Dr Minha Zeeshan, Dr Muhammad Zaeem Naeem, Dr Muhammad Yaseen
Introduction: A partogram is one of the valuable appropriate technologies in use for improved monitoring of labour progress, maternal and foetal wellbeing. Objectives: The main objective of the study is to analyse the effective usage of partogram for labouring patients. Material and methods: This descriptive study was conducted in Fatima Jinnah Medical University during March 2019 to November 2019. It involved review of partograph records and interviewing staff in the public and private not for health facilities. The sample size was all the partographs used for monitoring labour, foetal and maternal wellbeing that were available and had adequate information at the 8 health facilities during the six randomly selected months. Results: The record reviews of 1170 partographs out of estimated 1674 partographs (representing the total actual deliveries during the period) that had been used for labour management during the period of this study and were accessible to the study team. This was only 69.9% of the total 1674 expected partographs. It indicates that 52.1% (872/1674) deliveries during the period of study had their blood pressure monitored. Ten percent were monitored to standard. We tested for relationship between foetal Apgar score and quality of monitoring of foetal heart rate, cervical dilatation, uterine contractions and whether action line was crossed or not. Conclusion: It is concluded that Use of partograms during labour is affected by input factors like lack of guidelines, training health workers on its use and actual availability of the tools in all health facilities and health workers having a positive attitude on the use of a partogram.