What is a Partograph in midwifery?
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.
Which factors are monitored while plotting Partograph?
It records the following points.
- The progress of labor is monitored by cervical dilatation, descent of head and uterine contractions.
- The fetal condition is monitored by fetal heart rate, color of amniotic fluid and molding of the fetal skull.
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).
How do you mark a partogram?
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 |
|---|---|
| +1 | 2 |
| +2 | 1 |
| +3 | 0 |
What is a Partograph in labour?
Partograph. • A partograph is a graphical record of the observations made of a women in labour. • For progress of labour and salient conditions of the mother and fetus. • It was developed and extensively tested by the world health organization WHO. History of Partogram.
How do you monitor 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 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.
How do you read a contraction graph?
The Y Axis of Fetal Monitoring These are beats per minute (bpm), which are measured in increments of 10 with markings every 30 beats. The red indicator on the bottom tracing shows the strength of a contraction, measured in millimeters of mercury (mmHg). 6 The higher the number, the stronger the contraction.