Wakgari Negash, Amano Abdella, Berta Marta, Tessema Gizachew Assefa
School of Nursing and Midwifery, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
Departments of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Afr Health Sci. 2015 Jun;15(2):552-9. doi: 10.4314/ahs.v15i2.30.
Globally, prolonged and obstructed labor contributed to 8% of maternal deaths which can be reduced by proper utilization of partograph during labor.
An Institution based cross-sectional study was conducted in June, 2013 on 403 obstetric care providers. A pre-tested and structured questionnaire was used to collect data. Data was entered to EpiInfo version 3.5.1 statistical package and exported to SPSS version 20.0 for further analysis. Logistic regression analyses were used to see the association of different variables.
Out of 403 obstetric care providers, 40.2% utilized partograph during labor.Those who were midwives by profession were about 8 times more likely to have a consistent utilization of the partograph than general practitioners (AOR=8. 13, 95% CI: 2.67, 24.78). Similarly, getting on job training (AOR=2. 86, 95% CI: 1.69, 4.86), being knowledgeable on partograph (AOR=3. 79, 95% CI: 2.05, 7.03) and having favorable attitude towards partograph (AOR=2. 35, 95% CI: 1.14, 4.87) were positively associated with partograph utilization.
Partograph utilization in labor monitoring was found to be low. Being a midwife by profession, on job training, knowledge and attitude of obstetric care providers were factors affecting partograph utilization. Providing on job training for providers would improve partograph utilization.
在全球范围内，产程延长和产程受阻导致了8%的孕产妇死亡，而在分娩过程中正确使用产程图可降低这一比例。
2013年6月，在403名产科护理人员中开展了一项基于机构的横断面研究。使用经过预测试的结构化问卷收集数据。数据录入EpiInfo 3.5.1统计软件包，并导出到SPSS 20.0进行进一步分析。采用逻辑回归分析来观察不同变量之间的关联。
在403名产科护理人员中，40.2%的人在分娩时使用了产程图。职业为助产士的人员持续使用产程图的可能性比全科医生高约8倍（比值比=8.13，95%置信区间：2.67，24.78）。同样，接受在职培训（比值比=2.86，95%置信区间：1.69，4.86）、了解产程图（比值比=3.79，95%置信区间：2.05，7.03）以及对产程图持积极态度（比值比=2.35，95%置信区间：1.14，4.87）与产程图的使用呈正相关。
发现产程图在分娩监测中的使用率较低。职业为助产士、产科护理人员的在职培训、知识和态度是影响产程图使用的因素。为护理人员提供在职培训将提高产程图的使用率。
