关键词: Abnormal labor Labor monitoring Normal labor Partogram Partograph

来  源:   DOI:10.1007/s13224-017-1051-y   PDF(Pubmed)

Abstract:
WHO has recommended use of the partograph, a low-tech paper form that has been hailed as an effective tool for the early detection of maternal and fetal complications during childbirth. Yet despite decades of training and investment, implementation rates and capacity to correctly use the partograph remain low in resource-limited settings. Nevertheless, competent use of the partograph, especially using newer technologies, can save maternal and fetal lives by ensuring that labor is closely monitored and that life-threatening complications such as obstructed labor are identified and treated. To address the challenges for using partograph among health workers, health-care systems must establish an environment that supports its correct use. Health-care staff should be updated by providing training and asking them about the difficulties faced at their health center. Then only the real potential of this wonderful tool will be maximally utilized.
摘要:
世卫组织建议使用Partograph,一种低技术的纸质形式,被誉为在分娩过程中早期发现孕产妇和胎儿并发症的有效工具。然而,尽管几十年的培训和投资,在资源有限的环境中,正确使用Partograph的实施率和能力仍然很低。然而,称职的使用,特别是使用新技术,可以通过确保密切监测分娩并识别和治疗危及生命的并发症(如难产)来挽救孕产妇和胎儿的生命。为了应对在卫生工作者中使用Partograph的挑战,卫生保健系统必须建立一个支持其正确使用的环境。应通过提供培训并询问他们在保健中心面临的困难来更新保健人员。然后,只有这个奇妙工具的真正潜力才能得到最大限度的利用。
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