On November 15th, Maternova, an organization that conducts continuous research into the latest innovations impacting maternal and newborn health, featured the “paperless partogram” on their blog. The blog post explains that for the past thirty years, the partogram has been the recommended practice for preventing prolonged labor in low-resource settings–but it seems that not all health workers find it to be an appropriate tool for the contexts in which they work.
“…The partograph is a low-cost tool for saving the lives of mothers and babies. But does that mean it is an appropriate tool? Dr. A. K. Debdas of India would say no. Even after the WHO simplified the partograph model to make it more user-friendly in 2000, the partograph is still rarely used in low-resource areas, and, when actually used, it is rarely interpreted correctly (2). Debdas argues that the WHO’s partograph fails to meet the organization’s own requirements for appropriate technology: the partograph has not been adapted to local needs, is not acceptable to those who use it, and cannot be used given the available resources. Debdas believes the partograph is simply too time-consuming for overburdened clinicians and too complicated for many skilled birth attendants—many of whom have not received higher education.
Dr. Debdas proposes a new, low-skill method for preventing prolonged labor—the paperless partogram. It takes 20 seconds, requires only basic addition and the reading of a clock or watch, and holds potential for more effectively mobilizing clinicians to prevent prolonged labor. Appropriate on all counts…”
Click here to read the full post on the Maternova blog and learn how the “paperless partogram” works!