Partograph Exercises
Partograph Exercises
Partograph Exercises
Maria Cruz, a 23-year-old, Gravida 2 Para 1 was admitted today at 2am, IE showed a 5cm dilated cervix, cephalic, intact bag of
water. Vital signs of BP=110/70mmHg, PR=88bpm, T=36.2 and FHT=140bpm. She had 3 contractions in 10 minutes with a
moderate intensity. At 6am, the bag of water ruptured with clear amniotic fluid. IE showed 8cm dilated cervix. Vital signs of
BP=120/80 mmHg, PR=90bpm, T=36.5 and FHT=146bpm. At 8am, cervix was 9 cm. She delivered spontaneously at 8:30 am.
10 units oxytocin was given IM. Placenta was delivered complete at 8:35 am.
Case 2
Frances Rogers, a 26-year-old, Gravida 1 Para 0 was admitted in labor room at 14:00. On abdominal examination the
contractions were 2 in 10 minutes, each lasting 20 seconds. The head was 5/5 above the brim and the fetal heart was 130/min.
On vaginal examination the cervix was 2 cm dilated, membranes were intact, no moulding felt. Vital Signs of blood pressure was
110/70 mmHg; her pulse 78/min; temperature 36.6°C. She passed 100 ml of urine; protein and acetone were negative. At 18:00
an abdominal and vaginal examination was carried out. Fetal heart rate of 140/min. IE showed 5 cm dilated, descent of the head
3/5 above the brim, ruptured membrane with clear amniotic fluid, no moulding noted. Upon abdominal palpation, uterine
contractions of 3 in 10 minutes, each lasting 50 seconds. Vital Signs of blood pressure of 105/70 mmHg; pulse 80/min,
temperature 37°C.