To Assess the Effective Usage of Partogram for Labouring Patients in Wah Cantt
Objective: To determine whether partogram is being used for each labouring woman and to assess the completeness & accuracy of filled partograms according to the modified WHO partograph standard for optimal intrapartum care of women.
Methodology: This retrospective descriptive study was conducted by Wah Medical College in POF hospital (affiliated with WMC) Wah Cantt from 1.11.2017-1.02.2018. The modified WHO partograph was used as the standard. The number of labouring women in 24 hrs were recorded daily. The files of labouring women were checked to see whether partograms were plotted & attached in the files or not. All the attached partograms were collected and analyzed for their completeness and accuracy according to the standard protocol. The data was recorded and entered on SPSS for further analysis. The analysis was done by SPSS software. Descriptive statistics with frequency count and percentages were used to analyze the data.
Results: Out of 325 labours, partographs were used in 312( 96%) labours and were not used in 13 labours .75(24%) partographs were complete & accurate. 237(75.96%) partographs were incomplete or inaccurate. Among 237 incomplete partograms, 207 (87.34% )were helpful & 30 (12.65%) were unhelpful in decision making regarding labour management.
Conclusion: Partogram uptake was good but the majority of the partograms were incomplete or inaccurate when compared to the standard(modified WHO partogram). Most of the incomplete partographs contained enough important information to be helpful in decision making for labour management.
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