CHALLENGES EXPERIENCED BY MIDWIVES ON THE USE OF PARTOGRAM AT LIMPOPO PROVINCE OF SOUTH AFRICA
DOI:
https://doi.org/10.25159/2520-5293/224Abstract
A partogram is regarded as a valuable tool recommended by the World Health Organization to monitor and document aspects of labour, but often not used effectively in clinical practice. The researchers were interested in exploring the challenges that contribute to the underutilization of a partogram in the district and to make recommendations for improvement. A qualitative, descriptive and contextual research study was conducted at three hospitals. Semi structured interviews were conducted with seventeen midwives who were purposively selected. Data was coded and analysed using Tesch’s steps of data analysis. Several challenges were highlighted including lack of resources such as staff, time, casebooks and photocopy machines, lack of knowledge and lack of support. It is recommended that moral support, in-service training and resources be provided to improve the use of the partogram.Metrics
References
Basu, J.K, Hoosain., S. Leballo, G., Leistner, E., Masango, D., Mercer, M., Mohapi, M., Petkar, S. & Tshiovhe, N.A. 2009. The partogram: A missed opportunity. South African Medical Journal 99(8): 578
Creswell, J.M. 1994. Research Design: Qualitative and Quantitative Approaches. Thousand Oaks (CA): SAGE
Forsner, T., Hansonn, J., Brommels, M., Wistedt, A.A. & Forsell, Y. 2010. Implementing clinical guidelines in psychiatry: a qualitative study of perceived facilitators and barriers. Biomed Central Psychiatry 10(8):1-10
Gagliard, A.R., Brouwers, M.C., Palda, V.A, Lemieux-Charles, L.& Grimshaw, J.M. 2011. How can we improve guideline use? A conceptual framework of implementation Science 6(26):1-11.
Jones, N.E., Suurdt, J., Ouellette-Kuntz, H. & Heyland, D.K. 2010. Implementation of Canadian clinical practice guidelines for nutrition support: a multiple case study of barriers and enablers. Nutrition in Clinical Practice 22(4):449-457
International Confederation of Midwives (ICM). 2011. http://www.internationalmidwives.org/who-we-are/policy-and-practice/icm-international-definition-of-the-midwife/ Accessed on 18/05/2015
Lavender, T., Hart, A. & Smyth, R.M.D. 2013. Effect of partogram outcomes for women in spontaneous labour at term (Review). The Cochrane Collaboration. Issue 7. John Wiley & Sons, Ltd
Leanza, V., Leanza, G. & Monte, S. 2011. A didactic protocol for labour and delivery: the partogram. Minerva Ginecol 63(4):325-332
Mabaso, M.H.L., Ndaba, T. & Mkhize-Kwitshana, Z.L. 2014. Overview of Maternal, Neonatal and Child Deaths in South Africa: Challenges, Opportunities, Progress and Future Prospects. International Journal of Maternal and Child Health and AIDS 2(2); 182-189
Mathew, D., Dougall, A., Konfortion, J. & Johnson, S. 2011. The intrapartum scorecard enhancing safety on the labour ward. British Journal of Midwifery 19(9): 181-191
Mathibe-Neke, J.M., Lebeko, F.L. & Motupa, B. The partograph: A labour management too or a midwifery record? International Journal of Nursing and Midwifery 5(8)145-153
Medical Research Council. 2005. Intrapartum care in South Africa: Review and guidelines. South Africa: Pretoria
Medforth, J., Battersbay, S., March, B. & Walker, A. 2011. Oxford Handbook of midwifery. 2nd edition. Oxford University Press
Nyamtema, A.S., Urassa, D.P., Massawe, A., Lindmark, G. & van Roosmalen, J. 2008. Partogram use in Dar es Salaam perinatal care study. International Journal of Gynaecology and Obstetrics 100(1): 37-40
Ogwang, S., Karyabakabo, Z. & Rutebemberwa, E. 2009. Assessment of partogram use in Bujumbura Health Sub-District, Rukungiri District, Uganda. African Health Sciences 9(1):S27-S34.
Ollerhead, E. & Osrin, D. 2014. Barriers to and incentives for achieving partograph use in obstetric practice in low and middle income countries: a systematic review. Bio Medical Central Pregnancy and Childbirth 14(281): 1-7.
Opiah, M.M., Ofi, A.B., Essien, E.J & Monjok, E. 2012. Knowledge and utilization of the partograph among midwives in the Niger Delta Region of Nigeria. African Journal of Reproductive Health 16(1):125-132.
Parahoo, K. 2006. Nursing Research: principles process and issues. 2nd edition. New York: Palgrave.
Ploeg, J., Davies, B., Edwards, N., Gilfords, W. & Miller, E.M. 2007. Factors Influencing Best – Practice Guideline Implementation: Lesson Learned from Administrators, Nursing Staff, and Project Leaders. Worldviews on Evidence-based Nursing 4(4):201-219.
Rampfumedzi, P.D. 2006. Quality control of obstetric nursing records in a selected regional hospital. Pretoria: University of South Africa.
Salama, N.S., Allah, I.M, & Heeba, M.F. 2010. The partograph: Knowledge, Attitude, and Utilisation by Professional Birth Attendances in Port-Said and Ismailia Cities. Medical Journal of Cairo University 78:165-174.
Shokane, M.A., Thopola, M.K., Jali, M.N., Kgole, J.C & Mamogobo, P.M. 2013. The utilisation of the partograph by midwives in Lebowakgomo and Zebediela Level 1 hospitals in the Capricon district, Limpopo Province, South Africa. African Journal for Physical, Health Education, Recreation and Dance, March (Supplement 1), 159-168.
South Africa. 2007. Guidelines for Maternity Care in South Africa 2007: a manual for clinics, community health centres and district hospitals. Department of Health: Pretoria.
South Africa. 2012. Department of Health. Saving Mothers 2005-2007: Fourth Report on Confidential Enquiries into Maternal Deaths(NCCEMD). Pretoria: Government Printers.
Speziale, H.J.S. & Carpenter, D.R. 2007. Qualitative Research in Nursing: Advancing the Humanistic imperative. 4th edition. Crawfordsville: William and Watkins
Studd, J. 1973. Partograms and Monograms of Cervical Dilatation in Management of Primigravid Labour. British Medical Journal 4: 451=455.
World Health Organisation (WHO). 2014. Trends in maternal mortality 1990 to 2013. http://data.unicef.org/corecode/uploads/document6/uploaded_pdfs/corecode/MMR2013_117.pdf accessed on 14/5/2015
Yisma, E., Dessalegn, B., Astatkie, A. & Fesseha, N. 2013. Completion of the modified World Health Organization (WHO) partograph during labour in public health institutions of Addis Ababa, Ethiopia. Reproductive Health 10(23): 1-7
Downloads
Published
How to Cite
Issue
Section
Accepted 2015-11-02
Published 2016-01-05