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https://www.readbyqxmd.com/read/28913129/evaluating-the-content-and-quality-of-intrapartum-care-in-vaginal-births-an-example-of-a-state-hospital
#1
Zekiye Karaçam, Döndü Arslan Kurnaz, Gizem Güneş
OBJECTIVE: The purpose of the research was to assess the content and quality of the intrapartum care offered in vaginal births in Turkey, based on the example of a state hospital. MATERIALS AND METHODS: This cross-sectional study was conducted between January 1(st), 2013 and December 31(st), 2014 at Aydın Maternity and Children's Hospital. The study sample consisted of 303 women giving vaginal birth, who were recruited into the study using the method of convenience sampling...
March 2017: Turk J Obstet Gynecol
https://www.readbyqxmd.com/read/28893074/the-perceptions-of-midwives-regarding-audit-and-feedback-on-the-use-of-the-partogram-at-vhembe-district-of-limpopo-province-south-africa
#2
Thanyani G Lumadi
BACKGROUND: Audit and feedback is regarded as the cornerstone of clinical teaching to guarantee good practice and to correct poor performance. Feedback given to health professionals assists in narrowing the gap between the actual and the desired information. The findings of the research study on perceptions of midwives on audit and feedback highlighted aspects that needed improvement to address challenges on the use and documentation of the partogram. OBJECTIVES: The objectives of this article were to explore and describe the perceptions of midwives on auditing of the partogram by health professionals and to explore and describe the perceptions of midwives on the feedback that was given after audit was done...
August 31, 2017: Curationis
https://www.readbyqxmd.com/read/28880716/safety-and-quality-in-maternal-and-neonatal-care-the-introduction-of-the-modified-who-safe-childbirth-checklist
#3
Sara Albolino, Giulia Dagliana, Dariana Illiano, Michela Tanzini, Francesco Ranzani, Tommaso Bellandi, Ismaele Fusco, Irene Bellini, Giulia Carreras, Mariarosaria Di Tommaso, Riccardo Tartaglia
Maternal and neonatal mortality and morbidity associated with childbirth is a problem of the highest priority. This research has been aimed at testing a modified version of the WHO Safe Childbirth Checklist in one Italian hospital and to evaluate the tool in terms of its impact on clinical practice and safety. Results show that the presence of correctly compiled partogram tool is strongly and significantly associated with the checklist implementation (OR = 14.9, 95% confidence interval [CI] = 3.5, 63.9). Compliance to the checklist was high for mid-wives (96%) and very low for obstetricians (3%)...
September 20, 2017: Ergonomics
https://www.readbyqxmd.com/read/28828869/utilisation-of-the-partogram-among-nurses-and-midwives-in-selected-health-facilities-in-the-eastern-province-of-rwanda
#4
Oliva Bazirete, Nomafrench Mbombo, Oluyinka Adejumo
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...
August 3, 2017: Curationis
https://www.readbyqxmd.com/read/28722553/travelling-models-and-the-challenge-of-pragmatic-contexts-and-practical-norms-the-case-of-maternal-health
#5
REVIEW
Jean-Pierre Olivier de Sardan, Aïssa Diarra, Mahaman Moha
As in other areas of international development, we are witnessing the proliferation of 'traveling models' developed by international experts and introduced in an almost identical format across numerous countries to improve some aspect of maternal health systems in low- and middle-income countries. These policies and protocols are based on 'miracle mechanisms' that have been taken out of their original context but are believed to be intrinsically effective in light of their operational devices.In reality, standardised interventions are, in Africa and elsewhere, confronted with pragmatic implementation contexts that are always varied and specific, and which lead to drifts, distortions, dismemberments and bypasses...
July 12, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28606063/on-predicting-time-to-completion-for-the-first-stage-of-spontaneous-labor-at-term-in-multiparous-women
#6
Björn Gunnarsson, Eirik Skogvoll, Ingibjörg Hanna Jónsdóttir, Jo Røislien, Alexander Kr Smárason
BACKGROUND: Labor that progresses faster than anticipated may lead to unplanned out-of-hospital births. With the aim to improve planning of transportation to birthing institutions, this study investigated predictors of time to completion for the first stage of labor conditional on cervical opening (conditional time) in multiparous women at term. METHODS: We performed a retrospective analysis of partograms for women in Robson's group 3 who delivered at one hospital from 2003 to 2013...
June 12, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28086823/a-realist-review-of-the-partograph-when-and-how-does-it-work-for-labour-monitoring
#7
Carol Bedwell, Karen Levin, Celia Pett, Dame Tina Lavender
BACKGROUND: The partograph (or partogram) is recommended by the World Health Organisation (WHO), for monitoring labour wellbeing and progress. Concerns about limitations in the way the partograph is used in the clinical context and the potential impact on its effectiveness have led to this realist systematic review of partograph use. METHODS: This review aimed to answer two key questions, 1) What is it about the partograph that works (or does not work); for whom does it work; and in what circumstances? 2) What are the essential inputs required for the partograph to work? A comprehensive search strategy encompassed key databases; including papers of varying methodologies...
January 13, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27982391/using-the-bologna-score-to-assess-normal-delivery-healthcare
#8
Isaiane da Silva Carvalho, Rosineide Santana de Brito
OBJECTIVE: Describing the obstetric care provided in public maternity hospitals during normal labour using the Bologna Score in the city of Natal, Northeastern Brazil. METHOD: A quantitative cross-sectional study conducted with 314 puerperal women. Data collection was carried out consecutively during the months of March to July 2014. RESULTS: Prenatal care was provided to 95.9% of the mothers, beginning around the 1st trimester of pregnancy (72...
September 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27836085/rate-of-and-factors-associated-with-indications-for-cesarean-deliveries-results-of-a-national-review-in-burkina-faso
#9
Ivlabèhiré Bertrand Meda, Tieba Millogo, Adama Baguiya, Laeticia Ouédraogo/Nikiema, Abou Coulibaly, Seni Kouanda
OBJECTIVE: To determine the prevalence of cesarean deliveries in Burkina Faso, analyze the indications for them and the outcomes, and identify factors associated with non-absolute maternal indications for the procedure, as opposed to major obstetric interventions performed to save a woman's life. METHODS: In a cross-sectional study, we selected and analyzed cesarean deliveries among those most recently performed between May 2009 and April 2010 in all facilities in Burkina Faso...
November 2016: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/27651612/role-of-tranexamic-acid-in-reducing-blood-loss-in-vaginal-delivery
#10
Priyankur Roy, M S Sujatha, Ambarisha Bhandiwad, Bivas Biswas
INTRODUCTION: Anti-fibrinolytic agents are used to reduce obstetric blood loss as the fibrinolytic system is known to get activated after placental delivery. OBJECTIVES: To evaluate the efficacy of parenteral tranexamic acid in reducing blood loss during normal labour and to compare it with the amount of blood loss in patients who received placebo in the third stage of labour. METHODOLOGY: Patients with spontaneous labour or planned for induction of labour and fulfilling the inclusion criteria were recruited for the study...
October 2016: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/27581467/incidence-of-intrapartum-stillbirth-and-associated-risk-factors-in-tertiary-care-setting-of-nepal-a-case-control-study
#11
COMPARATIVE STUDY
Ashish Kc, Johan Wrammert, Uwe Ewald, Robert B Clark, Jageshwor Gautam, Gehanath Baral, Kedar P Baral, Mats Målqvist
BACKGROUND: Each year, 1.2 million intrapartum stillbirths occur globally. In Nepal, about 50 % of the total number of stillbirths occur during the intrapartum period. An understanding of the risk factors associated with intrapartum stillbirth will facilitate the development of preventative strategies to reduce the associated burden of death. This study was conducted in a tertiary-care setting with the aim to identify risk factors associated with intrapartum stillbirth. METHODS: A case-control study was completed from July 2012 to September 2013...
August 31, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27542350/inadequate-fetal-heart-rate-monitoring-and-poor-use-of-partogram-associated-with-intrapartum-stillbirth-a-case-referent-study-in-nepal
#12
Ashish Kc, Johan Wrammert, Robert B Clark, Uwe Ewald, Mats Målqvist
BACKGROUND: Newborns are at the greatest risk for dying during the intrapartum period, including labor and delivery, and the first day of life. Fetal heart rate monitoring (FHRM) and partogram use to track labor progress are evidence-based techniques that can help to identify maternal and fetal risk factors so that these can be addressed early. The objective of this study was to assess health worker adherence to protocols for FHRM and partogram use during the intrapartum period, and to assess the association between adherence and intrapartum stillbirth in a tertiary hospital of Nepal...
August 19, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27517646/the-reduction-of-first-cesarean-sections-a-cultural-issue
#13
LETTER
Alessandro Svelato, Mariarosaria Di Tommaso, Roberta Spinoso, Antonio Ragusa
No abstract text is available yet for this article.
November 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27332440/a-2-year-study-on-the-use-of-nursingnavi-with-the-partogram-by-midwifery-students
#14
Yumiko Iwao, Satoko Tsuru
No abstract text is available yet for this article.
2016: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/27116981/-indications-and-pregnancy-outcomes-of-intrapartum-cesarean-section-after-the-new-partogram-applied
#15
Y Y Zheng, L Y Zou, L Fan
OBJECTIVE: To study the changes of intrapartum cesarean rate, cesarean indications and pregnancy outcomes after the new partogram applied. METHODS: Totally 3 290 pregnant women trying to vaginal delivery which were managed according to the new partogram in Beijing Obstetrics and Gynecology Hospital, Capital Medical University from August to October in 2014(new partogram group)were involved; 2 987 pregnancy women trying to vaginal delivery from May to July in 2014 which were managed according to the old partogram(old partogram group)were involved as control...
April 25, 2016: Zhonghua Fu Chan Ke za Zhi
https://www.readbyqxmd.com/read/27114825/knowledge-and-attitudes-of-midwives-on-the-use-of-the-partogram-a-study-among-midwives-in-the-tamale-metropolis
#16
Kennedy Diema Konlan, Joseph M Kombat, Mary Gifty Wuffele, Milicent Aarah-Bapuah
BACKGROUND: The partogram is the most effective tool to use to monitor the progress of labour and complications associated with labour. The main objective of this study was to assess the knowledge level of midwives on the effective use of the partogram in monitoring the progress of labour in the Tamale Metropolis of Ghana. METHODS: This study was a cross-sectional descriptive study conducted on 140 midwives selected using random sampling technique from March to July, 2011...
2016: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/26457092/evaluation-of-the-alert-line-of-partogram-in-recognizing-the-need-for-neonatal-resuscitation
#17
Nahid Bolbol-Haghighi, Maryam Keshavarz, Mehri Delvarianzadeh, Sahar Molzami
BACKGROUND: A major problem of the first moments of childbirth, especially in "prolonged labor," is perinatal asphyxia which necessitates neonatal resuscitation. This study aimed at evaluating the alert line of the partogram in recognizing the need for neonatal resuscitation 20-30 s after delivery. MATERIALS AND METHODS: 140 full-term pregnant women were kept under surveillance through using a partogram. In order to decide on the onset of resuscitation, the three indicators of fetal respiration, heart rate, and skin color were used 20-30 s after delivery...
September 2015: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/26401106/the-effect-of-the-use-of-a-new-type-of-partogram-on-the-cesarean-section-rates
#18
Georgios Vlachos, Panagiotis Tsikouras, Bachar Manav, Grigorios Trypsianis, Vasileios Liberis, Sakellarios Karpathios, Georgios Galazios
OBJECTIVE: To assess the contribution of a new type of partogram, used in labor monitoring, in caesarean section rates. MATERIAL AND METHODS: The study included term singleton uncomplicated pregnancies divided into two groups. Two types of partogram were used in labor monitoring. In the first group, the classical WHO partogram (A) was used. In the second group, a new type of partogram, in which cervical dilatation and the position of descending head (B) (one line) were estimated and reported, was used...
2015: Journal of the Turkish German Gynecological Association
https://www.readbyqxmd.com/read/26348383/intra-and-interobserver-agreement-among-obstetric-experts-in-court-regarding-the-review-of-abnormal-fetal-heart-rate-tracings-and-obstetrical-management
#19
Laura Sabiani, Renaud Le Dû, Anderson Loundou, Claude d'Ercole, Florence Bretelle, Léon Boubli, Xavier Carcopino
OBJECTIVE: The objective of the study was to evaluate the intra- and interobserver agreement among obstetric experts in court regarding the retrospective review of abnormal fetal heart rate tracings and obstetrical management of patients with abnormal fetal heart rate during labor. STUDY DESIGN: A total of 22 French obstetric experts in court reviewed 30 cases of term deliveries of singleton pregnancies diagnosed with at least 1 hour of abnormal fetal heart rate, including 10 cases with adverse neonatal outcome...
December 2015: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26240464/quality-of-care-audits-and-perinatal-mortality-in-south-africa
#20
Emma R Allanson, Robert C Pattinson
PROBLEM: Suboptimal care contributes to perinatal mortality rates. Quality-of-care audits can be used to identify and change suboptimal care, but it is not known if such audits have reduced perinatal mortality in South Africa. APPROACH: We investigated perinatal mortality trends in health facilities that had completed at least five years of quality-of-care audits. In a subset of facilities that began audits from 2006, we analysed modifiable factors that may have contributed to perinatal deaths...
June 1, 2015: Bulletin of the World Health Organization
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