The Partograph Flashcards

1
Q

Is a graphic representation of the progression of labor , condition of the mother and fetus and intervene in cases of abnormal labor.
Known as a “gold standard “recommended tool in monitoring active labor universally.

A

Partograph/ Partogram

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2
Q

It also serve as a one-page visual summary of the relevant details of labor.
Prevents prolonged labor, reduces operative intervention, and improves neonatal outcome.

A

Partograph/ Partogram

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3
Q

COMPONENT OF PARTOGRAPH

A

-Mother infrmation
-Fetal Well-being
-labour progress
-medication
-maternal well being

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4
Q

I. PATIENT INDENTIFICATION:

A

Name: Gravida: Para: Hospital No.
Date of Admission Time of Admission:
Ruptured Membrane: Hours:

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5
Q

for spontaneous: is the time of admission in the labor ward
: for induced labor is the time of induction (prostaglandin, oxytocin, ROM)

A

0 time:

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6
Q

Fetal Well Being:

A

record fetal heart rate for 1 minute every 15-30 minutes afteracontraction in the first stage, every 5 minutes in the second stage. If abnormalitiesarenoted, urgently delivery can be considered.

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7
Q

“R” ruptured
“I” intact
“I” intact

A

State of Membrane

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8
Q

C” clear
“M” meconium stained
“B” black stained

A

Color of liquor

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9
Q

“R”
“I”
“I”

A

“R” ruptured
“I” intact
“I” intact

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10
Q

“C”
“M”
“B”

A

“C” clear
“M” meconium stained
“B” black stained

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11
Q

IV. State of Membrane and color of Liquor

A

“R” ruptured
“I” intact
“I” intact
“C” clear
“M” meconium stained
“B” black stained

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12
Q

Suture lines are separate

A

0

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13
Q

Suture lines meet

A

+1

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14
Q

-Suture lines overlap but can be reduced by gentle digital pressure

A

+2

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15
Q

+3

A
  • Overlap, irreducible
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16
Q

Station of the Fetal Head
-4 or -3
Corresponding mark on the partograph
___

A

5

17
Q

Station of the Fetal Head
-2 or -1
Corresponding mark on the partograph
___

A

4

18
Q

Station of the Fetal Head
0
Corresponding mark on the partograph
___

A

3

19
Q

Station of the Fetal Head
+1
Corresponding mark on the partograph
___

A

2

20
Q

Station of the Fetal Head
+2
Corresponding mark on the partograph
___

A

1

21
Q

Station of the Fetal Head
+3
Corresponding mark on the partograph
___

A

0

22
Q

Should be recorded every 30 minutes.
Eachsquare represents one contraction, so if 2 contractions are felt in 10 minutes sho should shade2 squares.

A

Uterine contractions

23
Q

NOISE SHADE

A

<20s

24
Q

line shade

A

20-40s

25
Q

black shade

A

> 40 s

26
Q

Assessment of the Maternal wellbeing

A

Assessment of the Maternal wellbeing

27
Q

help healthcare provider in determining abnormal progress of labor, fetal distress and signs of maternal distress.

A

Partograph

28
Q

It us torecord maternalidentification, FHR, Amniotic fluid color,moulding of the fetal skull, cervical dilatation, fetal descent,, uterine contractions, medicationsgiven, urine output and maternalvital signs.

A

Partograph

29
Q

Start recording in the partograph when labor is in

A

activefirst stage(4 cm orabove).

30
Q

are used to assess the progress oflabor.

A

Cervical dilatation, descent of the head and uterine contractions

31
Q

1 cm/ hour cervical dilatation and 1 cm descentof head in four hours indicate

A

good progress ofactive labour.

32
Q

FHR and uterine contractions should be monitor every .

A

30 minutes

33
Q

Assess cervical dilatation, fetal descent and color of amniotic fluid (if ruptured)and the degree of moulding

A

every 4 hours

34
Q

Do ___ immediately if the membranes is ruptured and a gush of amniotic fluid comes out while the mother is in any stage of labor.

A

IE

35
Q

Refer patient tothe hospital or center if the

A

cervical dilatation mark crosses thealert line on the partograph.

36
Q

When you identify __ moulding indescent of thehead with poor progress of labor, this indicatesobstruction, so refer the mother urgently.

A

+3

37
Q

is indication offetal distress therefore mother needs to refer immediately tohospital unless the labor isprogressing too fast.

A

FHRless than 120 and more than 160 beats per minute within10 minutes or more

38
Q

Even theFHR is withinnormal range, refer if youfound out that the amniotic fluid____.

A

stained or thick with meconium unlessthe labor is progressingtoo fast,