Partogram Interpretation

Question 1

Intro

Answer 1

3 P’s (patient/pregnancy/partogram)

Question 2

Observations

Answer 2

Heart rates every 30 minutes
Other maternal observations every 4 hours (ie. dilation)
Comment on observations ie. foetal heart rate, maternal pulse, BP, temperature, urinalysis (comment on glucose/blood/ketones)

Question 3

Contractions

Answer 3

Noted over every hour
Frequency per 10 minutes/strength/regularity
Determine the trend

Question 4

Cervical dilation

Answer 4

PV exam performed every 4 hours

Check dilation- 1cm/hour for primiparous (0.5cm/hour for multiparous)

Question 4

Cervical dilation

Answer 4

PV exam performed every 4 hours

Check dilation- 1cm/hour for primiparous (0.5cm/hour for multiparous)

Question 5

Head descent

Answer 5

PV exam performed every 4 hours
Fifths palpable per abdomen/station of presenting part/ position moulding and caput
Assess progress through labour

Question 6

Liquor

Answer 6

Noted every hour
Assess if liquor is intact, clear (membrane rupture), bloody (placental abruption), meconium present (foetal distress/CTG and foetal blood sampling should be performed)

Question 7

Final birth details

Answer 7

Note times- onset/rupture/active 2nd stage/delivery of foetus and placenta 
Mechanism 
Position of occiput 
APGAR (1 and 5 minutes) 
Estimated blood loss

Question 7

Final birth details

Answer 7

Note times- onset/rupture/active 2nd stage/delivery of foetus and placenta 
Mechanism 
Position of occiput 
APGAR (1 and 5 minutes) 
Estimated blood loss

Question 8

Summary

Answer 8

Summarise- identify any causes for slow progression (3 P’s)

• Passenger: foetal malpresentation
• Passage: fibroids, cervical stenosis, narrow mid-pelvis
• Power: primary uterine inertia