Azandegbé N, Testa Jean, Makoutodé M
Direction de la Santé familiale, Ministère de la Santé publique, 01 BP 882 Cotonou Bénin.
Sante. 2004 Oct-Dec;14(4):251-5.
A safe motherhood program was launched in Benin in 1989. One of the methods used to decrease maternal mortality and morbidity was the partogram. We recently conducted a survey in maternity facilities in urban and rural Benin to assess its utilisation rate and the quality of its use. In this cross-sectional survey, all facilities were asked to respond to a questionnaire. In addition, we retrospectively studied files in half the facilities, based on a stratified randomisation. Partograms were used in 98% of all cases; in 13.3% of files (all in rural areas), partogram completion stopped before delivery. Overall completion was less good: of the 984 partograms examined, administrative data were complete on only 20% and medical delivery data on 50%. Action taken before the alert line was crossed was incorrect in 48% of cases (particularly oxytocin use). The alert line was crossed in 13.5% of the cases, but correct action always followed (artificial rupture of membranes, oxytocin administration). The patient transfer rate was 13% and the cesarean rate 5.2%. This alert line was crossed only once. These results thus show very high coverage of partogram use, but inadequate quality and thus demonstrate the need for refresher training for maternity staff about partogram use.
1989年贝宁启动了一项安全孕产计划。用于降低孕产妇死亡率和发病率的方法之一是产程图。我们最近在贝宁城乡的产科机构进行了一项调查，以评估其使用率和使用质量。在这项横断面调查中，要求所有机构回答一份问卷。此外，我们基于分层随机抽样，对一半机构的档案进行了回顾性研究。98%的病例使用了产程图；在13.3%的档案（均来自农村地区）中，产程图在分娩前就停止填写了。总体完成情况不太理想：在检查的984份产程图中，行政数据仅20%完整，医疗分娩数据50%完整。在越过警戒线之前采取的行动在48%的病例中不正确（尤其是催产素的使用）。13.5%的病例越过了警戒线，但随后总是采取了正确的行动（人工破膜、使用催产素）。患者转诊率为13%，剖宫产率为5.2%。这条警戒线只被越过过一次。因此，这些结果表明产程图的使用覆盖率非常高，但质量不足，从而表明需要为产科工作人员提供关于产程图使用的进修培训。
