2.50
Hdl Handle:
http://hdl.handle.net/10755/616438
Title:
Knowledge of Private Hospital Midwives on the Use of the Partogram
Other Titles:
Role of Midwives in Healthcare
Author(s):
Yazbek, Mariatha
Lead Author STTI Affiliation:
Chi Xi-at-Large
Author Details:
Mariatha Yazbek, RN,'RM, mariatha.yazbek@up.ac.za
Abstract:
Session presented on Thursday, July 21, 2016: Background: The partogram is a clinical practice guideline that is useful in early detection of complications during labour, but is still poorly completed. Midwives are failing to monitor and'plot the maternal and'foetal status correctly during the latent and active phase of labour.'Quality-of care audits in South Africa also identified incorrect interpretation of the partogram.'Partogram use varies between different health care'facilities'due to'internal'training facilities in the workplace. No studies on the knowledge of midwives on partogram use in the private sector could be found. Objective: The aim of the study was to explore the knowledge of midwives working in a private maternity hospital regarding the use of the partogram. Design: The study used an explanatory mixed method design. In-depth interviews with midwives and advance midwives followed quantitative questionnaires. The questionnaire consisted of'eight questions and an open-ended question to obtain baseline data,'clarify the knowledge of the midwives on the use of the partogram and their perceptions'on the use of the partogram during decision making. The interviews explored the'knowledge of the midwives'on the Guidelines for Maternal Care and partogram use as well as their responsibilities regarding the use of the partogram in clinical practice. Thematical analysis was used to analyse the data of the interviews.' Setting: A private maternity hospital in Gauteng Province, South Africa was used. Participants: Eleven midwives and three advanced midwives of the seventeen midwives working in the labour unit of the private maternity hospital'participated in the study. Findings: Although all the midwives and advanced midwives new the purpose of the partogram, where to find the recommendations on the use of the partogram and the signs of true labour, not all were sure when the partogram had to be completed and who remains responsible to plot the findings. Fetal heart rate monitoring during the active phase of labour remains a concern. Key conclusion: The midwives understood the importance of the partogram but were not using the tool to the extent it is intended. Implications for practice: The study identified key knowledge areas of midwives working in a private hospital on partogram use that need further regular updates through internal workshops. Training and re-training of midwives could'ensure proper understanding of the partogram as a tool to monitor and manage labour.
Keywords:
Knowledge of midwives; Partogram use; Labour
Repository Posting Date:
13-Jul-2016
Date of Publication:
13-Jul-2016 ; 13-Jul-2016
Other Identifiers:
INRC16B11
Conference Date:
2016
Conference Name:
27th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Cape Town, South Africa
Description:
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.titleKnowledge of Private Hospital Midwives on the Use of the Partogramen
dc.title.alternativeRole of Midwives in Healthcareen
dc.contributor.authorYazbek, Mariathaen
dc.contributor.departmentChi Xi-at-Largeen
dc.author.detailsMariatha Yazbek, RN,'RM, mariatha.yazbek@up.ac.zaen
dc.identifier.urihttp://hdl.handle.net/10755/616438-
dc.description.abstractSession presented on Thursday, July 21, 2016: Background: The partogram is a clinical practice guideline that is useful in early detection of complications during labour, but is still poorly completed. Midwives are failing to monitor and'plot the maternal and'foetal status correctly during the latent and active phase of labour.'Quality-of care audits in South Africa also identified incorrect interpretation of the partogram.'Partogram use varies between different health care'facilities'due to'internal'training facilities in the workplace. No studies on the knowledge of midwives on partogram use in the private sector could be found. Objective: The aim of the study was to explore the knowledge of midwives working in a private maternity hospital regarding the use of the partogram. Design: The study used an explanatory mixed method design. In-depth interviews with midwives and advance midwives followed quantitative questionnaires. The questionnaire consisted of'eight questions and an open-ended question to obtain baseline data,'clarify the knowledge of the midwives on the use of the partogram and their perceptions'on the use of the partogram during decision making. The interviews explored the'knowledge of the midwives'on the Guidelines for Maternal Care and partogram use as well as their responsibilities regarding the use of the partogram in clinical practice. Thematical analysis was used to analyse the data of the interviews.' Setting: A private maternity hospital in Gauteng Province, South Africa was used. Participants: Eleven midwives and three advanced midwives of the seventeen midwives working in the labour unit of the private maternity hospital'participated in the study. Findings: Although all the midwives and advanced midwives new the purpose of the partogram, where to find the recommendations on the use of the partogram and the signs of true labour, not all were sure when the partogram had to be completed and who remains responsible to plot the findings. Fetal heart rate monitoring during the active phase of labour remains a concern. Key conclusion: The midwives understood the importance of the partogram but were not using the tool to the extent it is intended. Implications for practice: The study identified key knowledge areas of midwives working in a private hospital on partogram use that need further regular updates through internal workshops. Training and re-training of midwives could'ensure proper understanding of the partogram as a tool to monitor and manage labour.en
dc.subjectKnowledge of midwivesen
dc.subjectPartogram useen
dc.subjectLabouren
dc.date.available2016-07-13T11:12:34Z-
dc.date.issued2016-07-13-
dc.date.issued2016-07-13en
dc.date.accessioned2016-07-13T11:12:34Z-
dc.conference.date2016en
dc.conference.name27th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationCape Town, South Africaen
dc.descriptionTheme: Leading Global Research: Advancing Practice, Advocacy, and Policyen
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