Definition A partograph is a composite graphical record of cervical dilatation and descent of head against duration of labour in hours.
Advantages of Partogram To assess labor at glance, early detection of abnormal progress of labor Prevention of prolonged labor Recognition of CPD long before obstructed labor Reduce incidence of CS rate Highly effective in reducing complications Make observation & recording of Feto -maternal condition more objectively
Disadvantages of Partogram Assumes that all women progress at same rate May influence intervention rate Clinical findings have subjective variations Lack of knowledge
Principles of partogram Active phase of labour commences at 3cm cervical dilatation. Latent phase of labour should not last longer than 8 hours During active labour , the rate of cervical dilatation should not be slower than 1 cm/hour Vaginal examination should be performed as frequently, can be done once in 2 - 4 hours Uterine activity and fetal heart rate are assessed every 30 minutes It should be used for all women in established labour
Components of PArtograph
Partograph Recordings
Partograph Recordings
Partograph Recordings
Partograph Recordings
Partograph Recordings
Partograph Recordings
Partograph Recordings
Partograph Recordings Fetal Head Descent
Partograph Recordings
Partograph Recordings
Oxytocin drip Record the amount of oxytocin per volume IV of fluids in drop per minute every 30 minutes when used. Record the drugs given; Record any additional drugs given.