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WHO next generation partograph: revolutionary steps towards individualised labour care

Hofmeyr, G. Justus, Bernitz, Stine, Bonet, Mercedes, Bucagu, Maurice, Dao, Blami, Downe, Soo, Galadanci, Hadiza, Homer, Caroline S.E., Hundley, Vanora, Lavender, Tina, Levy, Barbara, Lissauer, David, Lumbiganon, Pisake, McConville, Frances E., Pattinson, Robert, Qureshi, Zahida, Souza, Joao Paulo, Stanton, Mary Ellen, ten Hoope‐Bender, Petra, Vannevel, Valerie, Vogel, Joshua P. and Oladapo, Olufemi T. (2021) 'WHO next generation partograph: revolutionary steps towards individualised labour care'. BJOG: An International Journal of Obstetrics & Gynaecology. (In Press)

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Abstract

In 1972, two landmark papers in this journal described the partograph,1,2 a chart designed to provide finite referral criteria for midwives working in peripheral clinics who needed to refer women in labour to Harare Hospital, Zimbabwe (then Rhodesia). This innovation coincided with influential reports from the National Maternity Hospital in Dublin of the ‘active management of labour’ (early amniotomy, proactive use of oxytocin and one‐to‐one nursing care) with the objective of achieving birth within a limited time frame.3 The partograph was globally adopted, and has been used as part of the assessment of labour progress for nearly half a century. It was recommended by the World Health Organization (WHO) in the early 1990s as a routine tool for displaying the progress of labour. Despite its global acceptance, utilization and correct completion rates as low as 31% and 3% respectively, have been reported.

Item Type: Article
Subjects: WQ Obstetrics > WQ 100 General works
WQ Obstetrics > Childbirth. Prenatal Care > WQ 160 Midwifery
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.1111/1471-0528.16694
Depositing User: Rachel Dominguez
Date Deposited: 25 Mar 2021 15:20
Last Modified: 06 Apr 2021 14:51
URI: https://archive.lstmed.ac.uk/id/eprint/17309

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