Knowledge, Attitude, and Utilization of the Partograph among Nurses and Midwives at Labour Departments in Governmental Maternal Hospitals in Gaza Strip

Yasmin Nasr Ahmed
ياسمين نصر أحمد
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Al-Quds University
Partograph is a useful tool for monitoring the progress of labour. This study aimed to assess knowledge, attitude, and utilization of partograph at labour departments. The study utilized a descriptive, cross-sectional embedded design. The sample of the study consisted of 105 midwives and nurses (census) from the maternity governmental hospitals in Gaza Strip namely; Kamal Odwan, Al Shifa, Shohada Al Aqsa, Nasser, and Al Emaratey hospital. Adopted modified questionnaire was used to measure knowledge, attitude, and utilization of partograph. A pilot study was conducted on 30 subjects and Cronbache alpha was 0.809. The results showed that mean age of participants was 31.47 years, 65.7% have bachelor degree in midwifery, mean years of experience was 7.66 years, 69.5% received training about partograph. The results indicated that the study participants had high knowledge about the partograph with average correct answers 87.7%, above moderate attitude with mean percent 78%, and high utilization of partograph with average correct practices 89.9%. The results also showed that there were no statistically significant differences in knowledge, attitude, and utilization of partograph related to participants' age, qualification, and years of experience. Participants from Al Shifa hospital showed statistically significant higher attitude towards partograph compared to participants from other hospitals. The results also reflected that participants who received training about partograph had significant higher knowledge and attitude towards partograph. Qualitative results indicated that most of respondents believed that the partograph was effective tool for monitoring the progress of labour, and beneficial for early recognition of complications. Higher number of admission women to labour room and shortage of qualified midwives were the main barriers to partograph utilization. The results also showed that uncooperating of obstetricians and mothers were the main challenges that face the midwives. To improve utilization of partograph, participants suggested periodic training about partograph, increase the number of midwives, and close supervision by managers and supervisors. The study concluded that midwives and nurses had high knowledge, above moderate attitude, and high utilization of the partograph. The study recommends the need to increase the number of midwives each shift to be in line with high flow of mothers in labour.