What is partogram in labour?
What is partogram in labour?
A partogram or partograph is a composite graphical record of key data (maternal and fetal) during labour entered against time on a single sheet of paper. Relevant measurements might include statistics such as cervical dilation, fetal heart rate, duration of labour and vital signs.
How do you write a partogram?
In the space provided on the partogram you should record:
- The name of the drug.
- The dose of the drug given.
- The time the drug was given.
- The type of intravenous fluid.
- The time the intravenous fluid was started.
- The rate of administration.
- The amount of intravenous fluid given (after completion).
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.
Who invented the partogram?
The partograph was first introduced in 1954 by Friedman graphically depicting the dilatation of the cervix during labour1. Philpott and Castle in 1972 developed Friedman’s concept into a tool for monitoring labour by adding the action and alert lines2.
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.
What is liquor in Partogram?
•Meconium in the liquor indicates that the fetus is at an increased risk for fetal distress. •The fetal heart rate pattern must be observed carefully for signs of fetal distress (e.g. late decelerations). 4.
When should I start a Partogram?
Start recording on the partograph when the labour is in active first stage (4 cm or above). Cervical dilatation, descent of the fetal head and uterine contractions are used in assessing the progress of labour.
What is descent of fetal head?
Descent of the fetal head (ΔHPD) was calculated as the difference between HPD measured between contractions and HPD measured during active pushing. The main outcome was duration of operative vaginal delivery, which was estimated using survival analyses with HRs for vaginal delivery.
What is a partograph in midwifery?
A partograph is a graphical presentation of a woman’s progress of labour. Once the woman has true signs of labour, the midwife initiates the use of the partograph to record her findings.
Who Partograph interpretation?
2 Interpreting the WHO partograph. 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.
What information is included in A partogram?
The top of a partogram provides basic patient information including name, age, general health, and other topical data. The form starts with a zero hour, when the patient started experiencing contractions or when a doctor induced labor, and care providers record new data at regular intervals.
What is the importance of partogram in labour management?
PARTOGRAM IT’S SIGNIFICANT: Is a managerial tool used to record all observations made on a woman and fetus in labour in one chart. Partogram helps to identify at an early stage those women whose labour is slow. A managerial tool for prevention of prolonged labour. 6.
How do I start a partograph?
Starting a Partograph. A partograph should be started only when a woman is in active phase of labour. Contractions must be 1 or more in 10mins, each lasting for 20secs or more. Cervical dilatation must be 4cms or more. In the centre of Partograph is a Graph. Along the left side are numbers 0 -10 against squares.
When does the active phase begin on the who partogram?
13. The WHO Partogram has been modified in 2000 to make it simpler and easier to use. The latent phase has been removed and plotting on the Partogram begins in the active phase when the cervix is 4 cms dilated. 14.
