MAPPING DETERMINANTS OF COMPLIANCE WITH PARTOGRAPH DOCUMENTATION AND AMTSL IMPLEMENTATION IN CHILDBIRTH SERVICES
DOI:
https://doi.org/10.30994/jqwh.v9i1.329Keywords:
partograph, AMTSL, compliance, determinants, intrapartum careAbstract
Compliance with partograph documentation and AMTSL varies across childbirth services. Objective: To map determinants influencing compliance. Methods: A PRISMA-ScR/JBI scoping review searched PubMed, Scopus, ProQuest, and DOAJ and checked reference lists. Results: Of 630 records, 142 duplicates were removed; 76 full texts were assessed; and 22 studies were included (14 quantitative, 5 qualitative, 3 mixed-methods). Determinants clustered into five domains: provider factors (knowledge, skills, fatigue), organizational factors (supportive supervision, staffing, audit-feedback), system/policy factors (SOP clarity, guideline dissemination), resources/logistics (forms, monitoring equipment, uterotonics), and workflow/documentation processes (time constraints, documentation burden, duplication). Conclusion: Improving compliance requires strengthening both provider competence and enabling systems, alongside standardized compliance indicators.
References
Bedwell, C., Levin, K., Pett, C., & Lavender, T. (2017). A realist review of the partograph: When and how does it work for labour monitoring? BMC Pregnancy and Childbirth, 17(1), 31. https://doi.org/10.1186/s12884-016-1213-4
Fissahaye, Y., Dheresa, M., & colleagues. (2023). Active management of the third stage of labor and associated factors among maternity care providers in public health facilities in Eastern Ethiopia: A multi-center study. BMC Pregnancy and Childbirth, 23, 6009. https://doi.org/10.1186/s12884-023-06009-2
Khan, A. N. S., Billah, S. M., Mannan, I., Mannan, I. I., Begum, T., Khan, M. A., Islam, M., Ahasan, S. M. M., Rahman, J. N., & George, J. (2018). A cross-sectional study of partograph utilization as a decision making tool for referral of abnormal labour in primary health care facilities of Bangladesh. PLOS ONE, 13(9), e0203617. https://doi.org/10.1371/journal.pone.0203617
McGowan, J., Sampson, M., Salzwedel, D. M., Cogo, E., Foerster, V., & Lefebvre, C. (2016). PRESS Peer Review of Electronic Search Strategies: 2015 guideline statement. Journal of Clinical Epidemiology, 75, 40–46. https://doi.org/10.1016/j.jclinepi.2016.01.021
Negash, B. T., & Alelgn, Y. (2022). Proper partograph utilization among skilled birth attendants in Hawassa city public health facilities, Sidama region, Ethiopia, in 2021. BMC Women’s Health, 22(1), 539. https://doi.org/10.1186/s12905-022-02117-x
Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., McInerney, P., Godfrey, C. M., & Khalil, H. (2020). Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Synthesis, 18(10), 2119–2126. https://doi.org/10.11124/JBIES-20-00167
Ruysen, H., Day, L. T., Gordeev, V. S., Kimaro, G., Mbuyita, S., Tan, S., & EN-BIRTH study group. (2021). Uterotonics for prevention of postpartum haemorrhage: EN-BIRTH multi-country validation study. BMC Pregnancy and Childbirth, 21(Suppl 1), 270. https://doi.org/10.1186/s12884-020-03420-x
Sanghvi, H., Mohan, D., Litwin, L., Bazant, E., Gomez, P., MacDowell, T., et al. (2019). Effectiveness of an electronic partogram: A mixed-method, quasi-experimental study among skilled birth attendants in Kenya. Global Health: Science and Practice, 7(4), 521–539. https://doi.org/10.9745/GHSP-D-19-00195
Tricco, A. C., Lillie, E., Zarin, W., et al. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
Ubom, A. E., & colleagues. (2025). FIGO position statement on the use of the WHO labour care guide versus the partograph. International Journal of Gynecology & Obstetrics. https://doi.org/10.1002/ijgo.70151
Vogel, J. P., Williams, M., Gallos, I., et al. (2019). WHO recommendations on uterotonics for postpartum haemorrhage prevention: What works, and which one? BMJ Global Health, 4(2), e001466. https://doi.org/10.1136/bmjgh-2019-001466
World Health Organization. (2018). WHO recommendations: Uterotonics for the prevention of postpartum haemorrhage (2018 update). World Health Organization.
World Health Organization. (2021). WHO labour care guide: User’s manual. World Health Organization.
