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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Partogram use in the Dar es Salaam perinatal care study
International Journal of Gynecology and Obstetrics, Volume 100, No. 1, Year 2008
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Description
Objective: To assess the quality of partograms used to monitor labor in Dar es Salaam hospitals, Tanzania. Methods: The study team reviewed the records of the parameters of labor, and maternal and fetal conditions in 367 partograms, and interviewed 20 midwives. Results: All midwives interviewed had been previously trained to use the partogram. Of all partograms reviewed, 50% had no records of duration of labor. Although cervical dilation and fetal heart rates were recorded in 97% and 94% of the partograms respectively, 63% and 91% of these were judged to be substandard. Substandard monitoring of fetal heart rates was strongly associated with poor fetal outcome (P < 0.001). Blood pressure, temperature, and pulse rates were not recorded in 47%-76% of partograms. Conclusion: These findings reflect poor management of labor and indicate urgent in-service training to address the importance of documentation and regular partogram audit in order to reduce maternal and perinatal deaths. © 2007 International Federation of Gynecology and Obstetrics.
Authors & Co-Authors
Nyamtema, Angelo Sadock
Tanzania, Ifakara
Tanzanian Training Centre for International Health Ifakara
Urassa, David P.
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Massawe, Siriel Nanzia
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Massawe, Augustine W.
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Lindmark, Gunilla C.
Sweden, Uppsala
Uppsala Universitet
van Roosmalen, Jos J.M.
Netherlands, Leiden
Leids Universitair Medisch Centrum
Netherlands, Amsterdam
Vrije Universiteit Amsterdam
Statistics
Citations: 71
Authors: 6
Affiliations: 5
Identifiers
Doi:
10.1016/j.ijgo.2007.06.049
ISSN:
00207292
Research Areas
Maternal And Child Health
Noncommunicable Diseases
Study Locations
Tanzania