The scores for competence in plotting a partograph ranged between 0 and 9 (of 10) with a mean score of 1.08, which approximated to 11% of the maximum score.
The staff obtained a median score of 1.08 (maximum of 10) at competence in plotting a partograph.
Plot A: regional and conditional plot for EST.
Figure 8 shows a partograph, where the entry for labour progress remained in the yellow alert area at 4 hours after the active phase of labour has started.
Some practices did not show significant improvement -- these included avoidance of lithotomy position for delivery, use of a partograph, hand-washing, use of sterile gloves for delivery, and postpartum check in the ward.
Among moderate-volume centers, 40% had unreliable access to a partograph and 35% lacked the capacity for blood transfusions.
They had reservations as to the feasibility of its routine use in everyday settings, particularly because women generally arrive close to delivery, leaving no opportunity for the use of a partograph while staff shortages prevail.
Of the 1466 records reviewed, 6% records had a partograph with at least one assessment of cervical dilatation plotted against time.
A partograph obtained during first labour can be a managerial tool for subsequent labour.
A partograph is one of the valuable appropriate technologies in use for improved monitoring of labour progress, and maternal and foetal wellbeing.
