PMID: 11928601Apr 4, 2002Paper

Use of the partogram in Serbia and its characteristics

Srpski arhiv za celokupno lekarstvo
M Letić

Abstract

Graphic presentation of parameters during labor is done in Serbia since seventies [1]. Today partogram use is obligatory [2]. Choice of parameters and way of their presentation depend on institution in which they are being used [1]. However, the rules of graphic presentation should be obeyed when constructing cervigrams (graphs representing dilatation vs time). Furthermore, Cartmill and associates [3] found that the slope of the line which represents dilatation directly influences decisions of obstetricians towards interventions during labor. Steeper line reduces the number of decisions for intervention. Importance of these findings is even greater when one has in mind the known inconsistencies in obstetric decision-making [4]. From larger maternity hospitals (more than 1,000 labors per year) [5] information concerning use of partograms and partograms themselves were requested. Cervigrams were analyzed in order to evaluate labeling of axes, unambiguity in labeling divisions on scales and the slope of the dilatation line for dilatation of 1 cm/h. Evaluation of parameters which influence the precision of entering data into graphs such as the smallest units on scales and dimensions of 1 cm x 1 h fields in mm, was done. The number ...Continue Reading

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