Singh Preeti, Bhalerao Anuja
Department of Obstetrics and Gynaecology, NKP Salve Institute of Medical Sciences and Research Centre, Nagpur, IND.
Cureus. 2024 Jun 13;16(6):e62295. doi: 10.7759/cureus.62295. eCollection 2024 Jun.
To overcome shortcomings of the paper partograph, enhance care during labor and delivery, improve record keeping, and help decision-making, several countries have focused on adopting low-cost digital applications. This scoping review highlights the usability and current status of the digital partogram in obstetric care. We conducted a thorough search involving the databases ScienceDirect, PubMed, and Google Scholar for relevant studies from inception till September 2023 by using the keywords "partograph", "electronic", and "obstetric" as well as the Boolean operators "AND" and "OR". Based on the selection criteria, 25 studies exploring the application of electronic partographs (e-partographs) in obstetric care were included in the review. The majority of the studies examined the efficiency and reported the effectiveness of e-partographs in comparison to paper partographs. The e-partograph has also demonstrated a clear benefit in that the healthcare providers filled out the data, and a reminder mechanism was placed, which might help determine whether the labor process was normal or needed more care. Moreover, an e-partograph was simple to adopt and use for obstetric caregivers and had the potential to save time. To sum up, digital partograph produces superior results to paper partograph. The use of an e-partograph can keep deliveries on track while lowering the need for cesarean sections and prolonged labor. The e-partograph provides essential benefits to its users and also provides a warning system with audible and visual cues that might be utilized to detect difficulties during delivery.
为克服纸质产程图的缺点,加强分娩期间的护理,改善记录保存,并辅助决策,一些国家已将重点放在采用低成本数字应用程序上。本综述强调了数字产程图在产科护理中的可用性和现状。我们通过使用关键词“产程图”“电子”“产科”以及布尔运算符“AND”和“OR”,对数据库ScienceDirect、PubMed和谷歌学术进行了全面搜索,以查找从创刊至2023年9月的相关研究。根据选择标准,本综述纳入了25项探讨电子产程图在产科护理中应用的研究。大多数研究考察了电子产程图与纸质产程图相比的效率,并报告了其有效性。电子产程图还显示出明显优势,即医疗服务提供者填写数据,并设有提醒机制,这可能有助于确定产程是否正常或是否需要更多护理。此外,电子产程图对于产科护理人员来说易于采用和使用,并且有可能节省时间。总而言之,数字产程图比纸质产程图产生更好的结果。使用电子产程图可以使分娩顺利进行,同时减少剖宫产和产程延长的需求。电子产程图为用户带来了重要益处,还提供了一个带有听觉和视觉提示的预警系统,可用于在分娩期间检测困难情况。