Professional Documents
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The Partograph
The Partograph
The Partograph
I. The Partograph
A
OBJECTIVES
I.
of labor
Cervical dilatation
Contraction pattern
Maternal
well being
well being
Progress of labor
Maternal well-being
Every
horizontal
side of the
rectangle:
30 minutes
Severe Tachycardia
Severe Bradycardia
Severe Bradycardia
Plot FHR using a dot
Status of membranes,
write
I if intact
write
C if clear
M if meconium stained
A if absent
B if bloody
Every horizontal
side of the small
rectangle: 30
minutes
Alert line
D
I
L
A
T
A
T
I
O
N
Alert line
D
I
L
A
T
A
T
I
O
N
Action line
Parallel and
4 hours to
the right
of alert line
Start plotting
on alert line
in the
intersection
corresponding
cervical
dilatation
finding
Start plotting
on alert line
in the
intersection
corresponding
cervical
dilatation
finding
Start plotting
on alert line
in the
intersection
corresponding
cervical
dilatation
finding
4pm
8pm
10pm
4pm
8pm
10pm
EXAMPLE
EXAMPLE
EXAMPLE
Progress of
labor is
normal if
plotting
stays on or
to the left
of the alert
line
6pm
8pm
4pm
10pm
X
X
4pm
6pm
8pm
10pm
Plotting that
passes the
alert line
more so if
it reaches
or passes
the action
line
indicates
abnormal
progress of
labor
X
X
X
4pm
6pm
8pm
10pm
12am
2am
Example:
Descent of
the head is
5/5
After 4
hours, the
descent of
the head is
2/5
Connect
the Os
Counting Contractions
Counting Contractions
Counting Contractions
of contractions in 10
minute period
Fetal heart rate in 1 full minute
If
If
EXERCISES
Indicate
Case 1
10pm
2am
Case 2
8pm
2am
4am
12mn
X
X
Case 3
9pm
1am
3am
RECAP
Significance
REFERENCES
Managing Prolonged and Obstructed
Labour. Education for Safe Motherhood.
WHO, 2006.
IMPAC, WHO.
MDG Modules, WHO