Facility Name: _________________________
UFI: |___|___|___|___|
MODULE 6: PARTOGRAPH REVIEW
Interviewer Name _____________________________ Date (d/m/y): ___/___/___
Instructions: Ask to see the partographs in use at the facility, and then ask the person in
charge of the maternity the following questions. Make sure you are given copies of
completed partographs to verify that the partograph is used in the facility.
No. Item Responses Skip to
1 Do you use a partograph in this Yes ..................................................... 1 If “Yes”, skip to 3
facility?
No ....................................................... 0
Mentioned
Why do you not use the spontaneously Not mentioned
2 partograph in this facility?
a. Staff are not trained 1 0
b. No supplies (no blank 1 0
partographs) ALL end Module 6
c. Staff do not have time 1 0
d. Use of the partograph is not 1 0
mandatory/not policy
e. Other (specify) 1 0
Which type of partograph is Yes No
3 used in this facility? If the answer to 3a, 3b,
or 3c is “Yes”, continue
a. Modified WHO partograph 1 0 on to 4
b. Simplified WHO partograph 1 0 Otherwise, end Module
6
c. Composite WHO partograph 1 0
d. Other (specify) 1 0
________________
Is there a labor management
4 protocol for a woman using a Yes ..................................................... 1
partograph?
(Ask and then confirm with No ....................................................... 0
observation of poster or chart
on the wall. If could not
observe, circle 0 for “no”)
Ghana EmONC Needs Assessment Page 1 of 3
Module 6: Partograph Review – DC Training April 2010
AMDD
UFI: |___|___|___|___|
Look through records and select three recent partographs. Choose only
partographs that have been filled out within the last 12 months.
If possible, choose partographs completed by different providers.
Ask for the case notes and/or patient records for these partographs.
The partographs should belong to women: 1) at term, 2) <8 cm dilatation at first
exam, 3) with vertex presentation, 4) fetal heart present at first exam, and 5)
without obstetric complications at first exam (multiple gestations should be
considered as a complication).
If the facility uses the composite WHO partograph, select only partographs that
start with the active phase of labor.
There is one column for each partograph. Write the correct codes/answers in the
appropriate cell. Answer all the questions for one partograph, then go to the second
partograph and then the third partograph.
No. Question Case 1 Case 2 Case 3
What was the woman’s dilatation when the partograph
5 was started?
(write number of cms)
Was the first dilatation charted on the alert line?
6 1. Yes 0. No If “No”, end the review for this
case and move to next case.
How many hours and minutes elapsed between first
exam and delivery? (Refer to the case notes/patient ___ : ___ ___ : ___ ___ : ___
7 record if necessary.) hrs min hrs min hrs min
(write number of hours and minutes;
99:99 = No information)
How many times was the woman’s temperature
8 checked and recorded between admission and
delivery (including admission and delivery)?
How many times was blood pressure checked and
9 recorded between admission and delivery (including
admission and delivery)?
How many times was the mother’s pulse checked and
10 recorded between admission and delivery (including
admission and delivery)?
Was the fetal heart rate observed at least at hourly
11 intervals?
1. Yes 0. No
Were contractions assessed at least hourly?
12 1. Yes 0. No
How many times was a vaginal examination carried
13 out and recorded between admission and delivery
(including admission and delivery)?
Was the descent checked and recorded between
14 admission and delivery?
1. Yes 0. No
Was the state of the membranes or color of the liquor
15 recorded?
1. Yes 0. No
Ghana EmONC Needs Assessment Page 2 of 3
Module 6: Partograph Review – DC Training April 2010
AMDD
UFI: |___|___|___|___|
No. Question Case 1 Case 2 Case 3
According to the partograph, when did the woman
deliver?
16 1. On or left of the alert line skip to 18
2. Between the alert and action lines skip to 18
3. On or to the right of the action line
If she delivered on or to the right of the action line, how
many hours and minutes beyond the action line? ___ : ___ ___ : ___ ___ : ___
17 hrs min hrs min hrs min
(write number of hours and minutes;
99: 99 = No information)
Was augmentation used?
18 1. Yes 0. No skip to 20
If augmentation was used, when?
1. On the alert line
19
2. Between the alert and action lines
3. On or to the right of the action line
Was time at delivery filled in? (Refer to the case
20 notes/patient record if necessary.)
1. Yes 0. No
What type of delivery did she have? (Refer to the case
notes/patient record if necessary.)
1. Spontaneous vertex delivery skip to 23
21 2. Vacuum extraction or forceps delivery
3. Cesarean delivery
4. Other (specify by writing in cell) skip to 23
9. No information skip to 23
If operative vaginal delivery or cesarean delivery, state
reason. (Refer to the case notes/patient record if
necessary)
22
1. CPD
2. Fetal distress
3. Other (specify by writing in cell)
Outcome for the baby (Refer to the case notes/patient
record if necessary)
1. Normal live birth
23
2. Live birth with distress (APGAR <7)
3. Stillbirth
9. No information
Comments
Ghana EmONC Needs Assessment Page 3 of 3
Module 6: Partograph Review – DC Training April 2010
AMDD