Table 1
Observation on partograph utilization at public health facilities in East Gojjam Zone, Northwest Ethiopia, 2015.
| Parameters | Yes n = 43 |
|---|---|
| Progress of labor | |
| Check and plot cervical dilation every 4 hours | 30 |
| Check and plot descent of head | 27 |
| Check and plot uterine contraction every ten minutes | 25 |
| Fetal condition | |
| Monitor and plot fetal heart rate every 30 minutes | 28 |
| Check and record color of liquor during every per vaginal examination | 30 |
| Check and plot molding of fetal skull | 19 |
| Maternal condition | |
| Monitor and plot maternal pulse rate every 30 minutes | 10 |
| Monitor and plot maternal blood pressure every 4 hours | 13 |
| Monitor and plot maternal temperature every 2 hours | 6 |
| Monitor and record urine volume, urine protein and ketone every 2 to 4 hours | 1 |
Table 2
Theme, categories and codes identified from qualitative data related to perceived barriers to partograph usage during labor management.
| Theme Perceived barriers | |||||
|---|---|---|---|---|---|
| Categories | 1-Work overload | 2-Skill | 3-Negligence | 4-Setting | 5-Misperception |
| Code | Lack of time | Lack of Training | Careless | Shortage of medical supply | Partograph is a difficult tool to use |
| Shortage of midwives | Lack of awareness | Exhausted | Malfunctioning medical equipment | Partograph is designed for primary care units | |
| Increased patient flow | Lack of experience | Lack of commitment | Inadequate number of beds and rooms | Misperception | |
| Lack of motivation | Incompetency | Lack of patience | Frustration and psychologically affected | Believe nothing happened | |