Abstract: As a standardized graph depicting the process of production, the birth chart has evolved since its introduction, whose purpose is to better help medical staff to identify problems in the labor process, and to take interventions according to the clinical management program to reduce the occurrence of poor mother and child outcomes. But the partogram is complex and changeable, there is a gap between the theoretical best practice interventions and clinical practice. This article reviews and summarizes the research progress in the clinical application of partogram, and explore the effects of partogram factors, medical personnel professional skills, pregnant women, social environment, organizational background, economic and political background on the effective application of partogram in clinic. Medical staff should accurately identify these influencing factors, correctly assess the status of partogram in obstetrics, and rely on emerging technology to improve and optimize partogram, so that the partogram can be applied better and served the clinical work.

Key words: Labor, obstetric, Pregnancy outcome, Pregnant women, Medical staff, hospital, Partogram