*The useful tool for monitoring the

progress of labor.
*To intervene in a timely manner to
avoid maternal and neonatal
morbidity or mortality
*To ensure close monitoring of the
woman in labor

*
 *
1. Assessment of progress of labor
- Cervical dilatation
- Contractions (duration, interval, frequency)
- Alert and action lines
2. Assessment of maternal well being
- Pulse, temperature, blood pressure
- Urine voided
*
3. Assessment of fetal well being
- Fetal heart rate and pattern
- Color of amniotic fluid
 *
* The upper colored
portion is where the
progress of labor is
plotted.

* The lower portion is

where observations of
the maternal and fetal
well-being are written.
*Plotting cervical dilatation when labor is in
active phase

*MONITOR EVERY 4 HOURS ( or more frequently

if necessary)
*- vital signs : BP, temperature, PR and cervical
dilatation

*
MONITOR EVERY HOUR :
-FHT, frequency, intensity and duration of
contractions, woman’s mood and behavior

OTHER FINDINGS TO RECORD

-Vaginal bleeding (0, +,++, +++)
-Time membranes ruptured
- “ I “ if membranes are intact

*
* - Color of amniotic fluid
* “ C “ membranes are ruptured and
amniotic fluid is clear
* “ M” amniotic fluid is meconium stained
* “ A” amniotic fluid is absent
* “ B “ amniotic fluid is bloody
*- urine voided (yes,no)

*
*Reassess woman and consider criteria for
referral
*Alert transport services
*Empty bladder
*Ensure adequate hydration but omit solid foods
*Encourage upright position and walking if
woman wishes
*Monitor intensively
*Refer urgently to an BEMONC
facility unless delivery is
imminent