Partograph Flashcards
Partograph was first introduced by ___________________, a Gynecologist from ________________ in _________.
Emmanual A. Friedman; New York; 1955
It is a graphical presentation of the labor progress for clinical evaluations
Partograph
It gives information about the present fetal and maternal condition that are all recorded on a single sheet of paper.
Partograph
Partograph was further modified by ________________ in ____, in which combined details of ____________________ together with information about __________________________________
Philpott and Castle; 1972; progress of labor; fetal and maternal conditions
What are the advantages of partograph?
- It helps to identify at an early stage those women whose labor is progressing slowly.
- All information related to the progress of labor can be seen in a single sheet of paper.
- Gives clear picture of the normal and abnormality of the patient’s labor
- It can predict whether the progress of labor is deviating from what is normally expected so that
appropriate action could be taken immediately. - It saves time and effort of health care workers directly involved in the care of the pregnant woman
- It facilitates easier endorsement of the progress of labor.
Why do we need to use partograph?
World Health Organization requires partograph recording to all women who are about to have a normal delivery without the following conditions:
Antepartal hemorrhage, Severe eclampsia and preeclampsia, Fetal distress, Previous Caesarean section, Multiple Pregnancy, Malpresentation, Premature delivery, Obvious obstructed labor.
The partograph should commence during ____________________ of labor
active phase
The latent phase of labor should not last __________________________
longer than 8 hours
The ________________ of labor should not last longer than 8 hours
latent phase
During active phase of labor, the average rate of cervical dilatation _______________________________________
should not be slower than 1cm/hour
A lag time of ________________ between slowing of the labor progress and the need for intervention will unlikely compromise the fetus or the woman and may avoid unnecessary intervention
under 4 hours
COMPOSITE PARTOGRAPH
- Fetal well-being
- FHT
- Character of amniotic fluid
- Moulding - Labor Progress
- Dilatation
- Descent
- Uterine Contraction - Medications:
- Oxytocin
- IV fluids and medications - Maternal well-being
- BP, Pulse, Temp.
- Urine output
- Urine characteristics
Parts of Partograph
- Progress of Labor
- Maternal and fetal well-being
are the diagonal lines which travels upward to the point of expected full dilation (10cm) at the rate of 1cm per hour.
alert and action line
The alert and action line are the diagonal lines which travels upward to the point of expected full dilation (10cm) at the rate of ___________________.
1cm per hour
is parallel to the action line with 4 hours gap from each other
alert line
The alert line is parallel to the action line with ____________ gap from each other.
4 hours
are designed to warn you to take action quickly if labor is not progressing normally
alert and action line
Perform an IE ________________ or more often if necessary, and plot findings each time
every 4 hours
Once in the _______________ stage of labor, an IE of every hour is allowed
Transitional
Once in the Transitional stage of labor, an IE of ___________ is allowed
every hour
Progress of labor is ____________ if the plotting stays on or to the left of the alert line (green zone)
normal
Plotting that passes the ______________________ will give you an impression that the labor is progressing slowly and in which appropriate actions can be taken to hasten the progress of labor. (example: Amniotomy)
alert line (yellow zone)
Progress of labor is normal if the plotting stays on or to the _______________________
left of the alert line (green zone)
