Contribution of Completed Modified World Health Organization Partograph on Maternal and Foetal Mortality Reduction in Health Facilities in Makueni County, Kenya

Urbanus Mutiso Muthusi; Mokua Gladys Nyamoita; Macharia Stephen

doi:doi:10.11648/j.cajph.20190506.11

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Contribution of Completed Modified World Health Organization Partograph on Maternal and Foetal Mortality Reduction in Health Facilities in Makueni County, Kenya

Urbanus Mutiso Muthusi, Mokua Gladys Nyamoita, Macharia Stephen

Published in Central African Journal of Public Health (Volume 5, Issue 6)

Received: 8 August 2019 Accepted: 16 September 2019 Published: 10 October 2019

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Abstract

Background: Maternal and foetal mortality is one of the major health problem facing low income countries as compared to the high income countries. This burden is mostly felt in sub Saharan Africa and Southeast Asia where 99% of the global burden of maternal death is found. The World Health Organization (WHO) promotes partograph use in the monitoring and management of mothers in labour enabling timely decision-making regarding interventions to be undertaken. Objective: To assess the relationship between complete modified world health organization partograph and maternal and foetal outcomes in health facilities in Makueni County, Kenya Methods: This was a cross sectional study design. The study used a structured questionnaire to collect data from the partographs retrospectively. Data analysis was done using SPSS version 20.0 and chi-square tests were used to assess the relationship of variables. The cut off point for the level of significance was 0.05. Phi and Cramer’s V test was used to determine the strength of association Findings: Descriptive statistics and frequency tables were used to describe the extent to which the partograph was used. The use of partograph had effects on both foetal and maternal outcomes. The study established method of delivery had a significance association with foetal monitoring (foetal heart rate, liquor, and moulding), labour progress monitoring (descent, contractions and cervical dilatation) and referral monitoring at α = 0.05. The study also found significant association between foetal outcome and contraction, gravidity, parity, foetal heart rate and moulding at α = 0.05. Conclusion: There is a significant association between maternal, foetal outcomes and labour progress and partograph completeness in Makueni County. The study therefore recommends increased mobilization and routine check by supervisors to ensure partographs are filed on time and hospitals to embrace training programme to enable midwifery care-providers acquire relevant skills to complete partographs during the labour process.

Published in	Central African Journal of Public Health (Volume 5, Issue 6)
DOI	10.11648/j.cajph.20190506.11
Page(s)	227-236
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

WHO Partograph, Maternity, Foetal, Outcomes

References

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[7]	Nyongesa, C. et al. ‘Factors influencing choice of skilled birth attendance at ANC : evidence from the Kenya demographic health survey’. BMC Pregnancy and Childbirth, 2018 362, pp. 4–9.
[8]	Anokye, R. et al.‘Use and completion of partograph during labour is associated with a reduced incidence of birth asphyxia : a retrospective study at a peri-urban setting in Ghana’. Journal of Health, Population and Nutrition, 2019 7, pp. 1–8.
[9]	Souza, J. P., Oladapo, O. T., Bohren, M. A., Mugerwa, K., Fawole, B., Moscovici, L., … WHO BOLD Research Group. The development of a Simplified, Effective, Labour Monitoring- to- Action (SELMA) tool for Better Outcomes in Labour Difficulty (BOLD): study protocol. Reproductive health, 2015 12, 49. doi: 10.1186/s12978-015-0029-4.
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[13]	Gans-Lartey, F., O’Brien, B. A., Gyekye, F. O., & Schopflocher, D. The relationship between the use of the partograph and birth outcomes at Korle-Buteaching hospital. Midwifery. 2013; 29 (5): 461–7.
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[16]	Qureshi, Z. P., Sekadde-Kigondu, C. & Mutiso, S. M. Rapid assessment of partograph utilization in selected maternity units in Kenya, East African Medical Journal, vol. 87, no. 6, pp. 235-241, Jun 2010.
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Urbanus Mutiso Muthusi, Mokua Gladys Nyamoita, Macharia Stephen. (2019). Contribution of Completed Modified World Health Organization Partograph on Maternal and Foetal Mortality Reduction in Health Facilities in Makueni County, Kenya. Central African Journal of Public Health, 5(6), 227-236. https://doi.org/10.11648/j.cajph.20190506.11

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ACS Style

Urbanus Mutiso Muthusi; Mokua Gladys Nyamoita; Macharia Stephen. Contribution of Completed Modified World Health Organization Partograph on Maternal and Foetal Mortality Reduction in Health Facilities in Makueni County, Kenya. Cent. Afr. J. Public Health 2019, 5(6), 227-236. doi: 10.11648/j.cajph.20190506.11

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AMA Style

Urbanus Mutiso Muthusi, Mokua Gladys Nyamoita, Macharia Stephen. Contribution of Completed Modified World Health Organization Partograph on Maternal and Foetal Mortality Reduction in Health Facilities in Makueni County, Kenya. Cent Afr J Public Health. 2019;5(6):227-236. doi: 10.11648/j.cajph.20190506.11

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@article{10.11648/j.cajph.20190506.11,
  author = {Urbanus Mutiso Muthusi and Mokua Gladys Nyamoita and Macharia Stephen},
  title = {Contribution of Completed Modified World Health Organization Partograph on Maternal and Foetal Mortality Reduction in Health Facilities in Makueni County, Kenya},
  journal = {Central African Journal of Public Health},
  volume = {5},
  number = {6},
  pages = {227-236},
  doi = {10.11648/j.cajph.20190506.11},
  url = {https://doi.org/10.11648/j.cajph.20190506.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20190506.11},
  abstract = {Background: Maternal and foetal mortality is one of the major health problem facing low income countries as compared to the high income countries. This burden is mostly felt in sub Saharan Africa and Southeast Asia where 99% of the global burden of maternal death is found. The World Health Organization (WHO) promotes partograph use in the monitoring and management of mothers in labour enabling timely decision-making regarding interventions to be undertaken. Objective: To assess the relationship between complete modified world health organization partograph and maternal and foetal outcomes in health facilities in Makueni County, Kenya Methods: This was a cross sectional study design. The study used a structured questionnaire to collect data from the partographs retrospectively. Data analysis was done using SPSS version 20.0 and chi-square tests were used to assess the relationship of variables. The cut off point for the level of significance was 0.05. Phi and Cramer’s V test was used to determine the strength of association Findings: Descriptive statistics and frequency tables were used to describe the extent to which the partograph was used. The use of partograph had effects on both foetal and maternal outcomes. The study established method of delivery had a significance association with foetal monitoring (foetal heart rate, liquor, and moulding), labour progress monitoring (descent, contractions and cervical dilatation) and referral monitoring at α = 0.05. The study also found significant association between foetal outcome and contraction, gravidity, parity, foetal heart rate and moulding at α = 0.05. Conclusion: There is a significant association between maternal, foetal outcomes and labour progress and partograph completeness in Makueni County. The study therefore recommends increased mobilization and routine check by supervisors to ensure partographs are filed on time and hospitals to embrace training programme to enable midwifery care-providers acquire relevant skills to complete partographs during the labour process.},
 year = {2019}
}

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TY  - JOUR
T1  - Contribution of Completed Modified World Health Organization Partograph on Maternal and Foetal Mortality Reduction in Health Facilities in Makueni County, Kenya
AU  - Urbanus Mutiso Muthusi
AU  - Mokua Gladys Nyamoita
AU  - Macharia Stephen
Y1  - 2019/10/10
PY  - 2019
N1  - https://doi.org/10.11648/j.cajph.20190506.11
DO  - 10.11648/j.cajph.20190506.11
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 227
EP  - 236
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20190506.11
AB  - Background: Maternal and foetal mortality is one of the major health problem facing low income countries as compared to the high income countries. This burden is mostly felt in sub Saharan Africa and Southeast Asia where 99% of the global burden of maternal death is found. The World Health Organization (WHO) promotes partograph use in the monitoring and management of mothers in labour enabling timely decision-making regarding interventions to be undertaken. Objective: To assess the relationship between complete modified world health organization partograph and maternal and foetal outcomes in health facilities in Makueni County, Kenya Methods: This was a cross sectional study design. The study used a structured questionnaire to collect data from the partographs retrospectively. Data analysis was done using SPSS version 20.0 and chi-square tests were used to assess the relationship of variables. The cut off point for the level of significance was 0.05. Phi and Cramer’s V test was used to determine the strength of association Findings: Descriptive statistics and frequency tables were used to describe the extent to which the partograph was used. The use of partograph had effects on both foetal and maternal outcomes. The study established method of delivery had a significance association with foetal monitoring (foetal heart rate, liquor, and moulding), labour progress monitoring (descent, contractions and cervical dilatation) and referral monitoring at α = 0.05. The study also found significant association between foetal outcome and contraction, gravidity, parity, foetal heart rate and moulding at α = 0.05. Conclusion: There is a significant association between maternal, foetal outcomes and labour progress and partograph completeness in Makueni County. The study therefore recommends increased mobilization and routine check by supervisors to ensure partographs are filed on time and hospitals to embrace training programme to enable midwifery care-providers acquire relevant skills to complete partographs during the labour process.
VL  - 5
IS  - 6
ER  -

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Author Information

Urbanus Mutiso Muthusi

Department of Population, Reproductive Health & Community Resource Management, Kenyatta University, Nairobi, Kenya
Mokua Gladys Nyamoita

Department of Pharmacology, Pharmaceutical Chemistry and Pharmaceutics & Industrial Pharmacy, Kenyatta University, Nairobi, Kenya
Macharia Stephen

Department of Human Anatomy, School of Medicine, Kenyatta University, Nairobi, Kenya

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Urbanus Mutiso Muthusi, Mokua Gladys Nyamoita, Macharia Stephen. (2019). Contribution of Completed Modified World Health Organization Partograph on Maternal and Foetal Mortality Reduction in Health Facilities in Makueni County, Kenya. Central African Journal of Public Health, 5(6), 227-236. https://doi.org/10.11648/j.cajph.20190506.11

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Urbanus Mutiso Muthusi; Mokua Gladys Nyamoita; Macharia Stephen. Contribution of Completed Modified World Health Organization Partograph on Maternal and Foetal Mortality Reduction in Health Facilities in Makueni County, Kenya. Cent. Afr. J. Public Health 2019, 5(6), 227-236. doi: 10.11648/j.cajph.20190506.11

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AMA Style

Urbanus Mutiso Muthusi, Mokua Gladys Nyamoita, Macharia Stephen. Contribution of Completed Modified World Health Organization Partograph on Maternal and Foetal Mortality Reduction in Health Facilities in Makueni County, Kenya. Cent Afr J Public Health. 2019;5(6):227-236. doi: 10.11648/j.cajph.20190506.11

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@article{10.11648/j.cajph.20190506.11,
  author = {Urbanus Mutiso Muthusi and Mokua Gladys Nyamoita and Macharia Stephen},
  title = {Contribution of Completed Modified World Health Organization Partograph on Maternal and Foetal Mortality Reduction in Health Facilities in Makueni County, Kenya},
  journal = {Central African Journal of Public Health},
  volume = {5},
  number = {6},
  pages = {227-236},
  doi = {10.11648/j.cajph.20190506.11},
  url = {https://doi.org/10.11648/j.cajph.20190506.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20190506.11},
  abstract = {Background: Maternal and foetal mortality is one of the major health problem facing low income countries as compared to the high income countries. This burden is mostly felt in sub Saharan Africa and Southeast Asia where 99% of the global burden of maternal death is found. The World Health Organization (WHO) promotes partograph use in the monitoring and management of mothers in labour enabling timely decision-making regarding interventions to be undertaken. Objective: To assess the relationship between complete modified world health organization partograph and maternal and foetal outcomes in health facilities in Makueni County, Kenya Methods: This was a cross sectional study design. The study used a structured questionnaire to collect data from the partographs retrospectively. Data analysis was done using SPSS version 20.0 and chi-square tests were used to assess the relationship of variables. The cut off point for the level of significance was 0.05. Phi and Cramer’s V test was used to determine the strength of association Findings: Descriptive statistics and frequency tables were used to describe the extent to which the partograph was used. The use of partograph had effects on both foetal and maternal outcomes. The study established method of delivery had a significance association with foetal monitoring (foetal heart rate, liquor, and moulding), labour progress monitoring (descent, contractions and cervical dilatation) and referral monitoring at α = 0.05. The study also found significant association between foetal outcome and contraction, gravidity, parity, foetal heart rate and moulding at α = 0.05. Conclusion: There is a significant association between maternal, foetal outcomes and labour progress and partograph completeness in Makueni County. The study therefore recommends increased mobilization and routine check by supervisors to ensure partographs are filed on time and hospitals to embrace training programme to enable midwifery care-providers acquire relevant skills to complete partographs during the labour process.},
 year = {2019}
}

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TY  - JOUR
T1  - Contribution of Completed Modified World Health Organization Partograph on Maternal and Foetal Mortality Reduction in Health Facilities in Makueni County, Kenya
AU  - Urbanus Mutiso Muthusi
AU  - Mokua Gladys Nyamoita
AU  - Macharia Stephen
Y1  - 2019/10/10
PY  - 2019
N1  - https://doi.org/10.11648/j.cajph.20190506.11
DO  - 10.11648/j.cajph.20190506.11
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 227
EP  - 236
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20190506.11
AB  - Background: Maternal and foetal mortality is one of the major health problem facing low income countries as compared to the high income countries. This burden is mostly felt in sub Saharan Africa and Southeast Asia where 99% of the global burden of maternal death is found. The World Health Organization (WHO) promotes partograph use in the monitoring and management of mothers in labour enabling timely decision-making regarding interventions to be undertaken. Objective: To assess the relationship between complete modified world health organization partograph and maternal and foetal outcomes in health facilities in Makueni County, Kenya Methods: This was a cross sectional study design. The study used a structured questionnaire to collect data from the partographs retrospectively. Data analysis was done using SPSS version 20.0 and chi-square tests were used to assess the relationship of variables. The cut off point for the level of significance was 0.05. Phi and Cramer’s V test was used to determine the strength of association Findings: Descriptive statistics and frequency tables were used to describe the extent to which the partograph was used. The use of partograph had effects on both foetal and maternal outcomes. The study established method of delivery had a significance association with foetal monitoring (foetal heart rate, liquor, and moulding), labour progress monitoring (descent, contractions and cervical dilatation) and referral monitoring at α = 0.05. The study also found significant association between foetal outcome and contraction, gravidity, parity, foetal heart rate and moulding at α = 0.05. Conclusion: There is a significant association between maternal, foetal outcomes and labour progress and partograph completeness in Makueni County. The study therefore recommends increased mobilization and routine check by supervisors to ensure partographs are filed on time and hospitals to embrace training programme to enable midwifery care-providers acquire relevant skills to complete partographs during the labour process.
VL  - 5
IS  - 6
ER  -

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