Abstract:
Introduction: Partograph is an instrument used
to monitor and prevent labor complications.
Unfortunately, a large number of situations where
there is limited awareness of how to use a partograph
as a labor monitoring tool. One of the efforts made
is to develop partographs in the form of electronic
partograph (e-partograph) applications. This review
aims to analyze the effectiveness and usability of
electronic partograph for obstetric care.
Methods: This study conducted a systematic review
of journals using three academic databases (Science
Direct, PubMed, and Google Scholar) with a
publication range from 2016 to 2022. Furthermore,
the subjects in this study were skilled birth attendants
(SBAs) and obstetric care providers. Inclusion criteria
in the literature study were using electronic-based
partographs in monitoring. The journal-reviewed
guidelines used Preferred Reporting Items for
Systematic Review and Meta-Analysis (PRISMA).
Results: This study found 13 studies exploring the
e-partograph in the last six years (2016-2022). Most
of the results reviewed the effectiveness of using
e-partographs compared to paper partographs.
In addition, the e-partograph has shown another
advantage. There was a reminder system when filling
in data by the SBA. It could identify if the labor process
were normal or required further treatment. Using an
e-partograph could effectively save time and was easy
to use. SBA was easy to accept and apply.
Conclusion: The use of e-partograph gives better final
results than paper partograph. E-partograph is able
to maintain normal delivery and reduce the incidence
of cesarean section and prolonged labor. Although
the e-partograph was designed to provide benefits
for its users, there was an audio and visual reminder
system that could be used to detect complications
during childbirth.
