Labour Care Guide e Partograma Tradicional: Análise Comparativa do Registro Intraparto em Centro de Parto Normal

Cecília Silva Almeida; Hygor Alessandro Firme Elias; Kelly da Silva Cavalcante Ribeiro

doi:10.36489/nursing.2026v31i336p14119-14133

Authors

Cecília Silva Almeida Residente de Enfermagem do Programa de Residência de Enfermagem Obstétrica da Escola de Saúde Pública do Distrito Federal - ESP/DF. https://orcid.org/0009-0008-2743-8711
Hygor Alessandro Firme Elias Enfermeiro Obstetra; Mestre em Enfermagem; Tutor do Programa de Residência de Enfermagem Obstétrica da Escola de Saúde Pública do Distrito Federal - ESP/DF. https://orcid.org/0000-0002-4285-902X
Kelly da Silva Cavalcante Ribeiro Enfermeira Obstetra; Mestre em Ciências da Saúde; Coordenadora da Residência de Enfermagem Obstétrica da Escola de Saúde Pública do Distrito Federal - ESP/DF. https://orcid.org/0000-0001-9882-9455

DOI:

https://doi.org/10.36489/nursing.2026v31i336p14119-14133

Keywords:

Enfermagem obstétrica, Trabalho de parto, Avaliação de processos e resultados em cuidados de saúde

Abstract

OBJECTIVE: To analyze labor documentation based on the use of the Labour Care Guide, adapted from the World Health Organization, comparing it with the traditional partograph regarding the recording of intrapartum events. METHOD: An observational, descriptive, cross-sectional study conducted in a Birth Center in the Federal District, Brazil, involving ten women in active labor, monitored through the simultaneous completion of the Labour Care Guide and the traditional partograph. The analysis was descriptive and comparative, focusing on the documentation produced by the instruments. RESULTS: Both tools included essential monitoring parameters; however, the Labour Care Guide provided more detailed integration of maternal and fetal surveillance, intrapartum risk factors, and aspects of the woman's experience. CONCLUSION: The differences are mainly related to the structure of intrapartum documentation, with the Labour Care Guide being more comprehensive in providing visibility to woman-centered care.

References

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Parto, aborto e puerpério. Brasília: Ministério da Saúde. 2012 [cited 2026 Feb 18]. Available from: https://surl.li/bfmuxj

Zhang J, Troendle J, Yancey MF. Reassessing the labor curve in nulliparous women. Am J Obstet Gynecol [serial on Internet]. 2002 Oct [cited 2026 Jan 15] Available from: https://l1nq.com/2dmJ4.

World Health Organization. Recommendations: intrapartum care for a positive childbirth experience. Geneva: WHO [serial on Internet]. 2018 [cited 2026 Jan 15]. Available from: https://sl1nk.com/5kkeD

World Health Organization. Labour care guide: user’s manual. Geneva: WHO [serial on Internet]. 2020 [cited 2026 Jan 15]. Available from: https://sl1nk.com/25RIN

National Institute for Health and Care Excellence. Intrapartum care: care of healthy women and their babies during childbirth. NICE guideline NG229. London: NICE [serial on Internet]. 2023 [cited 2026 Jan 15]. Available from: https://surl.li/jjggsb

Federação Brasileira das Associações de Ginecologia e Obstetrícia. Assistência aos quatro períodos do parto de risco habitual. São Paulo: FEBRASGO; 2021 [cited 2026 Jan 15]. Available from: https://l1nq.com/3PDSf

Mugyenyi GR, Byamugisha JK, Tumuhimbise W, Atukunda EC, Fajardo YT. Customization and acceptability of the WHO labor care guide to improve labor monitoring among health workers in Uganda: An iterative development, mixed method study. PLOS Glob Public Health [serial on Internet]. 2024 [cited 2026 Jan 15. Available from: https://surl.li/wojluk

American College of Obstetricians and Gynecologists. Approaches to limit intervention during labor and birth. Committee Opinion No. 766. Obstet Gynecol [serial on Internet]. 2019 Feb [cited 2026 Jan 15]. Available from: https://sl1nk.com/RoisX

National Collaborating Centre for Women’s and Children’s Health. Intrapartum Care: Care of Healthy Women and Their Babies During Childbirth. London: RCOG Press [serial on Internet]. 2007 Sep [cited 2026 Jan 15]. Available from: https://surl.li/difxzp

American College of Obstetricians and Gynecologists. Clinical Practice Guideline No. 10. Obstet Gynecol [serial on Internet]. 2025 Oct [cited 2026 Jan 15]. Available from: https://sl1nk.com/ECJyQ

American College of Obstetricians and Gynecologists. Clinical Practice Guideline No. 22. Obstet Gynecol [serial on Internet]. 2025 Oct [cited 2026 Jan 15]. Available from: https://l1nq.com/8RA1K

Ebrahimian A, Mirghafourvand M, Charandabi SMA, Malakouti J. Effects of World Health Organization labor care guide on maternal and neonatal outcomes: a systematic review and meta-analysis. Int J Gynaecol Obstet [serial on Internet]. 2025 [cited 2026 Mar 13]. Available from: https://surl.li/skogen

Association of Women’s Health, Obstetric and Neonatal Nurses. Recommendations for intermittent auscultation during labor. J Obstet Gynecol Neonatal Nurs [serial on Internet]. 2024 [cited 2026 Jan 15]. Available from: https://www.jognn.org/article/S0884-2175(24)00040-6/fulltext

Federação Brasileira das Associações de Ginecologia e Obstetrícia. Assistência aos quatro períodos do parto de risco habitual. São Paulo: FEBRASGO [serial on Internet]. 2021 [cited 2026 Jan 15]. Available from: https://sl1nk.com/3PDSf

Ubom AE, Nunes I, Malel ZJ, Ekezie W, Adewole N, Fawole B, et al.; FIGO Committee on Childbirth and PPH. FIGO position statement on the use of the WHO labor care guide versus the partograph. Int J Gynaecol Obstet [serial on Internet]. 2025 [cited 2026 Mar 13]. Available from: https: https://surl.li/jocbtj

Oladapo OT, Diaz V, Bonet M, Abalos E, Thwin SS, Souza H, et al. Cervical dilatation patterns of "low-risk" women with spontaneous labour and normal perinatal outcomes: a systematic review. BJOG [serial on Internet]. 2018 [cited 2026 Mar 13]. Available from: https://surl.li/rmuska

Zegeye GA, Wordofa MA, Mulugeta A. Analysis of factors affecting the level of companions’ adherence to their supportive roles during labor and childbirth: a mixed methods study. SAGE Open Med [serial on Internet]. 2025 [cited 2026 Jan 15]. Available from: https://sl1nk.com/nT3ai

Sena MM, Barros MAR, Holanda SM, Aquino PS, Cardoso A. Factors associated with puerperal women's perception of the support received from their companions during labor and delivery. Int J Gynaecol Obstet [serial on Internet]. 2023 May [cited 2026 Jan 15]. Available from: https://l1nq.com/GztoP

Amaro CIT, Dias H, Santos MJO, Nelas PAAB, Coutinho EC. Benefícios da verticalização do parto. Rev INFAD Psicol. Int J Dev Educ Psychol [serial on Internet]. 2021 Mar 08 [cited 2026 Jan 15]. Available from: https://l1nq.com/MYKqd

Fundação Oswaldo Cruz. Posições da mulher durante o trabalho de parto e parto: benefícios da livre movimentação. Rio de Janeiro: Portal de Boas Práticas [serial on Internet]. 2018 [cited 2026 Jan 15]. Available from: https://l1nq.com/bQGGL

Leal MC, Bittencourt SDA, Esteves-Pereira AP, Ayres BVS, Silva LBRA, Thomaz EBAF, et al. Avanços na assistência ao parto no Brasil: resultados preliminares de dois estudos avaliativos. Cad Saude Publica [serial on Internet]. 2019 [cited 2026 Mar 13]. Available from: https://surl.li/mowhat

Priya KV, Rao MS, Reddy PK. A comparative observational study on the WHO Labour Care Guide versus the WHO modified partograph on labour outcome. Cureus [serial on Internet]. 2026 Jan [cited 2026 Mar 13]. Available from: https://surl.li/sfymtv