A partogram is one of the valuable appropriate technologies in use for improved monitoring of labour progress, maternal and foetal wellbeing. Intrapartum fetal head position II: comparison between transvaginal digital examination and transabdominal ultrasound assessment during the second stage of labor. Six of the Heads on department expressed their concerns on the use of a partogram saying:. They are included in the study consecutively, depending on the availability of the US operators involved. We interviewed the two categories of Key Informants on availability and pattern of use of partogram. Alexandra University Hospital. J Matern Fetal Neonatal Med. Other: Ultrasound Monitoring of the mechanism of labor Other: Acceptability of ultrasound monitoring of labor Evaluation of the acceptability of intrapartum ultrasound monitoring - the rate of uptake ultrasound protocol during labor Other: Patients' experience regarding intrapartum ultrasound The day after birth, consenting women are invited to take part in a questionnaire survey. The sample size was partographs from eight sampled health facilities that were got from six randomly selected months Aug 07, Oct 07, Nov 07, Jan 08, Feb 08 and Mar 08 out of 12 months period Jun 1 st to May 31 st in Rujumbura Health Sub District. Other: Ultrasound Other: Acceptability of ultrasound monitoring of labor Other: Patients' experience regarding intrapartum ultrasound.
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The core issue is to prevent obstructed labour through early detection of abnormal progress of labour, and appropriate clinical responses rendered in accessible, equipped and staffed health units 2. The respondents were reassured on confidentiality on responses during and after the study.
All the partograms used during labour for these six months and had adequate information were included in the study and reviewed. All the three interviewees from the hospital expressed to be experiencing heavy workload saying:. University of Medicine and Pharmacy Craiova.
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|The pregnant women admitted in active labor at term were considered eligible for the study.
This tool is now widely used across African Countries including Uganda to monitor labour progress, foetal and maternal wellbeing. There were 10 heads of maternity departments whom we interviewed as also Key Informants. Infact even the partogram we have here is an old one compared to the one we had recently been using at school.
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I am new in this unit but I can only see old unused partograms without any guidelines and I would not be comfortable using this old type!
It is used for labour. Little or no knowledge of the partograph and poor staff strength in the study centres Conclusions The knowledge and use of the partograph in this study is sub-optimal. E-mail: n@. original image.
Key Informants: Staff in-charge of the health units and departments were purposively included in the study.
We tested for relationship between foetal Apgar score and quality of monitoring of foetal heart rate, cervical dilatation, uterine contractions and whether action line was crossed or not. The study was carried out between 23 rd May 27 th June Investigation by questionnaire regarding the psychological impact of labor monitoring assisted by sonoraphy. It has been demonstrated that other cadres of health care workers when trained on partogram use contribute to desired and acceptable practice 6.
Then looked for the files.
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|Contact: Dominic G Iliescu, Lecturer.
In order to minimize bias at interview, key informant interviews were conducted by the first author himself. The Medical doctor is the officer assigned to be in-charge of maternity unit at Nyakibale hospital.
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The study intended to find out why the low use, and suggest strategies in scaling up. All the partograms used during labour for these six months and had adequate information were included in the study and reviewed.
Quantification of fetal head direction using transperineal ultrasound: an easier approach.
WHO to be used by further state that a clear visual image of labour is presented in contrast to From: bukola fawole (fawoleo@). Sent:
Training of research assistant: One research assistant who eventually worked alongside the Principal Investigator PI was trained for two days by the PI to ensure quality data collection.
Again the problem with such tools is the need to photocopy.
National Institutes of Health U. This is because she has to conduct many activities like Family Planning, Antenatal Care, Maternity care service and others.
Have you had an in-service training on the use of a partogram? This was similar to the findings of the study at the hospitals in Dar es Salaam Save this study.
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|This could be due to gaps in the health system support function or gaps in the health workers knowledge as they don't know their use and where to order for them.
Objectives: Evaluation of the correlation between the sonographic parameter and clinical findings e. Key Informants: Staff in-charge of the health units and departments were purposively included in the study.
Elizabeth Nabiwemba for technical support and Mr. The sonopartogram: a novel method for recording progress of labor by ultrasound. It is particularly striking to note that the partogram is better used at Nyakibale hospital compared to all the health centre III.