GNM 3rd YEAR B.SC (N) 4th YEAR

1. MS. BEENAVAZA

2. INTRODUCTION
•In developing countries, like india partograph is being
widely used during labour process.
•It is a very useful instruments that provides optimum results
if employed properly in labour management by obstetrics
caregiver.
•Partograph is a graphical record which is used for
monitoring the process of first stage of labour.

3. DEFINITION
•Partograph is prepared on single page by the
obstetrics caregiver which is helpful for her in
monitoring the progress of labour.
•It also provides information about health status of
the woman and her fetus.

4. PURPOSES
•To detect abnormal progress of labour at early stage.
•To make the assessment of pregnant woman and her fetus
more qualitatively and regularly during labour process.
•To make appropriate decision during abnormal progress of
labour that is refer, augmentation or termination.

6. COMPONENTS
1. IDENTIFICATION DATA OF PREGNANTWOMAN
• Name of woman
• Name of husband
• Age
• Parity
• Registration number
• Date &Time of admission
• Date &Time of Rupter of Membrane

7. CONT…
2. Fetal heart rate
3. Colour of amniotic fluid – It is mentioned as follow:
- If fluid is clear then ‘C’
- If it is meconium stained then ‘M’
- If fluid is absent even after rupture of membranes the ‘I’
4. Cervical dilatation
5. Number of uterine contraction per 10 minute and intensity like,
mild, moderate, severe.
6. Status of membrane like, Ruptured or Intact

8. CONT…
7. Drugs and IV fluid given to the pregnant woman.
8. Maternal BP and pulse rate
9. Maternal temperature.

9. ALERT LINE & ACTION LINE
•In the partograph, in the section of cervical
dilatation, there are two diagonal lines –
1. ACTION LINE
2. ALERT LINE

10. CONT…
•The alert line starts at 4 cm of cervical dilatation, travels
diagonally upwards and ends at 10cm dilatation.
•Parallel to alert line on right side, action line is drawn 4 hour
to the right of the alert line.
•These two lines are designed to warn the obstetrics
caregiver to take appropriate step if any abnormal condition
arises.

11. CONT…
•In case of normal progression of labour, the line indicating
the cervical dilatation should be either on left side of the
alert line or on the line.
•If this line is found between the alert and action line, then
labour progress should be assessed closely. It indicates an
abnormal condition.
•It the line is found right of the action line than it indicates an
emergency condition is to be made either for induction of
labour or caesarean section.

12. ADVANTAGES
• It is helpful in early recognition of feto-maternal problems
• It is helpful in reducing incidences of prolonged labour and caesarean
section.
• It is helpful in detecting abnormal progress of labour at early stage.
• It guided the obstetric caregiver in making appropriate decision during
abnormal that is refer, augmentation or termination.
• Partograph contains various informations regarding progress of labour,
fetal condition and maternal condition on a single sheet of paper.
• It helpful in reducing maternal morbidity and mortality, and perinatal
morbidity and mortality.