الفهرس 
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Abstract
Half a million women lose their lives every year because of
pregnancy related complications. Obstructed labour and ruptured
uterus contribute up to 70% of maternal mortality. Early detection of
abnormal progress and prevention of prolonged labour can
significantly reduce maternaland newborn complications. Tools and
techniques to monitor labour thus play an important role in saving
women’s lives (WHO2012).
The partogram or partograph is an inexpensive tool to provide
a continuous pictorial overview of labour and is essential to monitor
and manage labour. It is a single sheet of paper where all information
related to labour is obtained. It is a practical device in a busy labor
room with many cases but limited personnel to screen the abnormal
labour. With its use, there is no need to record labour-events
repeatedly. It predicts deviation from normal progress of labor and
proper intervention can be done in time. It facilitates handover and
responsibility and accountability of the person conducting labor
(Martin, 2002).
According to the Polit and Beck (2008) the Partograph can be
used by midwives and health workers with adequate training in
midwifery who are able to: observe and conduct normal labour and
delivery. Perform vaginal examination during labour and assess
cervical dilation accurately. Plot cervical dilation accurately on a
graph against time.
The aim of the current were to assess the effectiveness of an
intervention program on nurse’s knowledge and performance
regarding the use of the partograph on parturient women and the
newborn outcome.
Setting
This study was conducted at obstetric and gynecology
departments of Teaching Hospital and University Hospital at Shebein
El- Kom, Menofiya Governorate.
Data collection instruments :
The instruments used in this study were a self-administrated
questionnaire an observation checklist for pre , post- test and followup
test to measure the nurses knowledge and their practice before
and after the interview program. Partogram is also used to assess
nurses.