الفهرس 
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Abstract
Recent efforts to reduce maternal mortality in developing countries have prioritized two key strategies: training and deploying skilled birth attendants (SBAs) and improving access to emergency obstetric care (EMOC) facilities.
Skilled management in supervision of labor in its three stages and ability to early identification of emergency complications that may occur during labor and early transfers can save life of the mother and her baby and prevent complications.
The partograph serves as an early warning system and assists in early decision on transfer, augmentation, and termination of labor. It also improves the quality and regularity of all observations on the fetus and the mother in labor to early recognition of problems in either of them. So, this study was conducted to assess knowledge and utilization of the partograph among midwives in health center/unit and intra-natal units in general hospitals in Hodeidah governorate-Yemen to explore challenges in the utilization of the partograph and their associated factors in order to overcome them.
To fulfill the study aim:
An exploratory descriptive research design was used and the study was conducted in the year 2011 starting from the beginning of April till the end of July. A convenient sample of all the available (281) midwives working at 54 health centers/units; and 11 intra-natal units in general hospitals in Hodeidah Governorate Republic of Yemen.
Study tools:
Two tools were used, first tool was a structured interview schedule designed and utilized to collect the necessary data. It included two parts, part I, included questions related to: demographic characteristics and academic preparation of the study subjects, reproductive history and utilization of the partograph in their own childbirths, and attendance of any training program(s) about the partograph. Part II included questions related to study subject’s knowledge about the partograph. The second tool was the partograph utilization tool, it included information about midwife utilization of partograph during their nursing management of labor for a month period of the study.
Data were collected throughout interview using tool I, then midwives were asked to record their utilization of the partograph using tool II for a month period of the study.
After the completion of data collection, data were fed into the computer for tabulation and analysis.