Partograph
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The partograph is a graphical record used to monitor labor and detect potential complications. It includes sections to record patient details, fetal condition, labor progress, and maternal condition over time. Key components are cervical dilation and fetal descent plotted against time-lines to identify abnormal labor progression. Crossing the alert line indicates the need for action to expedite delivery. By combining all necessary observations on one sheet, the partograph increases quality of monitoring and serves as an early warning system to guide decisions about labor management.
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Who partograph
This document provides information about the WHO partograph, including:
- The partograph is a graphical record used to monitor labor progress and the condition of the mother and fetus. It was developed by the WHO.
- The history of the partograph is described, from Friedman's original version in 1954 to later refinements by Philpott and Castle in 1972 who introduced alert and action lines.
- The components of the modern partograph are outlined, including sections to monitor fetal condition, labor progress, and maternal condition. Key indicators like cervical dilation, fetal position, and uterine contractions are plotted over time.
- Guidelines for interpreting labor progress using the partograph and determining appropriate actions are provided, such as transferring or
Partogram by Dr Uttara Gupta
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.
Who partograph
The document discusses the partograph, a graphical record used to monitor labor. It was developed by the WHO to allow early detection of abnormal labor progress.
The partograph includes sections to monitor the fetal condition, labor progress, and maternal condition over time. It graphs cervical dilation against time to identify normal vs prolonged labor. Lines are included to indicate when extra vigilance or interventions are needed.
The partograph aims to prevent prolonged labor and its complications by allowing early decision making about transfers, augmentations, or terminations. Its use requires adequate training but it can effectively reduce problems from prolonged labor for both mother and baby when properly implemented.
Whopartograph
The document provides an overview of the partograph, which is a graphical record used to monitor the progress of labor and the condition of the mother and fetus. It describes the history and development of the partograph, including Friedman's original partogram from 1954 and later modifications by Philpott and Castle that introduced alert and action lines. The WHO partograph is explained in detail, outlining its components for monitoring fetal condition, labor progress, and maternal condition. Guidelines are provided for normal labor progression and management based on the partograph, as well as how to identify and respond to abnormal labor progress. Key considerations for using oxytocin augmentation are also reviewed.
Partograph
This document discusses the partograph, which is a composite graphical record used to monitor labor. It is used to assess the progress of normal and abnormal labor and the fetal response. The partograph allows providers to visualize cervical dilation over time and identify issues early. It includes components like maternal information, fetal well-being, labor progress, medications, and maternal condition. Using a partograph has benefits like early detection of problems, prevention of prolonged labor, and improved outcomes for mothers and babies.
Whopartograph
The document provides an overview of the WHO partograph, which is a graphical record used to monitor the progress of labor and the condition of the mother and fetus. It describes the history and development of the partograph, including Friedman's original design from 1954 and later additions by Philpott and Castle in 1972, who introduced the "alert line" and "action line". The document then explains the components, objectives, and proper use and interpretation of the partograph to monitor labor progress and determine if intervention is needed.
Partograph
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)
Partograph
This is Vanitha.Ch , working as a Assistant professor. I prepared the content related to new simplified partograph which is using in government hospitals as routine in labour room... most of the people not aware about different types of partogram as well as new partograph..even in the BSc nursing 3rd and 4th year curriculum it is mentioned , it will help the students to enhance their knowledge.
Recommended
Who partograph
This document provides information about the WHO partograph, including:
- The partograph is a graphical record used to monitor labor progress and the condition of the mother and fetus. It was developed by the WHO.
- The history of the partograph is described, from Friedman's original version in 1954 to later refinements by Philpott and Castle in 1972 who introduced alert and action lines.
- The components of the modern partograph are outlined, including sections to monitor fetal condition, labor progress, and maternal condition. Key indicators like cervical dilation, fetal position, and uterine contractions are plotted over time.
- Guidelines for interpreting labor progress using the partograph and determining appropriate actions are provided, such as transferring or
Partogram by Dr Uttara Gupta
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.
Who partograph
The document discusses the partograph, a graphical record used to monitor labor. It was developed by the WHO to allow early detection of abnormal labor progress.
The partograph includes sections to monitor the fetal condition, labor progress, and maternal condition over time. It graphs cervical dilation against time to identify normal vs prolonged labor. Lines are included to indicate when extra vigilance or interventions are needed.
The partograph aims to prevent prolonged labor and its complications by allowing early decision making about transfers, augmentations, or terminations. Its use requires adequate training but it can effectively reduce problems from prolonged labor for both mother and baby when properly implemented.
Whopartograph
The document provides an overview of the partograph, which is a graphical record used to monitor the progress of labor and the condition of the mother and fetus. It describes the history and development of the partograph, including Friedman's original partogram from 1954 and later modifications by Philpott and Castle that introduced alert and action lines. The WHO partograph is explained in detail, outlining its components for monitoring fetal condition, labor progress, and maternal condition. Guidelines are provided for normal labor progression and management based on the partograph, as well as how to identify and respond to abnormal labor progress. Key considerations for using oxytocin augmentation are also reviewed.
Partograph
This document discusses the partograph, which is a composite graphical record used to monitor labor. It is used to assess the progress of normal and abnormal labor and the fetal response. The partograph allows providers to visualize cervical dilation over time and identify issues early. It includes components like maternal information, fetal well-being, labor progress, medications, and maternal condition. Using a partograph has benefits like early detection of problems, prevention of prolonged labor, and improved outcomes for mothers and babies.
Whopartograph
The document provides an overview of the WHO partograph, which is a graphical record used to monitor the progress of labor and the condition of the mother and fetus. It describes the history and development of the partograph, including Friedman's original design from 1954 and later additions by Philpott and Castle in 1972, who introduced the "alert line" and "action line". The document then explains the components, objectives, and proper use and interpretation of the partograph to monitor labor progress and determine if intervention is needed.
Partograph
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)
Partograph
This is Vanitha.Ch , working as a Assistant professor. I prepared the content related to new simplified partograph which is using in government hospitals as routine in labour room... most of the people not aware about different types of partogram as well as new partograph..even in the BSc nursing 3rd and 4th year curriculum it is mentioned , it will help the students to enhance their knowledge.
Partogram by dr alka mukherjee dr apurva mukherjee nagpur m.s. india
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 The function of the partograph is to monitor the progress of labor and identify and intervene in cases of abnormal labor.
Even though the partograph has been utilized for over four decades in obstetric practice, reports of obstructed labor and its serious maternal and fetal sequelae have questioned the efficacy of the partograph at times. Moreover, evidence of efficacy of partograph is equivocal as suggested by a Cochrane review However, some of the trials studied in this Cochrane review have limitations with respect to the settings, population studied and conduct of labor. The partograph is an “easy-to-use” tool, but if not used correctly it will affect the final outcome.
In this context, we aim to decipher the efficacy and the utility of the partograph in the contemporary conduct of childbirth across all resource settings and health-care personnel and to suggest solutions to further enhance its efficacy in the optimizing labor outcomes.
The development of partograph provided health workers a pictorial overview of labor which can identify pathological labor to allow early intervention.
Most guidelines for normal human labor progress are derived from Friedman’s clinical observations of women in labor. In 1954, he introduced the concept of partogram by graphically plotting cervical dilatation against time. The curve obtained was a sigmoid curve. He divided the first stage of labor into latent phase and active phase. Active phase was further divided into acceleration, maximum slope and deceleration. From his observations, he obtained the following values
WHO has recommended use of the partograph, a low-tech paper form that has been hailed as an effective tool for the early detection of maternal and fetal complications during childbirth. Yet despite decades of training and investment, implementation rates and capacity to correctly use the partograph remain low in resource-limited settings. Nevertheless, competent use of the partograph, especially using newer technologies, can save maternal and fetal lives by ensuring that labor is closely monitored and that life-threatening complications such as obstructed labor are identified and treated. To address the challenges for using partograph among health workers, health-care systems must establish an environment that supports its correct use. Health-care staff should be updated by providing training and asking them about the difficulties faced at their health center. Then only the real potential of this wonderful tool will be maximally utilized
Partogram
The document discusses the use of the partogram to monitor labor progress. It describes the phases of labor including the latent phase, active phase, second stage, and third stage. It provides details on normal durations and cervical dilation rates. The partogram is useful for charting cervical dilation, contractions, descent of the fetal head, and identifying prolonged or abnormal labor that may require interventions like augmentation or C-section. Prolonged phases can be caused by issues like CPD, fetal malposition, or insufficient contractions.
Maternal Care: Skills workshop Recording observation on the partogram
Maternal Care addresses all the common and important problems that occur during pregnancy, labour, delivery and the puerperium. It covers: the antenatal and postnatal care of healthy women with normal pregnancies, monitoring and managing the progress of labour, specific medical problems during pregnancy, labour and the puerperium, family planning, regionalised perinatal care
THE PARTOGRAM
This document provides guidance on how to correctly record information on a partogram, which is used to monitor the progress of labor. It discusses recording the condition of the mother, fetus, and progression of labor through cervical dilation, fetal position, and other metrics. Examples are given of how to record findings from three case studies on the partogram under different scenarios in the latent and active phases of labor, and whether labor is progressing normally or requires additional intervention. The importance of careful monitoring for signs of fetal distress is also emphasized.
PARTOGRAPH FOR BEGINEERS
The partograph is a monitoring and decision-making tool used to monitor labor and identify complications early. It provides a single sheet that graphically records the progress of labor, as well as the maternal and fetal conditions, allowing providers to monitor labor at a glance. Key information recorded on the partograph includes cervical dilation, fetal heart rate, uterine contractions, maternal vital signs, and status of the amniotic sac. Crossing of delineated alert or action lines indicates abnormal labor requiring potential interventions or referral.
Partograph- Made easy for undergraduates
Partograph is very important tool for monitoring the progress of labour. In this presentation it is very easily expalined how to plot a partograph.
Partogram
A partogram is a graphical chart used to monitor and record the progress of labor. It allows healthcare providers to monitor factors like cervical dilation, fetal descent, fetal heart rate, uterine contractions and maternal vital signs over time. Recording this information on a partogram helps providers identify delays in labor progression early. It is recommended that a partogram be used to record the progress of all women in labor, whether low or high risk. Proper documentation on the partogram is important for continuity of care, decision making, research, review and defending medical actions if needed.
Partograph dr sunita
The document discusses how to use a partograph to monitor labor progress and recognize signs of slow labor. It explains that a partograph is a graphical record of labor that should be started once a woman is in active labor. The document outlines how to plot cervical dilation, descent of the baby, and other variables on the partograph. It emphasizes using alert and action lines to identify slow labor progression. If those lines are crossed, it recommends interventions like oxytocin augmentation or referral for cesarean delivery to prevent obstructed labor.
Partograph exercises
1. The document provides information on examining patients in labor, including frequency of examinations, symbols used on partographs, and examples of completed partographs for different patients.
2. It includes details on vaginal examinations like cervical dilation, fetal position and heart rate, membrane status, and descent/moulding that should be recorded regularly during labor.
3. Examples of partographs show progression of labor over time for patients with details on vital signs and fetal/maternal status.
Partograph 2019
This document defines a partograph as a graphical record of key maternal and fetal data entered against time on a single sheet during labor. It notes that the alert line on the cervicograph starts at 3 cm dilation and ends at 10 cm, following a normal rate of 1 cm/hr. The action line is drawn parallel to the alert line but 3-4 hours to the right. A normal labor trace should be on or to the left of the alert line. Abnormal traces in zone 2 require critical assessment and zone 3 cases need senior review for decisions about augmenting labor or performing a c-section. The partograph records fetal heart rate, liquor/descent, contractions/medications, and maternal vital signs to provide an
1st stage of labour
This document outlines the stages of labor and delivery. It describes:
1) The three stages of labor - effacement and thinning of the cervix in the latent phase lasting up to 16 hours, dilation to 10cm in the active phase lasting 2-6 hours, and delivery of the baby in the second stage.
2) Factors that are monitored during labor including vital signs, urine output, fetal heart rate, cervical dilation and more.
3) Abnormalities that can occur like prolonged latent phase, dysfunctional labor, or arrest of dilation.
4) Pain management options both non-pharmacological and pharmacological.
Partogram and management of 1st and 2nd stages of labor
Partogram and management of normal labor.
History.
Examination.
Fetal assessment.
Partogram.
Management during 1st stage.
Management during 2nd stage.
13 partogram
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.
Partograph
The document reviews evidence on the efficacy and use of the partograph, a tool for monitoring labor. It finds that the partograph can reduce maternal and neonatal mortality and morbidity when properly used. Specifically, studies in Tanzania found maternal mortality fell from 520 to 39 per 100,000 live births and perinatal mortality dropped after adopting the partograph for labor monitoring. However, limitations include imprecise cervical dilation assessment and variable examination frequency. Overall, the evidence supports the partograph as an effective tool when reinforced and utilized correctly.
2a intra partum care
This document discusses intrapartum care and the use of partographs to monitor labor. It describes the stages of labor and how to conduct vaginal exams to assess cervical dilation, fetal position, and other details. It emphasizes the importance of monitoring the progression of labor using a partograph to identify complications or abnormal labor. If the alert or action lines are crossed on the partograph, it indicates prolonged or obstructed labor and the need to refer the woman to a higher-level facility. The document provides guidance on supportive care during labor, pain management options, and immediate postpartum care of both mother and baby.
PARTOGRAPH
The document discusses the partograph, which is a graphical tool used to monitor labor. It provides key maternal and fetal details over time to assess the progress of labor. The partograph plots cervical dilation, fetal descent, and uterine contractions to identify delays or abnormalities. It aims to promote timely interventions if needed to prevent prolonged labor and improve neonatal outcomes. Healthcare workers are trained to record regular assessments and monitor the plot to determine if labor is progressing normally or requires augmentation or C-section.
Partograph
It is a composite graphical recording of cervical dilatation and descent of head against duration of labour in hours.
It also gives information about fetal and maternal condition that are all recorded on single sheet of paper.
The partograph case tz
The document describes how to use a partograph to monitor labor progress. A partograph should be used for all women admitted to the labor ward. It monitors cervical dilation, fetal heart rate, contractions, amniotic fluid, and any oxytocin administered. Lines on the partograph indicate when action should be taken if progress is too slow, such as artificial rupture of membranes, oxytocin augmentation, correcting malposition, or cesarean section. The partograph is an important tool for safely monitoring labor.
LABOUR MONITORING BY PARTOGRAPH BY DR SHASHWAT JANI
This document discusses the use of a partograph to monitor labor. It begins by explaining the importance of monitoring during labor to detect problems early. It then describes the components of the partograph including patient identification, fetal condition, labor progress, and maternal condition. The document outlines how to use the partograph to assess cervical dilation, descent of the fetal head, contractions and other metrics against alert and action lines to monitor labor progress and make decisions about interventions or transfers.
Partograph and labor dystocia for undergraduate
undergraduate course lectures in ob&gyne prepared by DR Manal Behery.Professor of OB&GYNE.Faculty of medicine,ZAGAZIG University
CV_myashar_2017
Mark Yashar's curriculum vitae provides information about his education and employment history. He holds a Ph.D. in Physics from UC Davis and has worked on various research projects involving astrophysics, cosmology, climate modeling, and radio astronomy. His skills include programming languages like Python, C++, and Fortran. He has experience using modeling and analysis tools in areas like atmospheric science, astronomy, and computational physics.
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Partogram by dr alka mukherjee dr apurva mukherjee nagpur m.s. india
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 The function of the partograph is to monitor the progress of labor and identify and intervene in cases of abnormal labor.
Even though the partograph has been utilized for over four decades in obstetric practice, reports of obstructed labor and its serious maternal and fetal sequelae have questioned the efficacy of the partograph at times. Moreover, evidence of efficacy of partograph is equivocal as suggested by a Cochrane review However, some of the trials studied in this Cochrane review have limitations with respect to the settings, population studied and conduct of labor. The partograph is an “easy-to-use” tool, but if not used correctly it will affect the final outcome.
In this context, we aim to decipher the efficacy and the utility of the partograph in the contemporary conduct of childbirth across all resource settings and health-care personnel and to suggest solutions to further enhance its efficacy in the optimizing labor outcomes.
The development of partograph provided health workers a pictorial overview of labor which can identify pathological labor to allow early intervention.
Most guidelines for normal human labor progress are derived from Friedman’s clinical observations of women in labor. In 1954, he introduced the concept of partogram by graphically plotting cervical dilatation against time. The curve obtained was a sigmoid curve. He divided the first stage of labor into latent phase and active phase. Active phase was further divided into acceleration, maximum slope and deceleration. From his observations, he obtained the following values
WHO has recommended use of the partograph, a low-tech paper form that has been hailed as an effective tool for the early detection of maternal and fetal complications during childbirth. Yet despite decades of training and investment, implementation rates and capacity to correctly use the partograph remain low in resource-limited settings. Nevertheless, competent use of the partograph, especially using newer technologies, can save maternal and fetal lives by ensuring that labor is closely monitored and that life-threatening complications such as obstructed labor are identified and treated. To address the challenges for using partograph among health workers, health-care systems must establish an environment that supports its correct use. Health-care staff should be updated by providing training and asking them about the difficulties faced at their health center. Then only the real potential of this wonderful tool will be maximally utilized
Partogram
The document discusses the use of the partogram to monitor labor progress. It describes the phases of labor including the latent phase, active phase, second stage, and third stage. It provides details on normal durations and cervical dilation rates. The partogram is useful for charting cervical dilation, contractions, descent of the fetal head, and identifying prolonged or abnormal labor that may require interventions like augmentation or C-section. Prolonged phases can be caused by issues like CPD, fetal malposition, or insufficient contractions.
Maternal Care: Skills workshop Recording observation on the partogram
Maternal Care addresses all the common and important problems that occur during pregnancy, labour, delivery and the puerperium. It covers: the antenatal and postnatal care of healthy women with normal pregnancies, monitoring and managing the progress of labour, specific medical problems during pregnancy, labour and the puerperium, family planning, regionalised perinatal care
THE PARTOGRAM
This document provides guidance on how to correctly record information on a partogram, which is used to monitor the progress of labor. It discusses recording the condition of the mother, fetus, and progression of labor through cervical dilation, fetal position, and other metrics. Examples are given of how to record findings from three case studies on the partogram under different scenarios in the latent and active phases of labor, and whether labor is progressing normally or requires additional intervention. The importance of careful monitoring for signs of fetal distress is also emphasized.
PARTOGRAPH FOR BEGINEERS
The partograph is a monitoring and decision-making tool used to monitor labor and identify complications early. It provides a single sheet that graphically records the progress of labor, as well as the maternal and fetal conditions, allowing providers to monitor labor at a glance. Key information recorded on the partograph includes cervical dilation, fetal heart rate, uterine contractions, maternal vital signs, and status of the amniotic sac. Crossing of delineated alert or action lines indicates abnormal labor requiring potential interventions or referral.
Partograph- Made easy for undergraduates
Partograph is very important tool for monitoring the progress of labour. In this presentation it is very easily expalined how to plot a partograph.
Partogram
A partogram is a graphical chart used to monitor and record the progress of labor. It allows healthcare providers to monitor factors like cervical dilation, fetal descent, fetal heart rate, uterine contractions and maternal vital signs over time. Recording this information on a partogram helps providers identify delays in labor progression early. It is recommended that a partogram be used to record the progress of all women in labor, whether low or high risk. Proper documentation on the partogram is important for continuity of care, decision making, research, review and defending medical actions if needed.
Partograph dr sunita
The document discusses how to use a partograph to monitor labor progress and recognize signs of slow labor. It explains that a partograph is a graphical record of labor that should be started once a woman is in active labor. The document outlines how to plot cervical dilation, descent of the baby, and other variables on the partograph. It emphasizes using alert and action lines to identify slow labor progression. If those lines are crossed, it recommends interventions like oxytocin augmentation or referral for cesarean delivery to prevent obstructed labor.
Partograph exercises
1. The document provides information on examining patients in labor, including frequency of examinations, symbols used on partographs, and examples of completed partographs for different patients.
2. It includes details on vaginal examinations like cervical dilation, fetal position and heart rate, membrane status, and descent/moulding that should be recorded regularly during labor.
3. Examples of partographs show progression of labor over time for patients with details on vital signs and fetal/maternal status.
Partograph 2019
This document defines a partograph as a graphical record of key maternal and fetal data entered against time on a single sheet during labor. It notes that the alert line on the cervicograph starts at 3 cm dilation and ends at 10 cm, following a normal rate of 1 cm/hr. The action line is drawn parallel to the alert line but 3-4 hours to the right. A normal labor trace should be on or to the left of the alert line. Abnormal traces in zone 2 require critical assessment and zone 3 cases need senior review for decisions about augmenting labor or performing a c-section. The partograph records fetal heart rate, liquor/descent, contractions/medications, and maternal vital signs to provide an
1st stage of labour
This document outlines the stages of labor and delivery. It describes:
1) The three stages of labor - effacement and thinning of the cervix in the latent phase lasting up to 16 hours, dilation to 10cm in the active phase lasting 2-6 hours, and delivery of the baby in the second stage.
2) Factors that are monitored during labor including vital signs, urine output, fetal heart rate, cervical dilation and more.
3) Abnormalities that can occur like prolonged latent phase, dysfunctional labor, or arrest of dilation.
4) Pain management options both non-pharmacological and pharmacological.
Partogram and management of 1st and 2nd stages of labor
Partogram and management of normal labor.
History.
Examination.
Fetal assessment.
Partogram.
Management during 1st stage.
Management during 2nd stage.
13 partogram
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.
Partograph
The document reviews evidence on the efficacy and use of the partograph, a tool for monitoring labor. It finds that the partograph can reduce maternal and neonatal mortality and morbidity when properly used. Specifically, studies in Tanzania found maternal mortality fell from 520 to 39 per 100,000 live births and perinatal mortality dropped after adopting the partograph for labor monitoring. However, limitations include imprecise cervical dilation assessment and variable examination frequency. Overall, the evidence supports the partograph as an effective tool when reinforced and utilized correctly.
2a intra partum care
This document discusses intrapartum care and the use of partographs to monitor labor. It describes the stages of labor and how to conduct vaginal exams to assess cervical dilation, fetal position, and other details. It emphasizes the importance of monitoring the progression of labor using a partograph to identify complications or abnormal labor. If the alert or action lines are crossed on the partograph, it indicates prolonged or obstructed labor and the need to refer the woman to a higher-level facility. The document provides guidance on supportive care during labor, pain management options, and immediate postpartum care of both mother and baby.
PARTOGRAPH
The document discusses the partograph, which is a graphical tool used to monitor labor. It provides key maternal and fetal details over time to assess the progress of labor. The partograph plots cervical dilation, fetal descent, and uterine contractions to identify delays or abnormalities. It aims to promote timely interventions if needed to prevent prolonged labor and improve neonatal outcomes. Healthcare workers are trained to record regular assessments and monitor the plot to determine if labor is progressing normally or requires augmentation or C-section.
Partograph
It is a composite graphical recording of cervical dilatation and descent of head against duration of labour in hours.
It also gives information about fetal and maternal condition that are all recorded on single sheet of paper.
The partograph case tz
The document describes how to use a partograph to monitor labor progress. A partograph should be used for all women admitted to the labor ward. It monitors cervical dilation, fetal heart rate, contractions, amniotic fluid, and any oxytocin administered. Lines on the partograph indicate when action should be taken if progress is too slow, such as artificial rupture of membranes, oxytocin augmentation, correcting malposition, or cesarean section. The partograph is an important tool for safely monitoring labor.
LABOUR MONITORING BY PARTOGRAPH BY DR SHASHWAT JANI
This document discusses the use of a partograph to monitor labor. It begins by explaining the importance of monitoring during labor to detect problems early. It then describes the components of the partograph including patient identification, fetal condition, labor progress, and maternal condition. The document outlines how to use the partograph to assess cervical dilation, descent of the fetal head, contractions and other metrics against alert and action lines to monitor labor progress and make decisions about interventions or transfers.
Partograph and labor dystocia for undergraduate
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Partogram by dr alka mukherjee dr apurva mukherjee nagpur m.s. india
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Maternal Care: Skills workshop Recording observation on the partogram
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Partogram and management of 1st and 2nd stages of labor
Partogram and management of 1st and 2nd stages of labor
LABOUR MONITORING BY PARTOGRAPH BY DR SHASHWAT JANI
LABOUR MONITORING BY PARTOGRAPH BY DR SHASHWAT JANI
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Normal and abnormal labor part 2
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Normal and abnormal labor part 1
Normal labor occurs between 37-42 weeks gestation. Preterm labor is before 37 weeks and postdate pregnancy is after 42 weeks. The longitudinal axis of the fetus relates to the long axis of the maternal uterus. The part of the fetus closest to the birth canal is the presenting part. Cervical dilation and effacement indicate the progression of labor. Contractions increase in intensity, frequency and duration as labor progresses.
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Abnormal Labour
1. Obstructed labour occurs when the baby is unable to descend through the birth canal due to issues like a small pelvis, large baby, or abnormal presentation. It can lead to prolonged labour, fetal distress, and rupture of the uterus or development of fistulas.
2. Umbilical cord prolapse is a medical emergency where the cord precedes the baby during delivery. It cuts off oxygen to the baby. Immediate delivery via c-section is usually needed to prevent brain damage or death.
3. Uterine rupture is a serious complication during labour where the uterine wall tears. It commonly occurs during labour in women with a prior c-section scar. Symptoms may include abdominal pain
abnormal labour
This document discusses abnormal labor presentations including malpositioning of the fetal head, breech presentation, and shoulder presentation. It notes increased risks to both mother and fetus compared to normal labor, especially with inexperienced personnel. Maternal risks include prolonged labor, infection, obstructed labor, trauma, and hemorrhage. Fetal risks include cord prolapse, hypoxia, infection, and trauma. Specific types of abnormal head position like occiput-posterior are described in detail including causes, diagnosis, mechanisms of labor, and treatment options. Face and brow presentations are also summarized briefly.
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Partograph is a graphical representation of the progress of labor over time. It tracks key maternal and fetal parameters including cervical dilation, fetal head descent, fetal heart rate, and uterine contractions. The normal partograph shows labor progressing at a rate of 1 cm cervical dilation per hour along an alert line, with actual labor progress falling within an action line parallel to and 4 hours to the right of the alert line. Abnormal partographs can indicate issues like a prolonged active phase, obstructed labor, or poor contractions that require intervention like oxytocin administration. The partograph is an important tool for monitoring labor and identifying risks or complications.
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The document provides information on using the WHO partograph to monitor labor progress. It describes the components of the partograph including fetal condition, labor progress, and maternal condition. It explains how to interpret the partograph and what actions to take at different stages, such as transferring a woman if she crosses the alert line or making management decisions if she reaches the action line. The purpose is to detect abnormal labor progress early so issues can be addressed promptly to prevent complications for mother and baby.
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This document discusses obstetrical ultrasound, including its history, uses, techniques, and findings. Key points include:
- Ultrasound uses sound waves and real-time imaging to safely view the fetus without radiation. It is used to date pregnancies, screen for fetal anomalies, and monitor fetal growth.
- Techniques include measuring the crown-rump length in the first trimester and biometric measurements like head circumference later on. Nuchal translucency is measured in the first trimester screen.
- Anatomy that can be evaluated includes the fetal heart, brain, limbs, placenta, and amniotic fluid level. Abnormal findings may indicate conditions like growth issues or birth defects.
PARTOGRAPH.ppt
The partograph is a tool used to monitor labor and identify complications. It consists of 3 parts to track the fetal condition, labor progress, and maternal condition over time. The document outlines the components of each part, including monitoring the fetal heart rate, cervical dilation, descent of the head, and uterine contractions. It provides a case study example of plotting findings from labor onto the partograph to assess progress.
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The document provides guidance on using and interpreting the partograph to monitor labour. It describes the key components that should be recorded including fetal heart rate, amniotic fluid, moulding, cervical dilation, descent
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This presentation includes all the events , its sign and symptoms about IOL as well as management of women in the first stage of labor and how to assess the women in labor with the help of partograph.
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This document provides an overview of obstetric ultrasound procedures and measurements. It discusses estimating gestational age using biometric measurements like crown-rump length, biparietal diameter, abdominal circumference, and femur length in each trimester. It also covers assessing fetal number, position, growth, amniotic fluid, and potential complications like placenta previa or abruption. Key ultrasound goals are determining gestational age, fetal well-being, and detecting any anomalies or complications.
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This document provides guidance on caring for women during labor and delivery. It discusses how to differentiate true labor from false labor, the three stages of labor, monitoring labor progress using a partograph, and managing the second stage of labor. Key steps include monitoring contractions and fetal heart rate, maintaining a partograph to track cervical dilation over time, encouraging an upright position and mobility in early labor, and ensuring a controlled delivery of the baby's head and shoulders with gentle assistance. Timely referral is emphasized when warning signs appear.
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This document provides guidance on caring for women during labor and delivery. It discusses how to differentiate true labor from false labor, the three stages of labor, monitoring labor progress using a partograph, and managing the second stage of labor. Key steps include monitoring contractions and fetal heart rate, maintaining a partograph to track cervical dilation over time, encouraging an upright position and mobility in early labor, and ensuring a controlled delivery of the baby's head and shoulders with gentle traction. Timely referral is emphasized when warning signs appear.
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Normal Labour and Partography
1) The document summarizes the management of normal labor and the use of the partograph to monitor labor. It describes the stages of labor, mechanisms of labor, and complications that can occur.
2) The partograph is a graphic record that aids in early detection of problems in the mother and fetus. It includes monitoring of cervical dilation, fetal descent, uterine contractions, and fetal and maternal conditions.
3) Key principles of the WHO partograph include commencing the active phase at 3cm dilation, the latent phase not exceeding 8 hours, and cervical dilation slowing to less than 1cm/hr requiring intervention.
whopartograph.ppt
This document provides information about the WHO partograph, including:
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- It was developed by the WHO to allow health workers to monitor labor and identify issues that may require intervention or transfer to a higher level of care.
- The partograph includes sections to record fetal condition, progress of labor including cervical dilation over time, and maternal condition. Crossing lines on the graph indicate when closer monitoring or actions are required.
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The partograph
A Partograph is a graphical record of progress during labor.
Progress is measured by cervical dilatation against time in hours, as well as by providing a record of the important conditions of the mother and fetus that may arise during the process
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This document discusses normal labour and delivery. It defines normal labour and outlines the factors that influence the progress of labour, including the 3 P's - power (uterine contractions), passenger (fetus), and passageway (maternal pelvis). It then describes the stages of labour, including the first stage (cervical dilation), second stage (baby's delivery), and third stage (placental delivery). It provides details on managing each stage of labour and monitoring the mother and baby throughout the process.
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Partograph
- 2. What for? • To detect abnormal labour • To indicate when augmentation of labour is appropriate • To recognize CPD long before obstruction occurs
- 3. Graphical record of key data during labor
- 4. Components Patient identification and general details Fetal record Progress of labour Maternal condition
- 5. General details • Name • Gravida • Para • Age • Hospital no. • Date of admission • Time of admission • Time of Ruptured membranes
- 6. Fetal record • Fetal heart rate (n.120-160) • Presence and absence of fetal membranes(I, R) • The nature of liquor(C, M, A, BS) • Presence of moulding of fetal skull.(0,+,++,+++)
- 7. Progress of the labour Cervical effacement and dilatation Descent of fetal head(represented as fifths palpable per abdomen) Uterine contractions – duration, frequency and strength
- 8. Alert line • Its drawn from 3 to 10 cm. (Some start it from 4cm) • Represents rate of dilation of cervix at 1cm/hr. Actionline • It is drawn 4 hours to the right and parallel to the Alert line.
- 9. Descent assessed by abdominal palpation Recorded as a circle (O) at every vaginal examination. At 0/5, the sinciput (S) is at the level of the symphysis pubis.
- 10. Maternal condition • Oxytocin regime • Drugs & IV Fluids • Pulse/ BP / Temp • Urine – volume, acetone, protein
- 11. Advantages • Increases the quality of all observations on the mother and fetus in labour • All the necessary info combined in a single sheet • Repeated recordings avoided • Serves as an “Early warning system” • Assists in early decision on transfer, augmentation, termination of labour
- 13. Advait