Browsing by Author "Mohamed, Sabrina B."

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    Degree of completeness of partograph and its effects on obstetric outcome among women attended in labor ward at Mnazi Mmoja referral hospital, Zanzibar
    (Kariuki University, 2024) Mohamed, Sabrina B.
    Background: The degree of completeness of the partograph significantly affects birth outcomes for both mothers and neonates. This study evaluated 422 partographs from women who gave birth at Mnazi Mmoja Referral Hospital to examine its impact on maternal and neonatal health outcomes. Efficient utilization of the partograph during labor has the potential to substantially reduce maternal mortality linked to childbirth Objective of the study: To assess the use of partographs by healthcare providers and their effect on birth outcomes in the management of labor among women delivering at Mnazi Mmoja Referral Hospital, Zanzibar, Tanzania. Methodology: This study utilized a retrospective design to evaluate the completeness of partographs from women who delivered at MMH Zanzibar. The assessment involved descriptive statistics, chi-square analysis, and logistic regression for data analysis. Results: The study included an analysis of 422 partographs, revealing an overall completeness rate of 57(13.5%). Among these, delivery records were most frequently recorded (74.4%), followed by fetal records (31.8%). Sociodemographic and maternal condition parameters were the least recorded, appearing in only 15.9% of partographs. There was a significant association between partograph incompleteness and cesarian deliveries (AOR=3.9; 95% CI=(1.0,15), overall maternal complication (AOR=12,95%CI(1.3,19)) and hospitalization between 1 to 3 days (AOR=7.8,95%(1.8,11.1).on the other hand there was a significant association between incomplete partographs and occurrence of birth asphyxia((OR=1.5,95%(1.1-1.9)). Furthermore, completed partographsshowed a trend towards higher Apgar scores (>7) (OR=0.2,95%(0.1-0.41)). Conclusions: This study highlights the crucial role of the partograph in reducing maternal and fetal mortality and morbidity, and preventing complications such as prolonged labor and postpartum hemorrhage. However, there is inadequate documentation of partograph parameters, indicating insufficient labor progress monitoring and potential adverse pregnancy outcomes. Regular refresher courses for healthcare workers, and supportive supervision.