Why Did Not Midwives Use Partograph Correctly?
Year: 2018
Type: article
Study design: Observational Study
Abstract: Background. WHO has developed the concept of partograph and recommended it as auxiliary tool to monitor progress of first stage of labour, detect complicating factors, and help midwives in decision making. Though various studies have proven the beneficial use of partograph, application of birth progress monitoring is not done properly. Aim: To observe midwives’ obedience in using partograph and explore the obstacles. Method. The study used mixed methods with sequential explanatory strategy. Quantitative study used cross-sectional design with observational method. Qualitative study used phenomenological approach through thorough interviews. Data collecting was done in November 2014 to March 2015 in health facilities in Bandung City, Bandung and Sukabumi Regency. 53 midwives were observed during childbirth processes and 27 involved in thorough interviews. Result. Observation showed 60.4% of midwives used partograph incompletely. Midwives had obstacles in using partograph properly. Knowledge was not main factor causing inobedience. Other contributing factors were skills, training, time with midwife-patient ratio, work burden, formality, supporting system, application of discipline/sanction, attitude. Conclusion. There are many obstacles faced by the midwives in applying partographs to monitor the birth progress and these conditions make its application to become unreasonable. Government needs to re-evaluate the policy of partograph usage. Keywords: Midwives, partograph, knowledge, skills, training, time with midwife-patient ratio, work burden, formality, supporting system, application of discipline/sanction, attitude.
Authors: , Indrayani, Djami, Moudy E.U.
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W3210110070