Wacker J, Kyelem D, Bastert G, Utz B, Lankoande J
Department of Obstetrics and Gynaecology, Heidelberg University Hospital, Germany.
Trop Doct. 1998 Jul;28(3):146-52. doi: 10.1177/004947559802800308.
After a 3-day seminar on the utilization of a rectangular World Health Organization (WHO) version of the partogram and the round partogram, both versions were used under supervision in the maternity rooms of the Seno province, Burkina Faso, West-Africa, for 3 months. After this period a semi-standardized questionnaire was distributed among the partogram users. Using the round partogram with a plastic dial (dilatation indicator for the assessment of labour--DIAL), the two most common errors in the utilization of the rectangular partogram, incorrect recording at the initial examination and at the transition from latent to active phase, were largely avoided. Although the partogram was used in only 46.6% of all deliveries at the health unit level, 86% of the maternity staff using the partograms preferred the round partogram because of its time-saving and user-friendly qualities. Eighty-six per cent of its users felt that by starting the alert- and action-lines at a point later than that in the WHO partogram they would be able to avoid transferring patients unnecessarily. The wide acceptance of the simplified round partogram among the peripheral health units surveyed shows that the partogram would be an attractive tool for its users when it is made easy to use and a useful indicator for determining whether a patient transfer is necessary.
在为期3天的关于使用世界卫生组织（WHO）长方形产程图和圆形产程图的研讨会之后，这两种产程图在西非布基纳法索塞诺省产房的监督下使用了3个月。在此期间结束后，向产程图使用者发放了一份半标准化问卷。使用带有塑料刻度盘的圆形产程图（用于评估产程的扩张指示器——刻度盘），在很大程度上避免了使用长方形产程图时最常见的两个错误，即初检时以及从潜伏期过渡到活跃期时记录不正确。尽管在卫生单位层面，产程图仅在所有分娩中使用了46.6%，但使用产程图的产科工作人员中有86%更喜欢圆形产程图，因为它节省时间且使用方便。其86%的使用者认为，通过将警戒和行动线的起点设置得比WHO产程图中的点更靠后，他们能够避免不必要地转诊患者。在接受调查的基层卫生单位中，简化圆形产程图得到广泛认可，这表明当产程图易于使用时，它对使用者将是一个有吸引力的工具，并且是确定是否有必要转诊患者的有用指标。
