The partograph is a graphical tool used to monitor labour progress and fetal well-being. This study investigated the utilization of partograph at term labour among nurses and midwives in Rivers East-Senatorial District, Rivers State, Nigeria. This research employed a cross-sectional survey design. Structured questionnaire was used to collect data from a sample size of 363 nurses and mid-wives which were selected using simple random sampling technique. Data was analyzed using both descriptive and inferential statistics. A majority of respondents (63.2%) identified time pressure as a barrier, reflecting workload constraints in busy labour wards. Although 65.5% reported no problems accessing partograph sheets, 32.7% faced supply challenges, and 70.8% indicated inadequate staffing to support consistent documentation. Training opportunities were inconsistent, with 54.4% reporting irregular refresher courses, while nearly all respondents (93.6%) supported integration with electronic records as a means to reduce documentation burden. Inferential analyses showed no significant association between years of experience and satisfaction with partograph sheet availability (p = 0.489), challenges in interpreting alert and action lines (p = 0.548), or perceptions of adequacy of information (p = 0.351). Spearman’s correlations further confirmed weak and non-significant relationships between years of experience and partograph use variables. However, significant associations were observed among practice-related variables: frequency of use was negatively correlated with completion (r = –.368, p < .001) and handover discussions (r = –.310, p < .001), while completion was positively correlated with handover discussions (r = .218, p = .005). It was concluded that partograph start time, and frequency of use had a positive influence on measures of labour outcomes such as reduces prolonged labour; reduce interventions; timely interventions; better apgar scores; reduce maternal complications; maternal satisfaction; fewer NICU admissions; and shorter hospital stays.Recommendation include facilities should embed guideline use into routine practice through supervision, audits, and accountability mechanisms. Moreover, completed partographs should be emphasized as tools for team communication for a better labour outcomes.