Historical Partogram

Historical Partogram

Historical Partogram

The Historical Partogram is a PDF that displays the documented data for a patient’s previous labor and delivery (i.e., a saved version of the Partogram from a previous pregnancy).

The Historical Partogram is a PDF that displays the documented data for a patient’s previous labor and delivery (i.e., a saved version of the Partogram from a previous pregnancy).

The Historical Partogram is a PDF that displays the documented data for a patient’s previous labor and delivery (i.e., a saved version of the Partogram from a previous pregnancy).

About Partogram

About Partogram

About Partogram

The Partogram is an MPages view within PowerChart Maternity (PCM) that allows clinicians to identify early deviations from the normal progress of active labor, as well as maternal physiological deterioration, to facilitate timely decisions about direct intervention or referral of care.

Problem Statement

Problem Statement

Problem Statement

  • Clinicians need the ability to go back and review a snapshot of what the Partogram looked like during a patient’s labor.

  • Clinicians may need to review this historical partogram within a couple days or weeks of delivery or it could be several years later they would like to review when the patient comes back pregnant again.

  • The historical partogram may also be used in legal cases to represent and tell the story of the patient’s labor and interventions, so it is key that the historical partogram looks as it did for the patient on the day they delivered.

Uses

  • A patient comes back for Post-Partum visit.

  • A patient is pregnant 2nd or 3rd time

  • A patient has some need for Legal, the document is required in such cases.

  • Partogram needs to be printed just after the partogram stop is reached so as a patient could take home what happened during their pregnancy and the delivery story.

Solution Hypothesis by Product Team

Solution Hypothesis by
Product Team

Product Team proposed a snapshot of the Partogram be taken at a specific point in time (Partogram Stop) and saved off as a document type. This document type should show the graphical and flowsheet information as it displayed to the clinician when the patient was in labor, and should not be interactive. For any relevant clinical information that is displayed in a side panel through user interaction on the live partogram, this information should be available supplementary to the graphs or flowsheets as needed. This can display next to or below each relevant graph.


Initial Design Explorations

Initial Design Explorations

These concepts were created that lead to discussions related to technical feasibility and complying multiple use case scenarios

Requirements Gathering and Concept Creation

Requirements Gathering and Concept Creation

After discussion with the team, I had created three concepts on how the data could be displayed.

Workflow and Final Design

After discussion with the team, I had created three concepts on how the data could be displayed.

Workflow Design

  • Historical Partogram is accessed from a side panel in Pregnancy History component.

  • It opens up as a modal window and loads up as a document which could be printed from the button located in the modal header.

Usability Testing

Usability Testing

After discussion with the team, I had created three concepts on how the data could be displayed.

Purpose

  • Verify the usability of the historical partogram with and without detailed tables (note: historical partogram will initially be released without detailed tables)

  • Understand how historical partogram fits within post-partum workflows

Participants

6 clinicians (3 nurses, 3 midwifes); 2 were UK clinicians and 4 were US clinicians

  • Spend 20-40+ hours providing direct patient care.

  • Have experience using a partogram or labor curve

Success

  • Banner bars were noticed

  • Historical Partogram was generally easy to read and interpret.

  • The representation of the labor curve, which was color coded was appreciated by the majority of the participants

  • Expected information could be found on the Historical Partogram


Problems

  • Time stamps were not available for all sections which made it difficult to find certain times (too much scrolling) - (UX In-Scope)

  • Warning message and Information banner message confusing and misleading to some. - (UX - Out of scope)

  • Users failed to remember to go back to the Partogram to refresh after completing additional documentation in iView. - (UX - Out of scope)

Solutions to UX In-Scope

Time stamps were added on top of all sections and pages for better co-relation to the time of events in the graphs.

94%

on System Usability Scale (SUS)

5 of 6 participants

had no concerns about having these different layouts for the same patient

Personal Explorations

Personal Explorations

A design beyond technical limitations, a personal favourite of mine.

In all the projects, I make a design which would have best met the User Requirements if I was not bound by technical limitations. This also acts as a Future Exploration.

Having a Landscape page

Instead of a portrait page, A Landscape page would have made more area for the data to be beside the graphical screenshot for better reference between data and graph

Data represented in a timeline view


A timeline looks much better than a table as it gives visual similarity of the plotted data points on the graph in a list type view.

With the use of AI

A summarised story could be added below which would also be easy to understand for the patients who might not understand what the data means.

(Should be marked as In-accurate as it would be computer generated)

© Utkarsh Babbar 2025

© Utkarsh Babbar 2025

© Utkarsh Babbar 2025