{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T04:54:56Z","timestamp":1791003296329,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:00:00Z","timestamp":1790899200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:00:00Z","timestamp":1790899200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n Partograph monitoring aims to assist midwives, obstetricians, and other healthcare professionals in a midwifery\/obstetric unit to diagnose and manage labor to reduce the risk of prolonged labor, augmentation, cesarean sections, shoulder dystocia, and intrapartum stillbirths. The modified partograph is a new evidence\u2010based labor monitoring tool to assist with assessment and decision\u2010making during labor. Delayed implementation of the modified partograph was observed in the obstetric unit of the particular public hospital, while the previous partograph remained in use. It was not clear what barriers were related to the delayed implementation.<\/jats:p>\n <\/jats:sec>\n \n Aim<\/jats:title>\n The aim was to describe the perceived barriers by midwives to implementing the modified partograph in the obstetric unit of a public hospital in Gauteng province, South Africa.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A qualitative descriptive contextual design was followed. The total population of all employed midwives at the hospital's obstetric unit was invited, focus groups were conducted until data saturation was reached, and data were analyzed using thematic analysis. All participants who met the inclusion criteria were invited.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Barriers identified included inadequate roll\u2010out of the modified partograph, insufficient understanding of the differences between the old and modified partographs, and material resource challenges.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Recommendations were made to overcome the barriers. The study stressed the need to roll out the modified partograph across all levels of care and to all relevant stakeholders, including the importance of adequate training. Sustained training, mentorship, audit systems, and health\u2010system strengthening should be introduced to prevent confusion about the interpretation of the differences between the partographs and how to ensure complete record keeping.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/birt.70121","type":"journal-article","created":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T04:45:46Z","timestamp":1791002746000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceived Barriers Among Midwives to Implementation of the Modified Partograph in a Public Hospital in Gauteng Province, South Africa"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9311-5063","authenticated-orcid":false,"given":"Mariatha","family":"Yazbek","sequence":"first","affiliation":[{"name":"Maternal and Child Research Group, Department of Nursing University of Pretoria Pretoria South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3477-7275","authenticated-orcid":false,"given":"Carin","family":"Maree","sequence":"additional","affiliation":[{"name":"Maternal and Child Research Group, Department of Nursing University of Pretoria Pretoria South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8317-3377","authenticated-orcid":false,"given":"Rebotile V.","family":"Morobe","sequence":"additional","affiliation":[{"name":"Maternal and Child Research Group, Department of Nursing University of Pretoria Pretoria South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4734-7365","authenticated-orcid":false,"given":"Florence F.","family":"Mafisa","sequence":"additional","affiliation":[{"name":"Maternal and Child Research Group, Department of Nursing University of Pretoria Pretoria South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2346-0762","authenticated-orcid":false,"given":"Molatelo M.","family":"Kgodane","sequence":"additional","affiliation":[{"name":"Maternal and Child Research Group, Department of Nursing University of Pretoria Pretoria South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seugnette","family":"Rossouw","sequence":"additional","affiliation":[{"name":"Maternal and Child Research Group, Department of Nursing University of Pretoria Pretoria South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9572-6319","authenticated-orcid":false,"given":"Maurine R.","family":"Musie","sequence":"additional","affiliation":[{"name":"Maternal and Child Research Group, Department of Nursing University of Pretoria Pretoria South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000038389"},{"key":"e_1_2_12_3_1","volume-title":"WHO Recommendations: Intrapartum Care for a Positive Childbirth Experience","author":"World Health Organization","year":"2018"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/hmj\/hmj_50_22"},{"key":"e_1_2_12_5_1","volume-title":"New South Africa Maternity Case Records","author":"Republic of South Africa. National Department of Health","year":"2018"},{"issue":"11","key":"e_1_2_12_6_1","doi-asserted-by":"crossref","first-page":"15","DOI":"10.7196\/SAMJ.2019.v109i11b.14248","article-title":"Challenges to Improve Antenatal and Intrapartum Care in South Africa","volume":"109","author":"Pattinson R. C.","year":"2019","journal-title":"South African Medical Journal"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939\u2010023\u201002058\u20103"},{"key":"e_1_2_12_8_1","volume-title":"Annual Performance Plan 2023\/24","author":"Gauteng Department of Health","year":"2024"},{"key":"e_1_2_12_9_1","unstructured":"The Hospital \u201cHospital Statistics: 1 April 2022\u201330 March 2023 \u201dunpublished 2024."},{"key":"e_1_2_12_10_1","first-page":"256","volume-title":"Fundamentals of Research Methodology for Healthcare Professionals","author":"Brink H.","year":"2017"},{"key":"e_1_2_12_11_1","volume-title":"Intrapartum Care in South Africa, Updated Guidelines","author":"South Africa. Department of Health","year":"2019"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.30851"},{"key":"e_1_2_12_13_1","first-page":"1","volume-title":"Intrapartum Care in South Africa: Updated Guideline","author":"South African Medical and Research Council","year":"2019"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102023\u2010079216"},{"key":"e_1_2_12_15_1","first-page":"1","article-title":"Perceived Strengths and Challenges of the World Health Organization Modified Partograph Among Obstetric Care Providers in Blantyre, Malawi","volume":"14","author":"Chimala E.","year":"2020","journal-title":"AJM"},{"key":"e_1_2_12_16_1","volume-title":"Guidelines for Maternity Care in South Africa","author":"South Africa. Department of Health","year":"2016"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0264373"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.52589\/AJHNM\u2010TD5IRI1O"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2018.11.009"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2020.36.301.24880"}],"container-title":["Birth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/birt.70121","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/birt.70121","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/birt.70121","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T04:46:05Z","timestamp":1791002765000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/birt.70121"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,2]]},"references-count":19,"alternative-id":["10.1111\/birt.70121"],"URL":"https:\/\/doi.org\/10.1111\/birt.70121","archive":["Portico"],"relation":{},"ISSN":["0730-7659","1523-536X"],"issn-type":[{"value":"0730-7659","type":"print"},{"value":"1523-536X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,2]]},"assertion":[{"value":"2024-08-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"birt.70121"}}