How is a partograph used in labour?
For labour to progress well, dilatation of the cervix should be accompanied by descent of the fetal head, which is plotted on the same section of the partograph, but using O as the symbol….
| Station of fetal head (Figure 4.3) | Corresponding mark on the partograph |
|---|---|
| –4 or –3 | 5 |
| –2 or –1 | 4 |
| 0 | 3 |
| +1 | 2 |
Why is a partogram important?
The partograph or partogram has been established as the “gold standard” labor monitoring tool universally. It has recommended by the World Health Organization (WHO) for use in active labor [1]. The function of the partograph is to monitor the progress of labor and identify and intervene in cases of abnormal labor.
How do you mark contractions in a partogram?
1, on the partograph below the time line, there is an area of 5 blank squares high going across the length of the graph; and at the left-hand side is written “contractions per 10 minutes”. Each square represents 1 contraction, so that if 2 contractions are felt in 10 minutes, 2 squares will be shaded (filled in).
How do you fill in a partogram?
Fill in the time scale along the top of the partogram: 1400, 1500, 1600 etc (1400 is 0 hour line) and record the observation on the partogram (in this example just to the left of the 1500 line). Times must be written along the top of the partogram and may be written along the mid-section of the page.
What is Moulding in labour?
The extent of overlapping of fetal skull bones is called moulding, and it can produce a pointed or flattened shape to the baby’s head when it is born (Figure 4.5). Figure 4.5 Normal variations in moulding of the newborn skull, which usually disappears within 1–3 days after the birth.
What is partogram in labour?
The partograph is a tool for monitoring maternal and foetal wellbeing during the active phase of labour, and a decision-making aid when abnormalities are detected. It is designed to be used at any level of care.
What is Action Line in partogram?
A number of common partogram designs follow the work of Philpott and Castle’ and most incorporate an action line. An action line allows unambiguous diagnosis of prolonged labour, enabling the timing of intervention to be based on the rate of cervical dilatation.
What is Action Line in Partogram?
How do you read a partogram?
The WHO partograph has two diagonal lines: an alert line and an action line. The alert line goes from 4 to 10 cm and corresponds to an average dilation rate of 1 cm per hour. If the labour curve crosses to the right of this alert line, this means that the dilation is less than 1 cm per hour.
How is partogram used to prevent prolonged labour?
Conclusion: By using partogram, frequency of prolonged and augmented labour, postpartum haemorrhage, ruptured uterus, puerperal sepsis and perinatal morbidity and mortality was reduced. Case-Control Studies Delivery, Obstetric / methods
What is the objective of the partogram study?
Objective: To determine the effect of partogram on the frequency of prolonged labour, augmented labour, operative deliveries and whether appropriate interventions based on the partogram will reduce maternal and perinatal complications.
What can A partograph be used for in midwifery?
• The partograph can be used by health workers with adequate training in midwifery who are able to: – observe and conduct normal labour and delivery. – Perform vaginal examination in labour and assess cervical dilation accurately – plot cervical dilation accurately on a graph against time
What does a partograph do for a pregnant woman?
partograph are the progress of labour which includes 4 hourly monitoring of cervical dilatation, descent of the fetal head, abdominal palpation of fifths of head felt above the pelvic brim and hourly uterine contractions; the fetal wellbeing that includes hourly fetal heart rate