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首页> 外文期刊>Reproductive Health >Documentation of the partograph in assessing the progress of labour by health care providers in Malawi’s South-West zone
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Documentation of the partograph in assessing the progress of labour by health care providers in Malawi’s South-West zone

机译：评估马拉维西南地区医疗服务提供者劳动进度的地形图文件

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There is some evidence that appropriate use of partograph in monitoring the progress of labour could decrease delivery related complications. The documentation of parameters of partographs is however, poorly understood. The aim of the present study was to determine the extent to which health care workers are making use of the partograph in monitoring the progress of labour through checking the documentation of the parameters of the partographs. A hospital-based descriptive study involving retrospective review of partographs for births that occurred in 2016 was conducted in Malawi’s South-West zone. A total of 1070 partographs that were used to monitor labour in two public hospitals were reviewed to determine the documentation of the parameters of partographs and descriptive statistics were computed using statistical package for the social science software version 22.0. Of the total 1070 partographs reviewed, 58.6% (n?=?627) of the partographs had no recording of maternal blood pressure and 65.3% (n?=?699) of the partographs had no temperature documentation. Moulding was not recorded in 25.4% (n?=?272) of the partographs, foetal heart rate was not recorded in 14.9% (n?=?159) of the partographs and descent of the foetal head was not recorded in 12.0% (n?=?128) of the partographs. There is poor documentation of vital parameters of the partographs. This suggests insufficient monitoring of the progress of labour, which may lead to adverse pregnancy outcomes. To improve the accurate documentation of parameters of the partograph, there is a need to understand the problem and provide tailor-made solutions to address them and ultimately improve pregnancy outcomes. In the meantime, in-service refresher courses on partograph use to health care workers need to be conducted regularly. Supportive supervision to obstetric care providers and regular partograph audit could also improve documentation.
机译：有证据表明，在监测分娩过程中适当使用分形仪可以减少与分娩有关的并发症。但是，对零件图参数的文档了解甚少。本研究的目的是通过检查零件图参数的文件来确定医护人员在使用零件图监视劳动进度方面的程度。在马拉维的西南地区进行了一项基于医院的描述性研究，该研究涉及回顾性回顾了2016年发生的分娩仪。审查了总共1070台用于监测两家公立医院劳动情况的零件图，以确定零件图参数的文档，并使用22.0版社会科学软件的统计软件包计算了描述统计量。在所审查的全部1070个分区图中，没有记录母体血压的比例为58.6％（n？=？627），没有温度记录的比例为65.3％（n？=？699）。 25.4％（n？=？272）的分型仪未记录到铸模，14.9％（n？=？159）的分相仪未记录到胎心率，而12.0％（b）则未记录到胎头下降。 n≥128）。有关零件图重要参数的文献很少。这表明对产程进展的监测不足，可能导致不良的妊娠结局。为了改善零件图参数的准确记录，需要了解问题并提供量身定制的解决方案，以解决这些问题并最终改善妊娠结局。同时，需要定期为卫生保健工作者举办有关零件图使用的在职进修课程。对产科护理人员的支持性监督和定期的零件图审核也可以改善文档编制。

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