Implementation of partograph and outcome of labour at Chipata general hospital
type: CreativeWork
description: Worldwide use of the partograph in monitoring of labour has been proven to reduce maternal and infant morbidity and mortality. Zambia has one of the highest maternal mortality in the world. The eastern Province of Zambia, particularly Chipata District had the highest levels accounting for 76% of the maternal deaths in the province in a research done in 1998. The purpose of this study was to provide baseline data on the implementation of the partograph and outcome of labour at Chipata General Hospital with a view to reducing maternal deaths. A prospective and descriptive study, with both, qualitative and quantitative research components, was conducted in maternity ward at the hospital from May to August 2005. A review of 246 partographs of women who had delivered at Chipata General Hospital was conducted with the aid of a checklist. In addition, a focus group discussion with ten midwives working in maternity ward was conducted. In this study, high monitoring of labour means that observations were carried out and partograph was filled in consistently,while medium monitoring means inconsistent observation and low monitoring refered to inconsistent or no observation having been carried out. Similarly, poor outcome meant that the woman had complication(s) during labour or within the first twenty-four hours of delivery. Good outcome means that labour progressed without complications.The study revealed that low monitoring was associated with poor outcome of labour. About 50% of the women had low monitoring of the maternal condition during labour and 30.4% of them had moderate monitoring while only 23.7% had consistent monitoring. Further, 10.9% of the women with low monitoring of maternal conditions had poor outcome of labour, while 6.0% of them with moderate monitoring also had poor outcome. Age in relation to maternal outcome showed that poor outcome was high among women aged 20 -29 years.The study has also revealed that outcomes of labour at Chipata General Hospital do …
abstract: Worldwide use of the partograph in monitoring of labour has been proven to reduce maternal and infant morbidity and mortality. Zambia has one of the highest maternal mortality in the world. The eastern Province of Zambia, particularly Chipata District had the highest levels accounting for 76% of the maternal deaths in the province in a research done in 1998. The purpose of this study was to provide baseline data on the implementation of the partograph and outcome of labour at Chipata General Hospital with a view to reducing maternal deaths. A prospective and descriptive study, with both, qualitative and quantitative research components, was conducted in maternity ward at the hospital from May to August 2005. A review of 246 partographs of women who had delivered at Chipata General Hospital was conducted with the aid of a checklist. In addition, a focus group discussion with ten midwives working in maternity ward was conducted. In this study, high monitoring of labour means that observations were carried out and partograph was filled in consistently,while medium monitoring means inconsistent observation and low monitoring refered to inconsistent or no observation having been carried out. Similarly, poor outcome meant that the woman had complication(s) during labour or within the first twenty-four hours of delivery. Good outcome means that labour progressed without complications.The study revealed that low monitoring was associated with poor outcome of labour. About 50% of the women had low monitoring of the maternal condition during labour and 30.4% of them had moderate monitoring while only 23.7% had consistent monitoring. Further, 10.9% of the women with low monitoring of maternal conditions had poor outcome of labour, while 6.0% of them with moderate monitoring also had poor outcome. Age in relation to maternal outcome showed that poor outcome was high among women aged 20 -29 years.The study has also revealed that outcomes of labour at Chipata General Hospital do …
author: Squarre, Regis Miyoba
language: en
keywords: Partograph -- Chipata General Hospital, Labour (obstetrics) -- Chipata General Hospital, Child birth -- Chipata General Hospital
date published: 2012-09-17
date modified: 2026-07-27T22:06:21Z
provider: University of Zambia
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: University of Zambia