EFFECT OF PARTOGRAM TRAINING PROGRAM ON VILLAGE MIDWIVES’ KNOWLEDGE AND SKILLS FOR NORMAL AND ABNORMAL LABOUR

Amira Elnour Eltayeb Elbashir* and Tag Elsir Mohamed Ali

ABSTRACT

Background: Prolonged labor is a leading cause of maternal land newborns mortalities in the developing world. Skilled management of labour using appropriate tools such as Partogram is a key to the appropriate prevention and treatment of prolonged labour and its complications. Objective: This study was designed to evaluate the effect of Partogram Training Program (PTP) on village midwives' knowledge and skills, for normal and abnormal labour. Methods: A Quazi-experimental non-equivalent design (non-randomized control trial) was carried out in 7health facilities at Khartoum State ,from August to December 2012 among 220 selected village midwives (109 village midwives in intervention group and 111 in control group). A structured designed questionnaire was used to measure knowledge and a World Health Organization modified Partogram was used to assess skills regarding Partogram’s components prior to and at the completion of the study. Results: The preliminary investigations showed similar results and no significance difference in all study variables between the two groups. The total mean of knowledge’s score in post-test intervention group was significantly improved compared with the control group (13.45±3.92 vs. 7. 95±2.76;p<0.001).The total mean of skills score of identifying the components of Partogram of VMWs was remarkably improved among intervention group compared to the controls (5.4±1.03 vs. 0.45±0.45; P<0.001). Conclusion: This study concludes that, Partogram Training Programsignificantly improved knowledge and skills of participated village midwives and improved their ability to detect labor’s abnormalities.

Keywords: Partogram, Village midwife, Training, skills, knowledge.