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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
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
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
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
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
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...
2016: BMC Pregnancy and Childbirth
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
Yumiko Iwao, Satoko Tsuru
No abstract text is available yet for this article.
2016: Studies in Health Technology and Informatics
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
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
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
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
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
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
S Bailey, G Wilson, W Yoong
OBJECTIVE: The objective of this study was to assess the association between the quality of basic note keeping and partogram documentation with progression of shift and workload on labour ward. DESIGN: This was a prospective observational study. SETTING: The setting of this study was a labour ward of a teaching district hospital in an inner city London hospital. METHODS: Intrapartum notes and partograms of 61 consecutive labouring women were assessed for quality of midwifery documentation at the beginning, middle and end of a 12-h shift...
August 2015: Midwifery
Jun Zhang, James Troendle, Katherine L Grantz, Uma M Reddy
In a recent review by Cohen and Friedman, several statistical questions on modeling labor curves were raised. This article illustrates that asking data to fit a preconceived model or letting a sufficiently flexible model fit observed data is the main difference in principles of statistical modeling between the original Friedman curve and our average labor curve. An evidence-based approach to construct a labor curve and establish normal values should allow the statistical model to fit observed data. In addition, the presence of the deceleration phase in the active phase of an average labor curve was questioned...
June 2015: American Journal of Obstetrics and Gynecology
Gabie Hoogenboom, May Myo Thwin, Kris Velink, Marijke Baaijens, Prakaykaew Charrunwatthana, François Nosten, Rose McGready
BACKGROUND: Increasing the number of women birthing with skilled birth attendants (SBAs) as one of the strategies to reduce maternal mortality and morbidity must be partnered with a minimum standard of care. This manuscript describes the quality of intrapartum care provided by SBAs in Mae La camp, a low resource, protracted refugee context on the Thai-Myanmar border. METHODS: In the obstetric department of Shoklo Malaria Research Unit (SMRU) the standardized WHO Safe Motherhood Needs Assessment tool was adapted to the setting and used: to assess the facility; interview SBAs; collect data from maternal records during a one year period (August 2007 - 2008); and observe practice during labour and childbirth...
2015: BMC Pregnancy and Childbirth
Marit Mathisen, Rudi Valde Olsen, Stine Andreasen, Erik Waage Nielsen
OBJECTIVES: The aim of this study was to investigate if there are clinical signs which allow detection of malposition of the vertex on admission to the delivery unit, or when crossing the action line on the partogram. STUDY DESIGN: Case-control study from 2007 to 2010 conducted on the delivery unit of Nordland Hospital, Bodø. Labours with malposition of the vertex (n = 171) were compared with a group with normal vertex presentation (n = 165). The positive predictive value was estimated for each sign using Bayes' rule...
December 2014: Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives
Zekiye Karaçam, Denis Walsh, George John Bugg
The objective of the review is to critically review the diagnosis and management of dystocia in the first stage of labour. We conducted a narrative review of research since 1998. Eight studies were identified, four about the onset and duration of active phase of the first stage of labour, one on the diagnosis of dystocia, and three focused on the treatment of dystocia. The review demonstrates that current understandings of dystocia rest on outdated definitions of active first stage of labour, its progress and on treatments with an equivocal evidence base...
November 2014: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Marit Falkegård, Henrik Schirmer, Maja-Lisa Løchen, Pål Øian, Ganesh Acharya
OBJECTIVE: To investigate the validity of self-reported information about hypertensive disorders in previous pregnancies among women participating in the fourth survey of the Tromsø Study. DESIGN: Retrospective cohort study with case-control design. POPULATION: Parous women participating in the fourth survey of the Tromsø Study. METHODS: Medical records including partograms of 200 randomly selected women who had answered positively to whether they had hypertension and/or proteinuria during one or more of their previous pregnancies (cases) and 200 women who had answered negatively (controls) were studied...
January 2015: Acta Obstetricia et Gynecologica Scandinavica
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