Everlyn Rotich, Loise Maina, Alice Njihia, Kyllike Christensson

African Journal of Midwifery and Women's Health, Vol. 5, Iss. 1, 17 Jan 2011, pp 21 - 24

Purpose: To evaluate the use of the partograph as a critical tool in the management of labour in two hospitals in Kenya. Method: Midwives were observed administering partographs to a total of 234 women. This process was evaluated using a structured observation checklist. Results: Every one of the partographs evaluated was incomplete or incorrect in some respect. There was also minimal consideration of the recorded data in determining whether to intervene in the pregnancy. The alert line was crossed for 40 partographs (17.1%) with no intervention being instituted. In 6 cases (2.6%) there was a waiting time of 3-16 hours after crossing of the action line before interventions were carried out. Conclusion: Proper monitoring, recording, and interpretation are important in minimizing unnecessary interventions.

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