mLabour: Design and Evaluation of a Mobile Partograph and Labor Ward Management Application

Schweers, Jennifer; Khalid, Maryam; Underwood, Heather; Bishnoi, Srishti; Chhugani, Manju

doi:10.1016/j.proeng.2016.08.061

Cited by 9 publications

(21 citation statements)

References 4 publications

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“…Three tools had undergone formative assessment in form of user or cost evaluations [23,26,27]. We retrieved literature on a tool that was designed and tested in 2007, but we did not get publications on its advancement.…”

Section: Resultsmentioning

confidence: 99%

“…Five tools that were in the clinical trial or field testing [ 22 - 25 ] phase were classified under the implementation stage of development. Three tools had undergone formative assessment in form of user or cost evaluations [ 23 , 26 , 27 ]. We retrieved literature on a tool that was designed and tested in 2007, but we did not get publications on its advancement.…”

Section: Resultsmentioning

confidence: 99%

“…PubMed and Google Scholar formed the basis for the main search results due to their popularity among authors and a wide coverage of subjects. They were augmented with a manual search that indeed yielded more papers [22,23,32,33] included in the final analysis. The inclusion period of 2006 to 2016 was chosen to encompass the 5 years before and after the 2011 WHO call to evaluate all design and scale-up stages in eHealth [14], including e-labor monitoring tools.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Computerized Childbirth Monitoring Tools for Health Care Providers Managing Labor: A Scoping Review

Balikuddembe¹,

Tumwesigye²,

Wakholi³

et al. 2017

JMIR Med Inform

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BackgroundProper monitoring of labor and childbirth prevents many pregnancy-related complications. However, monitoring is still poor in many places partly due to the usability concerns of support tools such as the partograph. In 2011, the World Health Organization (WHO) called for the development and evaluation of context-adaptable electronic health solutions to health challenges. Computerized tools have penetrated many areas of health care, but their influence in supporting health staff with childbirth seems limited.ObjectiveThe objective of this scoping review was to determine the scope and trends of research on computerized labor monitoring tools that could be used by health care providers in childbirth management.MethodsWe used key terms to search the Web for eligible peer-reviewed and gray literature. Eligibility criteria were a computerized labor monitoring tool for maternity service providers and dated 2006 to mid-2016. Retrieved papers were screened to eliminate ineligible papers, and consensus was reached on the papers included in the final analysis.ResultsWe started with about 380,000 papers, of which 14 papers qualified for the final analysis. Most tools were at the design and implementation stages of development. Three papers addressed post-implementation evaluations of two tools. No documentation on clinical outcome studies was retrieved. The parameters targeted with the tools varied, but they included fetal heart (10 of 11 tools), labor progress (8 of 11), and maternal status (7 of 11). Most tools were designed for use in personal computers in low-resource settings and could be customized for different user needs.ConclusionsResearch on computerized labor monitoring tools is inadequate. Compared with other labor parameters, there was preponderance to fetal heart monitoring and hardly any summative evaluation of the available tools. More research, including clinical outcomes evaluation of computerized childbirth monitoring tools, is needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Computerized Childbirth Monitoring Tools for Health Care Providers Managing Labor: A Scoping Review

Balikuddembe¹,

Tumwesigye²,

Wakholi³

et al. 2017

JMIR Med Inform

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“…The ePartogram reinforces SBA clinical expertise by supporting appropriate monitoring and care during labor. Several mobile and computer-based tools are under development with the shared vision of improving care during labor [ 10 , 15 , 16 ]; however, most of these products are in the early introduction phase and further rigorous research is needed [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Use of an electronic Partograph: feasibility and acceptability study in Zanzibar, Tanzania

Litwin

Maly

Khamis³

et al. 2018

BMC Pregnancy Childbirth

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BackgroundThe ePartogram is a tablet-based application developed to improve care for women in labor by addressing documented challenges in partograph use. The application is designed to provide real-time decision support, improve data entry, and increase access to information for appropriate labor management. This study’s primary objective was to evaluate the feasibility and acceptability of ePartogram use in resource-constrained clinical settings.MethodsThe ePartogram was introduced at three facilities in Zanzibar, Tanzania. Following 3 days of training, skilled birth attendants (SBAs) were observed for 2 weeks using the ePartogram to monitor laboring women. During each observed shift, data collectors used a structured observation form to document SBA comfort, confidence, and ability to use the ePartogram. Results were analyzed by shift. Short interviews, conducted with SBAs (n = 82) after each of their first five ePartogram-monitored labors, detected differences over time. After the observation period, in-depth interviews were conducted (n = 15). A thematic analysis of interview transcripts was completed.ResultsObservations of 23 SBAs using the ePartogram to monitor 103 women over 84 shifts showed that the majority of SBAs (87–91%) completed each of four fundamental ePartogram tasks—registering a client, entering first and subsequent measurements, and navigating between screens—with ease or increasing ease on their first shift; this increased to 100% by the fifth shift. Nearly all SBAs (93%) demonstrated confidence and all SBAs demonstrated comfort in using the ePartogram by the fifth shift. SBAs expressed positive impressions of the ePartogram and found it efficient and easy to use, beginning with first client use. SBAs noted the helpfulness of auditory reminders (indicating that measurements were due) and visual alerts (signaling abnormal measurements). SBAs expressed confidence in their ability to interpret and act on these reminders and alerts.ConclusionsIt is feasible and acceptable for SBAs to use the ePartogram to support labor management and care. With structured training and support during initial use, SBAs quickly became competent and confident in ePartogram use. Qualitative findings revealed that SBAs felt the ePartogram improved timeliness of care and supported decision-making. These findings point to the ePartogram’s potential to improve quality of care in resource-constrained labor and delivery settings.Electronic supplementary materialThe online version of this article (10.1186/s12884-018-1760-y) contains supplementary material, which is available to authorized users.

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“…15 mLabour also incorporated a partograph into their labour management tool; nurses using it reported being more punctual with data entry and found the tablet form lighter and easier to record data as compared with multiple paper registers. 20 This feedback was echoed with the ASMAN application, which consists of a digital case sheet for patients, partograph, dashboard for health facilities and E-learning content, and was used in both district hospitals and community health centres. 21 Analysis of application data showed high rates of data collection for delivery in the app, at 93.7%.…”

Section: Digital Tools For Labour Monitoringmentioning

confidence: 99%

Use of mHealth tools to register birth outcomes in low-income and middle-income countries: a scoping review

et al. 2022

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ObjectiveAccurate reporting of birth outcomes in low-income and middle-income countries (LMICs) is essential. Mobile health (mHealth) tools have been proposed as a replacement for conventional paper-based registers. mHealth could provide timely data for individual facilities and health departments, as well as capture deliveries outside facilities. This scoping review evaluates which mHealth tools have been reported to birth outcomes in the delivering room in LMICs and documents their reported advantages and drawbacks.DesignA scoping review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses and Joanna Briggs Institute guidelines for scoping reviews and the mHealth evidence reporting and assessment checklist for evaluating mHealth interventions.Data sourcesPubMed, CINAHL and Global Health were searched for records until 3 February 2022 with no earliest date limit.Eligibility criteriaStudies were included where healthcare workers used mHealth tools in LMICs to record birth outcomes. Exclusion criteria included mHealth not being used at the point of delivery, non-peer reviewed literature and studies not written in English.Data extraction and synthesisTwo independent reviewers screened studies and extracted data. Common themes among studies were identified.Results640 records were screened, 21 of which met the inclusion criteria, describing 15 different mHealth tools. We identified six themes: (1) digital tools for labour monitoring (8 studies); (2) digital data collection of specific birth outcomes (3 studies); (3) digital technologies used in community settings (6 studies); (4) attitudes of healthcare workers (10 studies); (5) paper versus electronic data collection (3 studies) and (6) infrastructure, interoperability and sustainability (8 studies).ConclusionSeveral mHealth technologies are reported to have the capability to record birth outcomes at delivery, but none were identified that were designed solely for that purpose. Use of digital delivery registers appears feasible and acceptable to healthcare workers, but definitive evaluations are lacking. Further assessment of the sustainability of technologies and their ability to integrate with existing health information systems is needed.

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mLabour: Design and Evaluation of a Mobile Partograph and Labor Ward Management Application

Cited by 9 publications

References 4 publications

Computerized Childbirth Monitoring Tools for Health Care Providers Managing Labor: A Scoping Review

Computerized Childbirth Monitoring Tools for Health Care Providers Managing Labor: A Scoping Review

Use of an electronic Partograph: feasibility and acceptability study in Zanzibar, Tanzania

Use of mHealth tools to register birth outcomes in low-income and middle-income countries: a scoping review

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