Analysis of The Use of Partograph in Normal Delivery Care by Midwives As a Detection of Labor Complications

Herliana Herliana


Globally, the Maternal Mortality Ratio (MMR) is unacceptably high. The high number of maternal deaths during pregnancy and childbirth is caused by preventable complications during these periods such as hemorrhage, infections, eclampsia, hypertensive disorder during pregnancy, and obstructed labor. To prevent these obstetric problems, the World Health Organization (WHO) suggests using partograph for birth attendants, especially in low-resource settings. The aim of this study is to analyze the use of partographs in labor care by midwives as detections of difficulties in the labor process. This study used a qualitative approach with in-depth interview techniques, focus group discussions and observations with midwives, head of PHC, and DHO officer as respondents. The results showed that the behavior of midwives in the use of partographs was still low. Lack of documentation regarding referral records. Motivation in using partographs is also low. Furthermore, there is a lack of supervision carried out by DHO Officers, professional organizations and leaders from each institution in health services. There is no direct monitoring of the evaluation of filling out the partograph sheet from the leaders. For reporting documentation, partograph sheets are made for archiving and claims for service payments. It is important that the DHO Officer improves monitoring and evaluation gradually and continuously to health care services. The Indonesian Midwives Association should supervise and provide guidance to each of its members. 


Utilization; partograph, midwives, detection, labor complication

Full Text:



WHO. Maternal mortality [Internet]. 2019 [cited 2021 Dec 20]. Available from:

World Health Organization. Maternal mortality in 2000-2017 Indonesia. Fact Sheet Matern Mortal 2000-2017. 2017;1–7.

Kabuya J-BB, Mataka A, Chongo G, Kamavu LK, Chola PN, Manyando C, et al. Impact of maternal death reviews at a rural hospital in Zambia: a mixed methods study [Internet]. 2020. Available from:

Collier AY, Molina RL. Maternal Mortality in the United States: Updates on Trends, Causes, and Solutions. 2019.

Sageer R, Kongnyuy E, Adebimpe WO, Omosehin O, Ogunsola EA, Sanni B. Causes and contributory factors of maternal mortality : evidence from maternal and perinatal death surveillance and response in Ogun state , Southwest Nigeria. 2019;1:1–8.

Anokye R, Acheampong E, Anokye J, Budu-ainooson A, Amekudzie E, Owusu I, et al. Use and completion of partograph during labour is associated with a reduced incidence of birth asphyxia : a retrospective study at a peri-urban setting in Ghana. 2019;7:1–8.

Melese KG, Weji BG, Berheto TM, Bekru ET. Utilization of partograph during labour A case of Wolaita Zone, Southern Ethiopia [Internet]. 2020. Available from:

Sari RK, Hakimi M. Evaluasi Penggunaan Partograf oleh Bidan Desa di Kota Dumai Propinsi Riau [Internet]. 2013. Available from:

RI MK. Keputusan Menteri Kesehatan Republik Indonesia Nomor 369/Menkes/Sk/Iii/2007 Tentang Standar Profesi Bidan Menteri Kesehatan Republik Indonesia. Kemenkes RI. 2007. p. 3.

Ayenew AA, Zewdu BF. Partograph utilization as a decision-making tool and associated factors among obstetric care providers in Ethiopia: a systematic review and meta-analysis. Vol. 9, Systematic Reviews. 2020.

Bedada KE, Huluka TK, Bulto GA, Roga EY. Low Utilization of Partograph and Its Associated Factors among Obstetric Care Providers in Governmental Health Facilities at West Shoa Zone, Central Ethiopia [Internet]. 2020. Available from:

Chaturvedi S, Upadhyay S, Costa A De, Raven. J. Implementation of the partograph in India’s JSY cash transfer programme forfacility births: a mixed methods study in Madhya Pradesh province. BMJ Open. 2015;



  • There are currently no refbacks.

Copyright (c) 2022 Jurnal Midpro





Published By:

Vocational Program of Midwifery

Universitas Islam Lamongan Jl. Veteran No. 53A, Lamongan, Jawa Timur

Creative Commons License
JURNAL MIDPRO is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.