World Health Organization (WHO) modified partogram fill audit at Matam Communal Medical Center
1 Gynecological and obstetrical clinic of the Ignace Deen Faculty of Health Sciences and Technology, Gamal Abdel Nasser University of Conakry, Conakry, Guinea.
2 Department of visceral surgery Sino Guinean Friendship Hospital, Faculty of Health Sciences and Technology, Gamal Abdel Nasser University of Conakry, Conakry, Guinea.
3 Gynecological and obstetrical clinic of the Donka Faculty of Health Sciences and Technology, Gamal Abdel Nasser University of Conakry, Conak University Hospital, Conakry, Guinea.
Research Article
GSC Advanced Research and Reviews, 2021, 09(01), 036–043.
Article DOI: 10.30574/gscarr.2021.9.1.0216
Publication history:
Received on 22 August 2021; revised on 04 October 2021; accepted on 06 October 2021
Abstract:
Objective: To assess the quality of filling of the modified partograph from WHO at CMC Matam.
Methods: This was a retrospective descriptive study by clinical audit (AC), carried out on a sample of obstetric records of parturients who gave birth in the maternity unit of the CMC of Matam from January 1 to December 31, 2020, it consisted of a evaluation of the use of the partograph using an audit sheet prepared for this purpose. The random sampling with one step in ten 1/10 was used for the sampling. The parameters related to the performance of the partograph, the progress of labor (hourly rate, fetal state, materno-fetal outcome.) Were evaluated, the traceability of events related to maternal condition, acts and treatments carried out during labor as well as immediate postpartum surveillance data. Data was collected and analyzed using SPSS 20.0 and MS Excel 2010 software.
Results: We retained 470 files. The sample represented 87.45% of all parturients whose monitoring required the opening of a partograph during the study period; its behavior met the standard in more than 87, 41% of cases; The hourly rhythm, and the precise moment of each act were notified and respected in 66.60% of the cases, the progress of the work was correctly notified and respected in 28.72% of the cases; the presentation level and the fetal heart rate were reported and respected in 28.78% and 85.96% respectively; the method of entering into labor was notified and complied with in 95.7% of cases.
Conclusion: The modified WHO partograph has some shortcomings in relation to its performance, which can be corrected by supportive supervision.
Keywords:
WHO; Partogram; Clinical audit; Work surveillance; Conakry
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Copyright © 2021 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0
