Use of the partogram in a private hospital in South Africa

Show simple item record Yazbek, Mariatha Jomeen, Julie 2018-12-14T10:57:28Z 2019-02
dc.description.abstract OBJECTICVE : To explore and describe the use of the partogram in private hospitals in South Africa. DESIGN : An explanatory mixed method design. In-depth interviews were conducted with the midwives and midwife specialists to explicate the significance of the initial quantitative questionnaires. SETTING : A private maternity hospital in Gauteng Province, South Africa. PARTICIPANTS : 11 midwives and 3 advanced midwives working in the labour unit of the private maternity hospital. FINDINGS : Although all the midwives and midwife specialists knew the purpose of the partogram, where to find the recommendations on the use of the partogram and the signs of true labour, not all were sure when the partogram had to be completed and who is accountable for plotting the findings. Fetal heart rate monitoring during the active phase of labour remains a concern. KEY CONCLUSION : The findings revealed that the midwives understood the importance of the partogram but are not using it within the parameters for which it was intended. The obstetricians intervened during labour with no or little use of the partogram. IMPLICATIONS FOR PRACTICE : The study identified the knowledge strengths and deficits of midwives working in a private hospital on partogram use that would benefit from training interventions and professional development. Evidence suggests a culture where the partogram is not central to care as obstetricians are not using the partogram. The purpose of the partogram in the private sector needs to be reviewed. en_ZA
dc.description.department Nursing Science en_ZA
dc.description.embargo 2020-02-01
dc.description.librarian hj2018 en_ZA
dc.description.uri en_ZA
dc.identifier.citation Yazbek, M. & Jomeen, J. 2019, 'Use of the partogram in a private hospital in South Africa', Midwifery, vol. 69, pp. 128-134. en_ZA
dc.identifier.issn 0266-6138 (print)
dc.identifier.issn 1532-3099 (online)
dc.identifier.other 10.1016/j.midw.2018.11.009
dc.language.iso en en_ZA
dc.publisher Elsevier en_ZA
dc.rights © 2018 Elsevier Ltd. All rights reserved. Notice : this is the author’s version of a work that was accepted for publication in Midwifery. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. A definitive version was subsequently published in Midwifery, vol. 69, pp. 128-134, 2019. doi : 10.1016/j.midw.2018.11.009. en_ZA
dc.subject Use of partogram en_ZA
dc.subject Partograph en_ZA
dc.subject Private hospitals en_ZA
dc.subject South Africa (SA) en_ZA
dc.subject Fetus electrocardiography en_ZA
dc.subject Professional development en_ZA
dc.title Use of the partogram in a private hospital in South Africa en_ZA
dc.type Postprint Article en_ZA

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