Table of Contents
What is partograph and its purpose?
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.
What are the types of partograph?
The two types of partograms used were as follows:
- Fisher partogram, with one –hour two lines: cervical dilatation and actions line evaluated every one hour.
- New type of partogram, with one line depending on three parameters, i.e., cervical dilatation, actions, and fetal head descent line.
What are components of partograph?
The partograph is designed for recording maternal identification, fetal heart rate, colour of the amniotic fluid, moulding of the fetal skull, cervical dilatation, fetal descent, uterine contractions, whether oxytocin was administered or intravenous fluids were given, maternal vital signs and urine output.
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.
How do you plot a partograph?
Labor
- Begin plotting in active labor.
- Cervical dilatation > = 4 cm and > 2 contractions / 10 minutes.
- Always plot initial finding at Alert line. Note the time.
- Repeat P/V after 4 hours and plot the cervical dilatation.
- In active phase cervical dilatation should be 1 or ore than 1 cm/ hour.
What are the advantages of partograph?
The main advantage of the partograph was that it was seen as useful for monitoring labour and continuity of practice [14, 15]. Neither the evidence base for its effectiveness, nor its credibility, was reported as a barrier to use. Partography was, however, perceived as time-consuming [16–20].
How do you read a 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. 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 Action Line in partograph?
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.
How do you interpret a partograph?
What is a partogram used for?
A partograph is a tool used to monitor labor and prevent prolonged and obstructed labor focusing on observations related to maternal, fetal condition and labor progress.
What are the 3 components of the partograph?
Components
- Patient identification.
- Time: It is recorded at an interval of one hour.
- Fetal heart rate: It is recorded at an interval of thirty minutes.
- State of membranes and colour of liquor: “I” designates intact membranes, “C” designates clear and “M” designates meconium stained liquor.
How do you fill 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.