Review of Documentation Status of Modified WHO Partograph in 47 Emergency Obstetric and Newborn Centers (EmONC) of Bhutan in 2018

International Journal of Nursing and Health Science

© 2021 by SSRG - IJNHS Journal

Volume 7 Issue 1

Year of Publication : 2021

Authors : Deki Pem, Tashi Tshomo, Karma Jurmin, Karma Tshering, Pema Lethro

10.14445/24547484/IJNHS-V7I1P105

How to Cite?

Deki Pem, Tashi Tshomo, Karma Jurmin, Karma Tshering, Pema Lethro, "Review of Documentation Status of Modified WHO Partograph in 47 Emergency Obstetric and Newborn Centers (EmONC) of Bhutan in 2018," SSRG International Journal of Nursing and Health Science, vol. 7,  no. 1, pp. 20-23, 2021. Crossref, https://doi.org/10.14445/24547484/IJNHS-V7I1P105

Abstract:

A. Background: The country-wide Emergency Obstetric and Newborn Care (EmONC) assessment was conducted in 47 health facilities in Bhutan. This study aimed to assess the documentation status of the modified WHO Partograph.
B. Methods: A total of 116 partograph were reviewed last six months prior to the study period.
C. Results: The overall completeness of the partograph was only 6.0%, where the commonly plotted section was uterine contraction and descent of the fetal head with 89.7% and 87.1%, respectively. More than 50% of records of maternal well-being were missing from the partograph.
D. Conclusion: The National MidwiferyStandard2018 mandates to use of partograph as one of the important components of intrapartum care to monitor the progress of labor and fetal and maternal well-being. However, the completeness of the partograph was extremely low, which is a concern of the quality of obstetric care in the country. There is a need for enhancement of knowledge and skills of health care providers in recording the progress of labor and maternal and fetal wellbeing in the partograph. Further, the recommendation is to identify the theory and practice gap and to strengthen monitoring and evaluation.

Keywords:

Bhutan, newborn, maternal health, modified WHO partograph

References:

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