This prototype was designed to demonstrate use of mHealth application for maternity unit of Ngora hospital but this part only shows the Labour Progress.

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Presentation transcript:

This prototype was designed to demonstrate use of mHealth application for maternity unit of Ngora hospital but this part only shows the Labour Progress Chart(partogram). The screen shows the push notification to remind nurse/midwife that he/she should do one or more patients examinations.

The name of application was chosen regarding the use of application at this stage. The icon is chosen because of using it for maternal and new-born babies. By clicking this icon, the application start running.

As could be seen, there are three mothers are in the labour right now. Other possible actions could be done by selecting menu because menu in android provide very good functionality. By pressing menu, you could see all possible actions. In addition, the user could select one of the current patients and consequently go to the associated patogram page with the selected patient.

Menu has six different functions that could be managed by nurse/midwife but setting and edit hasn’t developed because they need more information. Menu could be appeared in all pages by pressing menu button in mobile device. The user could follow other functions regardless edit and setting pressing their associated buttons. This screen is considered as Home page.

This page is for filling out new patient’s personal information which includes alphanumerical fields. The current date and time only shows to nurse/midwife but could not be changed for now. For showing different keypads for entering different types of information, this page will be showed in more than one page. In this part, the alphabetical keypad is shown for filling out information in fields like name. The fields with red star are required field and must be filled out.

This page is continuation of personal information page with new keypad for entering numbers for numeric fields like IP no, Age, Gravida and Para. In general, there are two save button was predicted for the personal information page. The save button in top of the page is for saving whole page but the one in the panel that contains keypad is for saving only current field like name, age, and etc. By pressing home icon in the top of the page, the user will be switched to home page.

In this part, user of the app have a chance to revise and edit information and finally save the whole page information.

In this part, user is asked to make sure about the accuracy of information. By pressing OK, some preliminary examinations must be taken in order to evaluate current mother and fetus situations and schedule next examinations. By pressing Cancel, user will come back to personal information page to revise the input information and consequently make some possible corrections.

If the user pressed Home button in personal information page, this warning is asked the user to make sure about his/her decision. By pressing OK, all entered information will be lost and the user will return to the home page. By pressing Cancel, user will come back to personal information page.

This page is search page. At this page, user could search the previous patients by name, IP no, date and time of admission. The date of admission were selected to show the possibility of searching for the specific period of time that the user guesses that the patient was admitted.

In this page, the user could specify the period of time for searching patients. After specifying the period of time, the user is needed to press the search button.

In this page, the user could see the result and could go to other page. By selecting one specific patient, the user will go to the partogram page of the patient.

This page is notifications page that the user could see the patients’ examinations due. By selecting one of the notifications, the user will go to the partogram page of selected patient.

By pressing exit in the menu, user is asked to get confirmation about his/her decision.

This page is appeared when new patient is in latent phase and must be wait for next vaginal examination and her name is only added to current patients.

In this page, user could record the descent of fetal head by specifying time of examination. The allowable values for this field are: 0/5, 1/5, 2/5, 3/5, 4/5, 5/5. Cervical dilatation: The latent phase at the onset of labour lasts until cervical dilatation is 4 cm and is accompanied by effacement of the cervix. The active phase starts when the cervix is 4 cm dilated and is completed at full dilatation, i.e. 10 cm. If the patient is in latent phase, the other examinations will be postponed until she enters active phase. Consequently, she left until next vaginal examination to reassess cervical dilatation. In the next slide, you could follow Angella when her conditions will be in latent or active phase. If she will be in latent phase, next examinations won’t be taken and only her name will be displayed in the current patients page and must wait for the next time that vaginal examination will be done to assess her new conditions. If she will be in active phase, her examinations could be done.

These two pictures are showing latent and active phase. When vaginal examination is 2cm, patient is in latent phase but if the vaginal examination is 4cm, the patient is in active phase.

This page includes the predicted examinations that should be carried out during labour but the ones that doesn’t need any devices. One of the specification of current proposed mockup is the ability to take all examinations in only one page, not more. Consequently, full page is dedicated to associated charts with these examinations. This ability, solve the problems of time consuming and confusing methods that be used in some application by switching among different pages. After baby was born, in the Birth section, the user be able to fill out the related information to new born baby.

This page is appeared due to two possible actions: 1.By selecting one of current patients from home page. 2.By selecting one of notifications from notifictions page.

Cervical dilatation is assessed at every vaginal examination and marked with a cross (X). Alert line: The alert line starts at 4 cm of cervical dilatation to the point of expected full dilatation at the rate of 1 cm per hour. Action line: The action line is parallel, and 4 hours to the right of the alert line. If cervical dilatation goes to the right of alert line and may arrive action line, the appropriate warning will be appeared in the phone screen but for now it not shown here.

The descent is recorded as a circle (O) at every vaginal examination.

Contractions are recorded every 30 minutes; palpate the number of contractions in 10 minutes and their duration in seconds. The squares in this section of the partograph are numbered from 1–5. Each square represents one contraction so that if 2 contractions are felt in 10 minutes, 2 squares will be shaded. Dots represent mild contractions of less than 20 seconds’ duration. Diagonal lines indicate moderate contractions of 20–40 seconds’ duration. Solid colour represents strong contractions of longer than 40 seconds’ duration.

Liquor/Amniotic fluid is observed and recorded at each vaginal examination as follows: clear (“C”), blood- stained (“B”) or meconium-stained (“M”). If the membranes are not ruptured, record “I” for intact. These alphabet will be shown in above chart when the examination is done.

Moulding is recorded as follows: bones are separated and the sutures can be felt easily (o); bones are just touching each other (1); bones are overlapping (2); bones are overlapping severely (3).

In this part, the user could enter the basic information related to new born baby/babies.