Comparing compliance with commencement and use of two partograph designs for women in active labour: A randomised controlled trial

Lee, Nigel and Flynn, Julie ORCID: https://orcid.org/0000-0003-1512-2089 and Gao, Yu and Kildea, Sue (2022) Comparing compliance with commencement and use of two partograph designs for women in active labour: A randomised controlled trial. Women and Birth. pp. 1-8. ISSN 1871-5192


Abstract

Background: Documentation and assessment of progress in labour using a partograph is recommended by the World Health Organisation to assist in the timely recognition of labour dystocia. Recent studies have tested new designs of partographs that aim to account for more variable rates of labour progress. However, other studies have suggested that poor compliance in the completion of partographs affects utility. The objective of this study was to compare two types of partographs for compliance in documentation and use for managing labour. Methods: Low-risk nulliparous women in spontaneous labour (n = 228) were randomised to either an Action Line (control) (n = 114) or Dystocia Line partograph (intervention) (n = 114). Primary outcome was compliance with instructions for commencement of the partograph following a multifaceted training strategy. Secondary outcomes included compliance with the accompanying clinical management protocol for each partograph; and labour and birth outcomes. Results: The compliance rate for commencing the Action line partograph was 43.2% compared to 67.0% (p = 0.02) for the Dystocia line partograph. Other than a reduction in artificial rupture of membranes in the Dystocia Line group there were no other differences in labour management or birth outcomes. The use of centralised electronic display of labour progress may be a contributing factor. Conclusions: Compliance with the commencement and use of either partograph was low. There was little indication that the partograph was being utilized in the assessment and management of prolonged labour. Further studies are needed to explore the current utility of partographs in labour management and the effect of centralised monitoring of progress in high resource settings.


Statistics for USQ ePrint 48034
Statistics for this ePrint Item
Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Files associated with this item cannot be displayed due to copyright restrictions.
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Nursing and Midwifery (1 Jan 2015 - )
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Nursing and Midwifery (1 Jan 2015 - )
Date Deposited: 28 Apr 2022 03:15
Last Modified: 27 Sep 2022 04:18
Uncontrolled Keywords: Active labour management; Labour dystocia; Partogram; Partograph; Prolonged labour
Fields of Research (2020): 42 HEALTH SCIENCES > 4204 Midwifery > 420401 Clinical midwifery
42 HEALTH SCIENCES > 4204 Midwifery > 420499 Midwifery not elsewhere classified
Socio-Economic Objectives (2020): 20 HEALTH > 2001 Clinical health > 200103 Human pain management
20 HEALTH > 2001 Clinical health > 200199 Clinical health not elsewhere classified
20 HEALTH > 2099 Other health > 209999 Other health not elsewhere classified
Identification Number or DOI: https://doi.org/10.1016/j.wombi.2022.04.004
URI: http://eprints.usq.edu.au/id/eprint/48034

Actions (login required)

View Item Archive Repository Staff Only