Partograph Flashcards
is a tool to help management of labor
Partograph
guides birth attendant to identify women whose labor is delayed and therefore decide appropriate action
partograph
What are you going to monitor during labor?
-Progress of labor
•Cervical dilatation
•Contraction pattern
-Maternal well being
•Pulse, temperature, blood pressure
•Urine voided
-Fetal well being
•Fetal heart rate and pattern
•Color of the amniotic fluid
What are the two parts of partograph?
progress of labor
maternal and fetal well-being
What are the conditions that do not need the use of partograph?
antepartum hemorrhage
Severe pre-eclampsia and eclampsia
•Fetal distress
•Previous caesarian section
•Multiple pregnancy
•Malpresentation
•Very premature baby
•Obvious obstructed labor
You should start plotting the partograph when the woman is on ____ and is contracting adequately (______)
active labor (4cm or more)
contracting adequately (3-4 contractions in 10 minutes)
Perform internal examination every ____ or more often if necessary and plot findings each time
4 hours
Progress of labor is ____ if plotting stays on or to the left of the alert line
normal
As soon as 4 cm is reached the cervix should dilate normally at a rate of _____ per hour
> or equal to 1 cm per hour
green line
alert line
red line
action line
If the plotting passes alert line, you should
reassess woman and consider referral if facilities are not available to deal with obstetric emergencies, unless delivery is imminent.
- alert transport services
- monitor intensively
If the plotting passes action line
the patient must be already in an EmOC (emergency obstetric care) facility
What are the other findings to note during IE
status of the membrane (I= intact)
if ruptured: note the color
C= clear
M= meconium stained
A= absent
B= bloody
you should monitor the patient every 4 hours and record the findings of the :
blood pressure
pulse rate
temperature
urine voided (yes or no)
