GAMBARAN PENGGUNAAN PARTOGRAF DIGITAL PADA PERSALINAN OLEH BIDAN DESA

Kepatuhan dalam penggunaan partograf di Puskesmas Sodonghilir masih rendah, Untuk meningkatkan motivasi bidan dalam pengisian partograf, bidan koodinator Puskesmas Sodonghilir sebagai penanggungjawab KIA di wilayah tersebut mewajibkan bidan menggunakan partograf Digital dalam pemantauan persalinan. Penelitian ini bertujuan untuk menggambarkan gambaran efektivitas penggunaan Partograf Digital oleh bidan desa di Puskesmas Sodonghilir. Metode penelitian ini adalah deskriptif. Sampel penelitian ini adalah Total Sampling, yaitu seluruh bidan desa yang ada di kecamatan Sodonghilir sejumlah 12 bidan. Distribusi Frekuensi Penggunaan Partograf Digital Oleh Bidan Di Wilayah Kerja Puskesmas Sodonghilir kategori baik sebanyak 6 orang (50%). Diharapkan bidan meningkatkan motifvasi penggunaan partograf digital saat pemantauan persalinan.Compliance with the use of partographs at the Sodonghilir Health Center is still low. To increase the motivation of midwives in filling out partographs, the coordinating midwife of the Sodonghilir Health Center as the person in charge of MCH in the area requires midwives to use digital partographs in monitoring deliveries. This study aims to describe the effectiveness of using Digital Partographs by village midwives at the Sodonghilir Health Center. This research method is descriptive. The sample of this research is Total Sampling, namely all village midwives in Sodonghilir sub-district with a total of 12 midwives.Distribution of Frequency of Use of Digital Partographs by Midwives in the Working Area of Sodonghilir Health Center in good category as many as 6 people (50%). It is hoped that midwives will increase their motivation to use digital partographs during labor monitoring.

Midwives’ Perceptions Regarding the Use of the Cardiotocograph Machine as an Intrapartum Monitoring Tool in Namibia: A Qualitative Research Study

Although, at the time of this study, the cardiotocograph machine was the acceptable monitoring tool to be used intrapartum, its appropriate use was a matter of concern for midwives globally. This article reports the findings of a qualitative study which investigated the perceptions of midwives, who were working in a labor ward in a public referral hospital in Namibia, regarding the use of the cardiotocograph machine. The objectives of the study included: to explore and describe the perceptions of midwives working in a labor ward in Namibia regarding the use of the cardiotocograph machine as a labor monitoring tool; and to explore and describe how midwives working in a labor ward in Namibia perceived informing women who were in labor about the use of the cardiotocograph machine as a labor monitoring tool. The study site was a public referral hospital which offered services to the five northern regions of Namibia. The requisite data was collected using semi-structured, one-on-one interviews which were conducted with seventeen (17) purposively selected participants. The interviews were recorded on an audio device. The spiral method of data analysis was adopted. The study findings revealed that the participants had varying perceptions on the use of the cardiotocograph machine intrapartum and, as such, perceived its use as a challenge. It was concluded that midwives need to be empowered via refresher courses with regard to the use of cardiotocograph machine to ensure optimum results.

Management of Spontaneous Labor in Primigravidae: Labor Scale versus WHO Partograph (SLiP Trial) Randomized Controlled Trial

Objective We aimed to compare maternal and neonatal outcomes of spontaneous term labor among primigravidae who were monitored by the novel labor scale versus the World Health Organization (WHO) partograph. Study Design A single center, double-blinded randomized trial had been conducted between July 2015 and June 2016. Nulliparous women in spontaneous labor with singleton term pregnancies were randomized to either labor scale or the WHO partograph for management of labor. Primary outcome was successful vaginal delivery. Secondary outcome included low APGAR scores, birth injuries, postpartum hemorrhage, and infection. Results One hundred ten patients were randomized (55 in each arm). Women managed with labor scale had significantly lower rate of cesarean deliveries than women managed with the partograph arm (3.6% versus 18.2%, P=0.03). There was a significant reduction in the rate and duration of oxytocin administration for augmentation of labor (21.8% versus 69.1%, P < 0.0001) and a significant increase in average 1-minute APGAR score in the labor scale group. Conclusion Labor monitoring with the labor scale is associated with lower rate of cesarean section, less and shorter use of oxytocin for augmentation of labor. Monitoring of labor progress starting at 5 cm or more is also associated with lower rate of cesarean delivery.