Factors That Influence Midwives' Compliance in Completing the Partograph

Abstract

Partograph monitoring during labor is an intrapartum intervention that significantly reduces perinatal mortality. This is because the partograph helps health workers identify slow labor progress and provides an early warning system for early referral and can also help initiate appropriate interventions in a timely manner. In fact, the partograph is not used optimally, both in terms of incomplete filling, incorrect interpretation that affects clinical decisions and the absence of supervision from the leadership. Objectives methods cross-sectional design using Binary Logistic multivariate analysis with the help of SPSS Statistics 24. Results there are 5 variables tested, namely the availability of partographs, partograph policies, supervision of partograph completeness, training, partograph filling skills, through 4 stages it was found that supervision had the most influence on midwives being able to fill out the partograph correctly with Exp (B) / Odd Ratio of 136.432. Then followed by the skill or skill of midwives in filling out the partograph correctly Exp (B) / Odd Ratio of 45.987. Conclusions require drills or many periodic case studies for midwives to acquire the correct partograph filling skills and to be able to draw conclusions to make decisions and supervision from the leader or coordinating midwife in terms of availability, data accuracy, correct filling methods and appropriate actions according to the findings of the partograph results.