Aisha Salihu Abdullahi¹*, Hayat Imam Gommaa¹, Hadiza Mohammad Sani¹ and Babayo Muhammad Tukur²

¹Department of Nursing Sciences, Ahmadu Bello University, Zaria, Nigeria
²Department of Nursing Sciences, University of Maiduguri, Nigeria

*Corresponding Author: Aisha Salihu Abdullahi, Department of Nursing Sciences, Ahmadu Bello University, Zaria, Nigeria.

Received: October 10, 2022; Published: February 01, 2023

Abstract

The World Health Organisation has approved the use of the partograph in monitoring of all labours and most importantly in Low and Middle Income Countries like Nigeria. Nevertheless, the use of the partograph is reported to be low in many facilities because mostly of its technicalities. The paperless partograph can be a simpler version of the tool. This study was aimed at comparing between the paperless partograph and WHO modified partograph in monitoring labour outcomes. A quasi experimental comparative design was used in the study where 34 Midwives and 422 pregnant women were recruited using multi-stage sampling technique. Data collection involved midwives using the two main tools; paperless partograph and the WHO modified partograph to monitor women in labour. The outcome of labour in the two groups of women provided the data for analysis. Ethical approval was obtained from Katsina State ministry of health and Informed consent (written) was obtained from participants, privacy and confidentiality were ensured throughout the study. The results obtained were analysed using descriptive and inferential statistical techniques on SPSS version 23. Frequencies, percentages, mean and standard deviation, were used to analyse the socio-demographic data and outcome of labour, while chi-square and t-test analysis were used in testing hypotheses. Findings revealed that the paperless partograph is effective for monitoring labour with 91% of labours within normal time and through spontaneous vaginal delivery similar to the results obtained in the WHO modified group. No difference was significantly apparent between the paperless partograph and the WHO modified partograph when used on women in labour in the delivery wards of GHs in Katsina State (p = 0.942 and 0.076). It was concluded that the paperless partograph is effective in monitoring labour progress, and therefore recommended that midwives be trained in using the paperless partograph in our hospitals to ensure appropriate monitoring of labour progress.

Keywords: WHO Partograph; Paperless Partograph; Labour; Midwives; Katsina

References

1. World Health Organization (WHO). Maternal mortality in 1990-2015 WHO, UNICEF, UNFPA, World Bank Group, and United Nations Population Division Maternal Mortality Estimation Inter-Agency Group. Geneva: World Health Organization (2016).
2. Kigotho Maina S. “The effect of free delivery services on partograph utilization at naivasha district hospital”. Nairobi: unpublished thesis, (2016).
3. "An Assessment of Policies and Programs for Reducing Maternal Mortality in Borno State Nigeria”. Chama, Mairiga, Geidam and Bako. African Journal of Reproductive Health3 (2010): 49-54.
4. Gaje A J., et al. “Service readiness, health facility management practices, and delivery care utilization in five states of Nigeria: a cross-sectional analysis”. BMC Pregnancy and Childbirth (2016).
5. Maternal, Child and Newborn Health. Calderwood, Perry. Kano, Nigeria: Ahmadu Bello University Press. Proceedings of 1^st International Conference and Doctoral Colloquim: Development in Africa; Perspectives, issues and Trends (2015): 20-25.
6. Nigeria Demographic and Health Survey (NDHS). Nigeria Demographic and Health Survey. Abuja: National Population Commision, Abuja Nigeria, (2018).
7. Federal Ministry of Health (FMOH). “Accelerated Reduction of Maternal and Newborn Mortality in Nigeria; A Roadmap for Action 2019- 2021”. Abuja: Federal Ministry of Health Nigeria, (2019).
8. Marshall JE and Raynor MD. “Myles textbook for Midwives”. Edinburgh: Churchill Livingstone Elseveir, (2014).
9. World bank report 2017. Geneva: world health organization, (2017).
10. Iyengar K., et al. “Adherence to Evidence Based Care Practices for Childbirth Before and After a Quality Improvement Intervention in Health Facilities of Rajasthan India”. BMC Pregnancy and Childbirth BMC Series (2014): 14-270.
11. , et al. “Evaluation of paperless partogram as a bedside tool in the management of labour”. Journal of Family Medicine and Primary Care (2014): 47-49.
12. Rahman A., et al. “E-partograph, An Innovation To Improve Use Of e-partograph: Preliminary Findings From Two Tertiary Level Public Hospitals In Bangladesh. Dhaka, Dhaka, Bangladesh”. (2017).
13. Adesola Omolola., et al. “Partograph Utilization at Three Levels of Health Care Delivery Services in Ile-Ife, Nigeria”. International Journal of Caring Sciences2 (2014): 678-691.
14. Debdas AK. “ETD- A 20 second tool for absolute prevention of prolonged and obstructed labour in resource poor situations”. The New Indian Journal of OBGYN (2015): 24-26.
15. , et al. “The paperless partograph: can it be effective to replace the WHO modified partograph?” International Journal of Reproduction, Contraception, Obstetrics and Gynaecology (2016): 452-455.
16. Fatour and Ramadan. “Effect of using Paperless Partogram on the Management and Outcome of Labour and the Nurses' Opinion”. Journal of Education and Practice (2015): 17-23.
17. Tandu-Umba NFB and Muamba K. “Using the alert and action expected times of delivery in prevention of prolonged labour”. Open Journal of Obstetrics and Gynaecology (2015): 813-818.
18. Darder A., et al. “Paperless Partograph Evaluation of Labour”. Trial Bulletin (2018).
19. Wang L., et al. “The Impact of Stage of Labour on Adverse Maternal and Neonatal Outcomes in Multiparous women: a Retrospective Cohort Study”. BMC Pregnancy and Childbirth 20 (2020): 596.
20. FMOH, Federal Ministry of Health. National Clinical Service Protocol for Obstetric and Neonatal Care. Abuja: FMOH, COMPASS, USAID, (2006).
21. “WHO recommendations Intrapartum care for a positive childbirth experience”. Geneva : World Health Organization; 2018. Licence: CC BY-NC-SA 3.0 IGO., (2018).
22. Tandu-Umba NFB and Muamba K. “Using the alert and action expected times of delivery in prevention of prolonged labour”. Open Journal of Obstetrics and Gynaecology (2015): 813-818.
23. Daniel C N and Singh S. “Caesarean Delivery: An experience from a Tetiary Institution in Northern Nigeria”. Nigerian Journal of Clinical Practice 1 (2016): 18-24.
24. Lavender T., et al. “Effect of Partograph Use on Outcomes for Women in Spontaneous Labour at Term and their Babies”. Geneva: John Wiley and Sons, 2018, Cochraine Data base of Systematic Reviews 8 (2018): CD005461.
25. “Pregnancy, Childbirth, Postpartum and Newborn Care: A Guide for Essential Practice”. 3^rd Edition. Geneva: : World Health Organization, (2015).

Citation

Citation: Aisha Salihu Abdullahi., et al. “WHO Modified Partograph Versus Paperless Partograph in Monitoring Labour Progress at Delivery Wards of General Hospitals, Katsina State". Acta Scientific Women's Health 5.3 (2023): 04-10.

Copyright

Copyright: © 2022 Aisha Salihu Abdullahi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.