Partograph is a graphical tool for recording and monitoring progress of the labor which was devised by Friedman in 1954 and improved by Philpott in the 1970s. It has three parts; foetal condition part, labour progress monitoring part and maternal condition part which are monitored and recorded during labour. A partograph should be started on women in active labour (when cervix is dilated 4cm, who have no complications that require immediate action, (Dutta 2013).
Partograph helps midwives to monitor progress of labor by detecting abnormal labour, to indicate when augmentation of labour is appropriate and recognize cephalopelvic disproportion and know when to take appropriate actions. Partograph serves as an early warning system and assist in …show more content…
Study done in South Africa showed that mostly recorded partograph parameters were contractions and cervical dilatation whilst others were poorly done, such as the duration of labour (13.5%), pain relief (23.5%). Also in the same study there were (80.8%) of unrecorded partographs from the primary health care clinics and community health centres. Khonje 2012 shows that there were high proportions of incompletely recorded parameters on the partographs parameter. Maternal Blood pressure and pulse rate were completed in 3%, and 2% of the charts respectively; temperature was 1%. Foetal Heart rate and liquor were completed in 3% and 3% respectively; and moulding was 2% while labour progress was 4%. Furthermore study done in Muhimbili National Hospital reported that in all partograph reviewed had fetal heart rate and cervical dilatation recordings with 32.3% and 55.8% having standard recordings respectively. Maternal pulse rate is the most unrecorded parameter among all. Uterine contraction is the leading parameter having substandard records (81.4%) (Mdoe 2012). Being a developing country, Tanzania still has higher maternal mortality ratio and neonatal mortality rate. Maternal mortality rate is 454/100,000 live births and the neonatal mortality rate is 36 deaths per 1000 total births (TDHS
Partograph helps midwives to monitor progress of labor by detecting abnormal labour, to indicate when augmentation of labour is appropriate and recognize cephalopelvic disproportion and know when to take appropriate actions. Partograph serves as an early warning system and assist in …show more content…
Study done in South Africa showed that mostly recorded partograph parameters were contractions and cervical dilatation whilst others were poorly done, such as the duration of labour (13.5%), pain relief (23.5%). Also in the same study there were (80.8%) of unrecorded partographs from the primary health care clinics and community health centres. Khonje 2012 shows that there were high proportions of incompletely recorded parameters on the partographs parameter. Maternal Blood pressure and pulse rate were completed in 3%, and 2% of the charts respectively; temperature was 1%. Foetal Heart rate and liquor were completed in 3% and 3% respectively; and moulding was 2% while labour progress was 4%. Furthermore study done in Muhimbili National Hospital reported that in all partograph reviewed had fetal heart rate and cervical dilatation recordings with 32.3% and 55.8% having standard recordings respectively. Maternal pulse rate is the most unrecorded parameter among all. Uterine contraction is the leading parameter having substandard records (81.4%) (Mdoe 2012). Being a developing country, Tanzania still has higher maternal mortality ratio and neonatal mortality rate. Maternal mortality rate is 454/100,000 live births and the neonatal mortality rate is 36 deaths per 1000 total births (TDHS