into SPSS (22.0) for analysis. Descriptive statistics, bivariate and multiple logistic regression were computed to determine proportions and significant association with knowledge and use of the partograph among health professionals.Results: More than half of health professionals, 232(53.7%) had a good level of knowledge about the partograph. However, only 196(45.4%) of health professionals had fair knowledge of partograph. Nevertheless, the proportion of the partograph utilization to follow labor progress by health professionals was 92.6%. Working in the health center [AOR = 0.31, 95% CI: 0.20, 0.48], being a midwife [AOR = 2.80, 95% CI: 1.60, 5.60] and in-service training [AOR = 2.0, 95% CI: 1.22, 3.42] were significantly associated with good level of knowledge. Health professionals who had in-service training about the partograph [AOR = 3.10, 95% CI: 1.35, 4.98] and who had positive attitude about the partograph [AOR = 2.90, 95% CI: 1.30, 6.30] were significantly associated with utilization of the partograph.Conclusion: Only less than half of health professionals had fair knowledge about the partograph. Having in-service obstetric care training, type of health institutions and profession were significantly associated with knowledge of the partograph. Health professionals who had positive attitude towards use of the partograph were significantly associated with the partograph utilization. We suggest regular in-service training of health professionals can enhance their knowledge and utilization of the partograph. [ABSTRACT FROM AUTHOR]

Background: Proper management of active stage of labor during child birth by obstetric care givers will reduce the complications and adverse outcomes which can happen, this is can be achieved by the use of partograph which serves as most important, cost effective tool that provides visual assessment of labor progress in relation to time. Objectives: To assess the knowledge and use of the partograph among obstetric caregivers in monitoring of labor and determine the factors that impede its use among them. Methodology: A cross-sectional study with analytic element was conducted in period from the first of May to the end of August, 2017. A convenient sample of data were collected from ten hospitals from Al-Krakh and Al-Resafa sides of Baghdad city where obstetric care providers that attend labour cases were interviewed using structured questionnaire Results: A sample of 300 obstetric care givers was interviewed during the study period. Most of them (97%) were aware of partograph. 39% and 39.7% showed fair and good level of knowledge respectively. The percentage of doctors who used the partograph was (58.4%). The knowledge and use of the partograph was higher in teaching hospitals than general hospitals. Conclusion: The study revealed that nearly all the participants (doctors, midwives and nurses) knew what the partograph was and the majority of obstetric providers of care had good knowledge about the partograph while its use confined to the doctors only that more than half of them reported its use in addition to higher knowledge and use of partograph in teaching than general hospitals. [ABSTRACT FROM AUTHOR]

Background: Partograph has been shown to be an efficacious tool for monitoring labor and identifying women in need of an obstetric intervention. Therefore, the aim of this study was to assess knowledge and utilization of partograph among health care professionals in public health institutions of Bale zone, Southeast Ethiopia. Study design: A facility-based cross-sectional study was conducted from February 1st to March 30, 2014. Methods: Single population proportion sample size determination formula was used to calculate the sample size and it was 401. Simple random sampling was employed to select both the health facilities as well as study subjects. Data were collected using pretested structured questionnaire. It was analyzed by SPSS for windows version 16.0. Descriptive, binary and multivariable logistic regression analyses were conducted. Statistically significant tests were declared at a level of significance of P value <0.05. Results: One hundred and forty (38.5%) and 224 (61.5%) study subjects have a poor and good level of knowledge about partograph, respectively. The magnitude of partograph utilization was 70.2%. Variables having statistically significant association with good level of knowledge about partograph were being midwives (AOR = 7.70, 95% CI = 2.38, 24.94), being nurses (AOR = 0.40, 95% CI = 0.19, 0.85) and being graduated from governmental higher institution (AOR = 2.04, 95% CI = 1.22, 3.42). Additionally, being female health professionals (AOR = 2.39, 95% CI = 1.17, 4.89), being hospital staff (AOR = 17.78, 95% CI = 2.32, 135.98) and receiving training about partograph (AOR = 2.94, 95% CI = 1.15, 7.54) have statistically significant association with partograph utilization. Conclusions: More than half of the respondents have a good level of knowledge about partograph. A significant number of study subjects reported use of partograph to monitor women in labour. It is recommended to provide periodic on-job training on partograph to all obstetric caregivers especially for nurses and public health officers to improve their knowledge. [ABSTRACT FROM AUTHOR]

Background: Globally, there are 210 maternal deaths per 100,000 live births in 2013. Ethiopia is one of the ten countries contributing to 60 % of the global maternal deaths. Most of these deaths could be averted by enhancing safe motherhood strategies and providing skilled care at each delivery. This skilled care includes the use of partograph to monitor the progress of labor. With this aspect, this study is aimed to assess knowledge of partograph and its associated factors among obstetric care providers in North Shoa Zone, Central Ethiopia. Methods: An institution-based cross-sectional study was conducted in June, 2013. Four hundred three obstetric care providers were included in the study. A pre-tested and structured questionnaire was used to collect data. Data were entered into the Epi—Info software and exported to SPSS software for further analysis. Logistic regression analyses were used to identify the associated factors. Odds ratios with 95 % confidence interval (CI) were computed to determine the presence and strength of association. Results: In this study; 287 (71.2 %) of obstetric care providers had a good level of knowledge on the partograph. Working in the hospital [Adjusted odds ratio (AOR) = 2.71, P = 0. 027, 95 % CI 1.32, 5.57) and getting on the job training (AOR = 5.49, P = 0.001, 95 % CI 3.32, 9.08) were significantly associated with knowledge about partograph. Conclusions: A significant percentage of care providers had a good level of knowledge about partograph. Working in the hospital and getting on the job training were factors affecting provider's knowledge on the partograph. The provision of on the job training is necessary to improve provider's knowledge on the partograph. Moreover, giving a due attention for provider at health centers is also important. [ABSTRACT FROM AUTHOR]

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 well-known best practice for quality monitoring of labour and subsequent prevention of obstructed and prolonged labour. However, a number of cases of obstructed labour do happen in health facilities due to poor quality of intrapartum care. Methods: A cross-sectional 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. The collected data was analyzed using SPSS version 16.0. Logistic regression analysis was used to identify factors associated with knowledge and use of partograph among obstetric care givers. Results: Knowledge about the partograph was fair: 189 (96.6%) of all the respondents correctly mentioned at least one component of the partograph, 104 (53.3%) correctly explained the function of alert line and 161 (82.6%) correctly explained the function of action line. The study showed that 112 (57.3%) of the obstetric care givers at public health institutions reportedly utilized partograph to monitor mothers in labour. The utilization of the partograph was significantly higher among obstetric care givers working in health centres (67.9%) compared to those working in hospitals (34.4%) [Adjusted OR = 3.63(95%CI: 1.81, 7.28)]. Conclusions: A significant percentage of obstetric care givers had fair knowledge of the partograph and why it is necessary to use it in the management of labour and over half of obstetric care givers reported use of the partograph to monitor mothers in labour. Pre-service and on-job training of obstetric care givers on the use of the partograph should be given emphasis. Mandatory health facility policy is also recommended to ensure safety of women in labour in public health facilities in Addis Ababa, Ethiopia. [ABSTRACT FROM AUTHOR]

Copyright of African Journal of Reproductive Health is the property of Women's Health & Action Research Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of African Journal of Reproductive Health is the property of Women's Health & Action Research Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)