Heather Underwood

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The World Health Organization advocates the paper partograph as the single most effective tool for monitoring labor and reducing labor complications in developing countries. Used correctly, the partograph can serve as a tool for early detection of serious maternal and fetal complications during labor, allowing sufficient time for an appropriate response.(More)
— Paper-based systems for monitoring maternal labor have been shown to reduce life-threatening complications in low-resource environments; however, significant barriers exist to the use of these tools in developing countries. This paper presents the PartoPen – a digital pen system that enhances a common labor-monitoring form known as the partograph. The(More)
This paper presents the findings from two studies of the PartoPen system – a digital pen software application that enhances the partograph, a paper-based labor-monitoring tool used extensively in developing regions. The PartoPen provides nurses with real-time decision support, instructions, and patient-specific reminders by playing short audio clips when a(More)
Existing paper-based systems for monitoring maternal labor have been shown to reduce life-threatening complications in low-resource environments; however, significant barriers exist to their use in developing countries. In this paper I describe a system that enhances a common labor-monitoring form, the partograph, using a digital pen. The digital partograph(More)
This paper critically examines the use of digital pen technology at two key points in the healthcare system in Kenya: nursing student training and patient care in public labor wards. The PartoPen system -- a digital pen software designed to enhance the paper labor monitoring tool known as the partograph -- was evaluated with 95 nursing students at the(More)
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