Factors associated with the implementation of the partogram as a facilitating technology in childbirth care.

Abstract

Objective: To evaluate the implementation of the partogram as a facilitating technology in childbirth care and associated factors.

Method: Cross-sectional study conducted in a maternity hospital in the city of Divinópolis, MG, in 2023. A structured questionnaire on childbirth care was applied to the puerperal women, gathering clinical data and the pregnant woman's booklet. Descriptive statistical analysis of the data was performed, and Fisher's exact test, Pearson's Chi-square test and Mann Whitney test were used to verify associations. The results considered significance level at 5%.

Results: 213 puerperal women participated in the research. Effective best practices included the presence of a companion (94.4%) and the administration of oxytocin after the expulsion period (92.5%). Information about the partogram was obtained from 180 (84.5%) medical records. Among these, the prevalence of births that were monitored with the professionals' entries in the partogram was 36.6%. The partogram was more frequently completed in the records of married puerperal women (p=0.027) and those who had premature rupture of membranes (p=0.029).

Conclusions: The Partogram was implemented in an incipient manner in the maternity ward and was more frequently completed in the medical records of married puerperal women and those who had premature rupture of membranes.