The modified WHO partograph: do we need a latent phase?
The objective was to study the frequency and mode of delivery of women admitted in the latent and active phase of labour in St. Luke's Catholic Hospital in Wolisso, Southwest Shoa Zone, Oromia Regional State, Ethiopia. It was a descriptive, retrospective design. Admission phases of labour and mode o...
| Publicado en: | British Journal of Midwifery Vol. 16; no. 8; pp. 527 - 533 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mark Allen Holdings Limited
Aug2008
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105661372&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105661372 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09694900 GHC jtl: British Journal of Midwifery issn: 09694900 maglogo: N pubinfo: dt: Aug2008 vid: 16 iid: 8 pid: 11383 pub: Mark Allen Holdings Limited artinfo: ui: 105661372 105661372 2010009509 10.12968/bjom.2008.16.8.30787 105661372 ppf: 527 ppct: 6 formats: fmt: @attributes: type: P tig: atl: The modified WHO partograph: do we need a latent phase? aug: au: Kwast BE Poovan P Vera E Kohls E affil: International Consultant Maternal Health and Safe Motherhood, Senior Adviser AMDO, Leusden, The Netherlands sug: subj: Labor Stages Management of Labor Midwifery World Health Organization Audit Chi Square Test Descriptive Research Ethiopia Female Pearson's Correlation Coefficient Pregnancy Protocols Retrospective Design Human Female ab: The objective was to study the frequency and mode of delivery of women admitted in the latent and active phase of labour in St. Luke's Catholic Hospital in Wolisso, Southwest Shoa Zone, Oromia Regional State, Ethiopia. It was a descriptive, retrospective design. Admission phases of labour and mode of delivery were collected for seven months. The modified World Health Organization (WHO) partograph was introduced in Wolisso in January 2007. Analysis of mode of delivery of women admitted in the latent and active phase, showed that women admitted in the latent phase had more operative (both abdominal and vaginal) deliveries as labour progressed to the right of the alert line in active phase compared to women admitted in the active phase of labour. Partographs were generally plotted very well, with 86% of those eligible for partography available for analysis. Application of the management protocol needs to improve as the average monthly C/S rate is 22.5% and augmentation of labour is rarely applied. It is recommended that a management protocol for women admitted in the latent phase is formulated and applied. Space for these women needs to be organized closer to the labour ward for regular observation in the latent phase and earlier diagnosis of the onset of the active phase of labour. Considering the mean number of 5.857 hours until the active phase was diagnosed, re-introduction of the latent phase on the WHO partograph remains a controversial subject. However, development of, and adherence to, a management protocol for these women is strongly recommended. One-third of the women were admitted in the second stage of labour which means that frequency of partograph use should not be used as a quality of care indicator in management information systems but criterion-based audits would definitely improve managment of labour. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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