Uso del partograma como instrumento oportuno para la toma de decisiones en trabajo de parto activo en mujeres con embarazo a término del Hospital Vicente Corral Moscoso, Cuenca 2016

Abstract

Childbirth is a physiological process which culminates the pregnancy, being its main objective to deliver healthy; a mother and a child partogram is a tool of surveillance for the fulfilment of this objective; considering the prevalence of births prolonged is located between 2.6% to 17.2% to level world (1). OBJECTIVE: To determine the use of partogram as a timely tool for decision-making in labour, in the medical histories of patients undergoing active labor which attended the Vicente Corral Moscoso Hospital in the period April to June 2016. METHOD: study retrospective, descriptive, universe: stories clinics for women with pregnancy to term; shows: 526 partograms of deliveries to term in active phase from April to June 2016. The instrument was a previously validated form. The results were processed in SPSS 15.00 system for tables and graphics, in frequencies and percentages. RESULTS: we studied 526 partograms; getting 83,08% of vaginal deliveries, 16.92% of Caesarean sections, 63,12% births within the curve of alert, 34,98% outside curve, received driving 32.7% and RAM 25.48%, diagnoses of caesarean section were: acute commitment of fetal well-being 30,34%, cefalo-pelvic disproportion 24.72%, cervical dystocia 13.48%, pregnancy prolonged 5.62% and other 25.84%. CONCLUSION: the partogram is a record graphic very useful, with their correct filled e interpretation allows take decisions therapeutic appropriate to preserve the welfare maternal child; the assessment of the Test of Apgar is independent of the partogram