See discussions, stats, and author profiles for this publication at: https://www.researchgate.

net/publication/360588990

A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING

PROGRAMME ON KNOWLEDGE AND PRACTICE OF PARTOGRAPH AMONG
STAFF NURSES WORKING IN MATERNITY UNIT

Research · August 2019

CITATION READS

1 425

2 authors, including:

Sapam Debika
Sharda University
13 PUBLICATIONS 3 CITATIONS

SEE PROFILE

All content following this page was uploaded by Sapam Debika on 14 May 2022.

The user has requested enhancement of the downloaded file.

 Available Online at http://www.recentscientific.com
International Journal of
CODEN: IJRSFP (USA)
Recent Scientific
International Journal of Recent Scientific Research Research
Vol. 10, Issue, 08(E), pp. 34304-34305, August, 2019
ISSN: 0976-3031 DOI: 10.24327/IJRSR
Research Article
A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME
ON KNOWLEDGE AND PRACTICE OF PARTOGRAPH AMONG STAFF NURSES
WORKING IN MATERNITY UNIT
Anuradha Rathore1 and Sapam Debika Devi2
1Department of Obstetrics and Gynecological Nursing School of Nursing Science and Research,
Sharda University. Greater Noida, Uttar Pradesh
2School of Nursing Science and Research, Sharda University. Greater Greater Noida, Uttar Pradesh

DOI: http://dx.doi.org/10.24327/ijrsr.2019.1008.3864

ARTICLE INFO ABSTRACT

Article History:
Received 06th May, 2019
Received in revised form 14th June, 2019
Accepted 23rd July, 2019
Published online 28th August, 2019
Key Words:
Knowledge, Practice Partograph,
and Staff Nurses.
Introduction: Childbirth is one of the most marvelous and memorable segments in a woman's life. It
does not really matter if the delivery is first, second or the third. Each experience is unique and calls
for a celebration. Adequate and appropriate care during intranatal period results in a good outcome
of the labor. A partograph is a simple, low-cost monitoring tool for intrapartum care recommended
by the World Health Organization, which has the potential to identify obstetric complications by
graphically presenting the critical events of labor progression, including the condition of both the
woman and the fetus. It also has impact on improving the quality of intrapartum care, maternal
health and birth outcomes. Aims: To assess the knowledge of partograph among staff nurses and
how far they are capable of practicing it in maternity unit which contributed to prevent complication
during labor and maintain health of the mother and their child. Methodology: in this present study
quantitative research approach has adopted and pre experimental one group pre test and post test
design has used. A purposive samplinig technique was used to select the 40 staff nurses who all are
working in meterity ward sharda hospital, Greater Noida, UP. Material: structured knowledge
questionnaire and observational check list was used to obtain information regarding knowledge and
practice of partograph. Results: results of the study revealed that majority 32 (80%) of staff nurse
have adequate knowledge, 8 (20%) of staff nurses had average knowledge regarding partograph and
majority 75(75.0%) of staff nurse have moderate level of practice, 25(25.0%) of staff nurses had
high level of practice regarding partograph. Conclusion: The findings highlight that the health care
providers can play a significant role to educate the nurses regarding importance of early detection of
any complication during delivery of the baby, management and prevention of maternal and fetal
health.

Copyright © Anuradha Rathore and Sapam Debika Devi, 2019, this is an open-access article distributed under the terms of
the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium,
provided the original work is properly cited.

INTRODUCTION labor. The partograph is legal records and may be examined by

Labor is a physiologic process during which the products of
conception i.e., the fetus, membranes, umbilical cord, and
placenta are expelled outside from the uterus. The process of
labour is an enormous emotional and physiologic
accomplishment for the women and their support person.
Inadequate care during labour results in threats to the life of the
mother and the fetus. In order to prevent complications during
labor and for a better outcome, it is essential to follow the
simple and effective tool such as a partograph, by the health
care providers with adequate knowledge and practice The
World Health Organization partogram is widely used under-
resourced setting as a simple and affordable tool to monitor
any court up to a period of twenty-five years and is developed
for uses in hospital setting. The use of partograph by the WHO
significantly improves the maternal and neonatal outcome of
labor and is therefore recommended worldwide.
Around 97% of stillbirth and 98% of neonatal death occur in
underdeveloped countries due to the inadequate care and the
failure to identify the complication at early hours of intranatal
period. In 1954, Friedman introduced the concept of a
partogram by graphical representing the dilation of the cervix
during labor. In 1972, Philpot and castle developed Friedman’s
concept for monitoring labour by adding the “action “and
“alert” line to the graph. The current partogram is designed to

*Corresponding author: Anuradha Rathore

Department of Obstetrics and Gynecological Nursing School of Nursing Science and Research, Sharda University. Greater Noida, Uttar Pradesh
 International Journal of Recent Scientific Research Vol. 10, Issue, 08(E), pp. 34304-34305,
34305, August, 2019

monitor not only the progress of labor but also the condition of Association between Demographic variable and level of
the mother and fetus during the process of labor. practice regarding partograph
RESULTS The data presented in the table 5 revealed that there was no
statistically significant association found between staff Nurses
Knowledge Regarding Partograph knowledge regarding partograph and selected demographic
variables such as staff nurse age (p=0.45), experience (p=0.76),
100
32(80%) source of information (p=0.86). There is significant association
80 between level of the practice regarding partograph with the
20(50%)
60 Education qualification(p value= 0.001*) and partograph
40
Pre Test practice in ward (p value = 0.02*) ,
40(16%) 8(20%)
20
4(10%)
Post Test DISCUSSION
0 0
In this present study A majority of the staff nurses 47.5% have
Adiquate
Avarage
20 to 30 years’ age. Most of the staff nurses 57.5% had GNM
Knowledge
Knowledge Inadiquate educational status. Majority of staff nurses 52.5% have
Knowledge experience between 3-55 years. The majority of staff nurses 80%
have adequate knowledge. 20 % of staff nurses have average
Figure 1 revealed that Pre Test majority 20 (50%) of staff nurse knowledge. The majority of staff nurses 25% have high level
have adequate knowledge, 16 (40%) of staff nurses have practice. 75% of staff nurses have moderate level of practice.
average
erage knowledge and 4 (10%) have inadequate knowledge The result is that, there is significant association between the
regarding pantograph. In Post Test majority 32 (80%) of staff variables.
nurse have adequate knowledge, 8 (20%) of staff nurses had
average knowledge regarding partograph. CONCLUSION
Level of practice regarding partograph This study shown that the major
majority of staff nurses having
knowledge about partograph is 80% have adequate knowledge,
100 20% of staff nurses have average knowledge regarding
90 partograph. And there is significant association with the
80 30(75%) education and the majority of staff nurses having practice about
70 partograph is 75% have moderate levelof practice,25% of staff
60 21(52.5%)
Pre Test nurses have high level of practice regarding partograph. And
50 15(37.5%) there is significant association with the education and
40 Post Test
10(25%) partograph practice.
30
20 4(10%) Conflict of interest: Nil
10 0
0 Self funding.
High level of practice Modarate level of practice level of practice
Reference
Figure 2 revealed that in Pre Test, the majority 21 (52.5%) of World Health Organization, (1994). The application of the
staff nurse have Moderate level of practice, 15 (37.5%) of staff WHO Partograph in the management of labourReport of
nurses had high level of practice and 4 (10%) of staff nurses a WHO multicentre study 1990 1990-91. Maternal Health and
had a low level practice of partograph. In Post Test the majority Safe motherhood Programme; Geneva.
75 (75.0%) of staff nurse has Moderate level of practice, 25 Wall SN, Lee AC, Carlo W, Goldenberg R, Niermey Niermeyer S,
(25.0%) of staff nurses had high level of practice regarding Darmstadt GL, et al al,(2010). Reducing intrapartum-
partograph. related neonatal deaths in low low-and middle-income
countries-what
what works? Seminars in perinatology;
Association between Demographic variable and level of Elsevier.
knowledge regarding partograph World Health Organization, (2004). Making pregnancy safer:
In this present study testeded that there was no statistically the critical role of the skilled aattendant: a joint statement
significant association found between staff Nurses knowledge by WHO, ICM and FIGO, in Making pregnancy safer:
regarding partograph and selected demographic variables such the critical role of the skilled attendant: a joint statement
as staff nurse age (p=0.66), experience (p=0.93), source of by WHO, ICM and FIGO: WHO.
information (p=0.56) and partograph practice
ctice (p=0.06). There Lawn JE, Blencowe H, Pattinson R, Cousens S, Kumar R, et
is significant association between level of the knowledge al,, (2011). Stillbirths: Where? W When? Why? How to
regarding partograph with Education (p value= 0.001*), make the data count? Lancet. 2011; 377:1448-1463
Oestergaard MZ, Inoue M, Yoshida S, Mahanani WR, Gore
FM, et al,(2011).
,(2011). Neonatal mortality levels for 193
countries in 2009 with trends since 1990: a systematic
analysis of progress, projections, and priorities. PLoS
Medicine 8.
*******
34305 | P a g e

View publication stats