The document discusses the importance of recording labor progress using a partogram, which is a graphical tool to track key information about the mother, fetus, and labor progression over time. A partogram allows clinicians to monitor labor, identify issues early, make informed decisions, and defend their actions. It outlines the components recorded on a partogram, including maternal and fetal vital signs, cervical dilation, descent of the fetus, uterine contractions, and other metrics. Tracking labor accurately on a partogram can reveal normal progress or potential complications.
postpartum period Is the period beginning immediately after the birth of a child and extending for about six weeks.
The World Health Organization (WHO) describes the postnatal period as the most critical and yet the most neglected phase in the lives of mothers and babies; most deaths occur during the postnatal period
It is the time after birth, a time in which the mother's body, including hormone levels and uterus size, returns to a non-pregnant state.
Postpartum Nursing Physical Assessment
Physical Assessment is necessary to identify individual needs or potential problems
Explain to pt purposes of the examination.
obtain her consent.
Record your findings and report results to the mother.
Avoid exposure to body fluids.
Teach pt as you assess – use every opportunity since there is limited time.
Pathophysiology of Normal Labor:
A series of events that take place in female genital organs to expel the product of conception that are fetus, placenta, membranes) out of womb through the vagina into the outer world. We further describe pathogenesis and features of different stages of labor
Prelabour Rupture of Membrane (PROM) by Sunil Kumar Dahasunil kumar daha
Please find the power point on Prelabour Rupture of Membrane (PROM). I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
postpartum period Is the period beginning immediately after the birth of a child and extending for about six weeks.
The World Health Organization (WHO) describes the postnatal period as the most critical and yet the most neglected phase in the lives of mothers and babies; most deaths occur during the postnatal period
It is the time after birth, a time in which the mother's body, including hormone levels and uterus size, returns to a non-pregnant state.
Postpartum Nursing Physical Assessment
Physical Assessment is necessary to identify individual needs or potential problems
Explain to pt purposes of the examination.
obtain her consent.
Record your findings and report results to the mother.
Avoid exposure to body fluids.
Teach pt as you assess – use every opportunity since there is limited time.
Pathophysiology of Normal Labor:
A series of events that take place in female genital organs to expel the product of conception that are fetus, placenta, membranes) out of womb through the vagina into the outer world. We further describe pathogenesis and features of different stages of labor
Prelabour Rupture of Membrane (PROM) by Sunil Kumar Dahasunil kumar daha
Please find the power point on Prelabour Rupture of Membrane (PROM). I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Partogram is a useful tool for the assessment and management of labour. This presentation describes the method to plot partogram and means how to assess prolonged labour by using it.
Partograph is a composite graphical recording of progress of labour and salient condition of mother and fetus. For progress of labor and conditions of the mother and the fetus. It was developed and extensively tested by the world health organization (WHO)
4. PARTOGRAM PARTOGRAM is a graphical information about the progress of labour in which the salient information about the fetal well-being, maternal well-being and the progress of labour are recorded into a chart.
5. PARTOGRAM 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. IT’S SIGNIFICANT:
6. PARTOGRAM For all women who are in labour (i.e. either low or high risk group). WHO REQUIRE PARTOGRAM RECORDING
10. PARTOGRAM RECORDING Begin plotting at the “zero” hour on the partogram Enter the outcome of delivery 1 2 All entries made in relation to time when the observations are made 3 Notes should be legible, dated and timed. 4
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18. PARTOGRAM RECORDING Latent phase Labour progress recording in latent phase At admission: - Dilatation 2 cm - Descent -2 2 hours after admission: - Dilatation 2 cm - Descent -1 Plot dilatation as “ X ” Plot descent as “ O ” + + As the dilatation is only 2 cm therefore the labour progress is in the latent phase
19. PARTOGRAM RECORDING Latent phase Labour progress recording in active phase Plot dilatation as “ X ” Plot descent as “ O ” + + + + Latent phase Active phase +1 -1 -2 Descent “ X ” 7 cm 4 cm 2 cm Dilatation “ O ” 4 hours 2 hours 0 hours (admission)
20. PARTOGRAM RECORDING Latent phase Cervical dilatation + + + + If labour progress well plotting of cervical dilatation should always remain to the left of alert line. If it cross to right of action line this warns that labour may be prolonged.
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22. PARTOGRAM RECORDING Labour progress Recording the uterine on the partogram 5 strong contractions in 10 minutes 2 weak contractions in 10 minutes 3 moderate contractions in 10 minutes Nos. of Contraction in 10 mins
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25. PARTOGRAM RECORDING Latent phase Analyzing the progress of labour from the partogram + + + + + If progress is satisfactory the plotting will remain on or to the left of the alert line. If labour is not progressing normally the plotting will be to the right of the alert line. Active phase
26. PARTOGRAM RECORDING Latent phase LABOUR PATTERNS Normal labour Prolonged latent phase Primary dysfunctional labour Secondary arrest Active phase
27. THANK YOU PROF DR MN MOHD AZHAR ROYAL COLLEGE OF MEDICINE PERAK RECORDING PROGRESS OF LABOUR - PARTOGRAM