Utilisation of Partograph among Obstetric Caregivers in Primary Healthcare Centres in Southeast State in Nigeria

Okoroafor Nkiru L, Esievo N. Judith, I. Maduakolam, I. Okoronkwo, Obataze J. Akpoyovwere
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Abstract

The use of partograph in managing labour is imperative to decrease obstetric issues associated with child birth. Prolonged and obstructed labour is a major cause of maternal mortalityThe purpose of this study was to assess the level of utilization of partographs in providing care for…. among Obstetric care providers in healthcare centers in Orlu Local Government Area of Imo State, southeast Nigeria. A descripive design was adopted for the study. A semi-structured questionnaire was used to collect data from obstetric care giver; a structured validated proforma was also used to collect data from patient records in all the health centres. SPSS version 24 was used to analyze the data, and the results were presented in tables. Result showed that partograph utilization was poor as only only 1(0.6%) showed record of descent 2(1.3%) had record of cervical dilatation plotted four hourly apart. In none was the alert line reached nor any drug given. On the recordings for second stage of labour in the partograph table three showed information on maternal monitoring, it showed that blood pressure, pulse, and temperature were documented on the 3(1.90%) partographs, but no information on nature of urine (protein, acetone or volume) was done. The study suggests that the poor Partograph utilization by obstetric care givers could be due to some factors which will require investigation. It is however recommended that further training should be required to improve the use of partograph.
尼日利亚东南州初级保健中心产科护理人员对分娩技术的利用
在分娩管理中使用分娩术对于减少与分娩有关的产科问题是必要的。延长和难产是产妇死亡的主要原因。本研究的目的是评估在....提供护理时产程的利用水平在尼日利亚东南部伊莫州奥鲁地方政府区保健中心的产科护理提供者中。本研究采用描述性设计。采用半结构化问卷收集产科护理人员的数据;还使用结构化的有效形式从所有保健中心的病人记录中收集数据。采用SPSS version 24对数据进行分析,结果以表格形式呈现。结果显示产程利用率较差,仅有1例(0.6%)有宫颈下降记录,2例(1.3%)有宫颈扩张记录,每隔4小时绘制一次。没有人达到警戒线,也没有人服用任何药物。在产程第二阶段的产程记录中,产程表3显示了产妇监测的信息,3张(1.90%)产程记录了血压、脉搏和体温,但没有尿的性质(蛋白质、丙酮或体积)的信息。该研究表明,产科护理人员对产褥的不良利用可能是由于一些需要调查的因素。但是,建议需要进行进一步的培训,以改进para - graph的使用。
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