Research Article
Volume 2 Issue 3 - 2020
Knowledge and Challenges of Partograph Utilisation among Midwives in the Central Region of Ghana
Anna Peace Assifuah1, Thomas Hormenu2*, Charles Domfeh2 and Nancy Innocentia Ebu3
1Nursing/Midwifery Training College, Cape Coast, Ghana
2Department of Health, Physical Education and Recreation, University of Cape Coast, Ghana
3School of Nursing and Midwifery, University of Cape Coast, Ghana
*Corresponding Author: Thomas Hormenu, Department of Health, Physical Education and Recreation, University of Cape Coast, Ghana.
Received: January 18, 2020; Published: February 18, 2020




Abstract

  Prolonged labour is one of the leading causes of death among mothers and newborns in the developing countries including Ghana. Delayed labour has the propensity to lead pregnant women experience serious complications such as obstructed labour, maternal dehydration, exhaustion, or rupture of the uterus. To protect women from death as a result of obstructed labour, WHO accepted partograph as means of information about the progress of labour while monitoring condition of the woman as well as the baby during labour. Midwives’ religious application of this chart to monitor labour in midwifery practice and care cannot be overemphasized. This study assessed the level of knowledge, perception and challenges of partograph utilization among midwives in the Central Region of Ghana. Five public health facilities within the Cape Coast Metropolis were selected for the study. Cross sectional design was adopted to conveniently collect data from 150 midwives at the labour units in the health facilities. Frequencies and percentages were used to summarize data as well as Chi Square of association was used to describe the association between years of service and partograph utilisation. The findings of the study revealed 78% of midwives in the Cape Coast Metropolis have knowledge on partograph and why it is necessary to use it in the management of labour. With positive attitude of midwives towards partograph, the study revealed 97% utilisation of partograph to monitor mothers in labour in the metropolis. However, the use of the partograph during labour was affected by inadequate supplies of logistics, lack of commitment of midwives, inadequacy of qualified personnel and poor knowledge on partograph graphing. There was significant association between the years of service and utilisation of partograph [X2 (df = 3) = 46.552, ρ = 0.001] with registered midwives more likely to utilize partograph than principal and enrolled midwives. Metropolitan health directorate should offer occasional orientation for all midwives on new concepts or newer versions of partograph and its use in ensuring its maximum utilisation.

Keywords: Partograph; Knowledge; Challenges Labour Monitoring; Midwives; Utilisation; Ghana

References

  1. Bazirete O. “Utilization of partograph among nurses and midwives in Rwamagana health facilities in the eastern province of Rwanda”. (Doctoral dissertation, University of the Western Cape) (2014).
  2. Benner P. “From novice to expert: Excellence and power in clinical nursing practice”. New York: Addison Wesley Publishing (1984). 
  3. Magon N. “Partograph revisited”. International Journal of Clinical Cases and Investigations 3 (2011): 1-6.
  4. Floyd L. “Reports of visits to Ridge Hospital as part of the Kybele team January, May and September” (2011). 
  5. Graham W. “Achieving MDG 5. A global perspective”. Presentation at the Maternal Mortality Consultative Meeting. Ghana (2012). 
  6. Horton R. “Maternal mortality: Surprise, hope, and urgent action”. The Lancet 375.9726 (2010): 1581-1582. 
  7. Gans-Lartey F., et al. The relationship between the use of the partograph and birth outcomes, Korle-Bu teaching hospital midwifery (2012).
  8. World Health Organization. Urbanization and Health. Bulletin of the World Health Organsiation 88.4 (2010): 241-320.
  9. Ghana Health Service. “National safe motherhood service protocol” (2008). 
  10. Lavender L., et al. “Students’ experiences of using the partograph in Kenyan labour wards”. African Journal of Midwifery and Women’s Health 5.3 (2011): 11-16.
  11. Hofmeyr GJ. “Obstructed labour: Using better technologies to reduce mortality”. International Journal of Gynaecology and Obstetrics 85.1 (2004): 62-72.
  12. Mercer SW., et al. “Using clinical audit to improve the quality of obstetric care at the Tibetan Delek Hospital in North India: A longitudinal study”. Journal of Reproductive Health 3 (2006): 1-4.
  13. Orji E. “Evaluating progress of labor in nulliparous and multiparous using the modified WHO partograph”. International Journal of Gynecological Obstetrics 10.2 (2008): 249-252.
  14. Maimbolwa MC., et al. “Routine care of women experiencing normal deliveries in Zambian maternity ward: A pilot study”. International Journal of Midwifery 13.3 (1997): 125-131. 
  15. Windrim R., et al. “A randomized controlled trial of a bedside partogram in the active management of primiparous labour”. Journal of Obstetrics and Gynaecology Canada 29.1 (2007): 27-34.
  16. Okechukwu E., et al. “Impact of training on the use of partograph on maternal and perinatal outcome in peripheral health centers”. Journal of The Turkish-German Gynecological Association 8 (2007): 148-152.
  17. World Health Organization. World Health Organization’s partograph in management of labour. Maternal Health and Safe Motherhood Programme (2013).
  18. Yisma E., et al. “Knowledge and utilization of partograph among obstetric care givers in public health institutions of Addis Ababa, Ethiopia”. BMC Pregnancy and Childbirth 13.1 (2013): 17.
  19. Fatusi AO., et al. “Evaluation of health workers’ training in use of the partogram”. International Journal of Gynaecology and Obstetrics 100 (2008): 41-44.
  20. Soni BL. “Effect of partogram use on outcomes for women in spontaneous labour at term”. Geneva: The WHO Reproductive Health Library (2009).
  21. World Health Organization. Trends in maternal mortality 1990 to 2015 (2014). 
  22. Oladapo OT., et al. “Knowledge and use of the partograph among healthcare personnel at the peripheral maternity centres in Nigeria”. Journal of Obstetrics Gynaecology 26.6 (2006): 538-541.
  23. Fawole AO., et al. “Knowledge and Utilization of the Partograph among obstetric care givers in South West Nigeria”. African Journal of Reproductive Health 12.1 (2008): 22-29.  
  24. Nyamtema AS., et al. “Partogram use in the Dares Salaamperinatal care study”. International Journal of Gynaecology and Obstetrics 100 (2008): 37-40. 
  25. Ogwang S., et al. “Assessment of partogram use during labour in Rujumbura Health Sub District, Rukungiri District, Uganda”. African Health Sciences Journal 9.1 (2009): 27-34. 
  26. Opiah MM., et al. “Knowledge and Utilization of the Partograph among Midwives in the Niger Delta Region of Nigeria”. African Journal of Reproductive Health 16.1 (2012): 125 -132.
  27. Konlan KD., et al. “Knowledge: Attitude of midwives on the use of partograph: A study among midwives. In the Tamale Metropolis”. Maternal health, Neonatal and Perinatology 2 (2016): 2. 
  28. WHO/UNICEF/UNFPA: Maternal mortality in 2000. Estimates developed by the WHO, UNICEF, and UNFPA, Geneva: WHO (2004).
  29. Benner P. “Using the Dreyfus model of skill acquisition to describe and interpret skill acquisition and clinical judgment in nursing practice and    education”. Bulletin of Science, Technology and Society 24.3 (2004): 188-199.

 

Citation: Thomas Hormenu., et al. “Knowledge and Challenges of Partograph Utilisation among Midwives in the Central Region of Ghana”. EC Nursing and Healthcare 2.3 (2020): 01-09.

PubMed Indexed Article


EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


March Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the March issue of respective journals and can be viewed in the current issue pages.

Submission Deadline for April Issue

Ecronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the May issue of respective journals. Submissions are accepted on/before April 20, 2020.

Certificate of Publication

Ecronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

Ecronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.

Immediate Assistance

The prime motto of this team is to clarify all the queries without any delay or hesitation to avoid the inconvenience. For immediate assistance on your queries please don't hesitate to drop an email to editor@ecronicon.uk