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Who Labour Care Guide

This document is a WHO Labour Care Guide used to monitor and record details of a woman's labour and delivery. It includes spaces to record information such as fetal position, cervical dilation, descent of the baby, contractions, medications and more over the course of labour. Midwives and doctors use this guide to assess progress and identify any alerts that may require further action. The goal is to provide supportive care for both the woman and baby during this important process.

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832 views1 page

Who Labour Care Guide

This document is a WHO Labour Care Guide used to monitor and record details of a woman's labour and delivery. It includes spaces to record information such as fetal position, cervical dilation, descent of the baby, contractions, medications and more over the course of labour. Midwives and doctors use this guide to assess progress and identify any alerts that may require further action. The goal is to provide supportive care for both the woman and baby during this important process.

Uploaded by

zeus balagtas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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WHO LABOUR CARE GUIDE

Name Parity Labour onset Active labour diagnosis [Date ]

Ruptured membranes [Date Time ] Risk factors

Time : : : : : : : : : : : : : : :
Hours 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3

ALERT ACTIVE FIRST STAGE SECOND STAGE


SUPPORTIVE CARE

Companion N

Pain relief N

Oral fluid N

Posture SP

Baseline <110, ≥160


FHR
FHR L
deceleration
Amniotic fluid M+++, B
BABY

Fetal position P, T

Caput +++

Moulding +++

Pulse <60, ≥120

Systolic BP <80, ≥140


WOMAN

Diastolic BP ≥90
<35.0,
Temperature ºC ≥ 37.5
Urine P++, A++

Contractions ≤2, >5


per 10 min
Duration of <20, >60
contractions

10
9 ≥ 2h In active first stage, plot ‘X’ to
Cervix 8 ≥ 2.5h record cervical dilatation. Alert
LABOUR PROGRESS

[Plot X] triggered when lag time for


7 ≥ 3h current cervical dilatation is
6 ≥ 5h exceeded with no progress. In
second stage, insert ‘P’ to indicate
5 ≥ 6h when pushing begins.

5
4
Descent 3
[Plot O]
2
1
0

Oxytocin (U/L, drops/min)


MEDICATION

Medicine

IV fluids
SHARED DECISION-MAKING

ASSESSMENT

PLAN

INITIALS

INSTRUCTIONS: CIRCLE ANY OBSERVATION MEETING THE CRITERIA IN THE ‘ALERT’ COLUMN, ALERT THE SENIOR MIDWIFE OR DOCTOR AND RECORD THE ASSESSMENT AND ACTION TAKEN.IF LABOUR EXTENDS BEYOND 12H, PLEASE CONTINUE ON A NEW LABOUR CARE GUIDE.
Abbreviations: Y – Yes, N – No, D – Declined, U – Unknown, SP – Supine, MO – Mobile, E – Early, L – Late, V – Variable, I – Intact, C – Clear, M – Meconium, B – Blood, A – Anterior, P – Posterior, T – Transverse, P+ – Protein, A+ – Acetone

© World Health Organization, 2021. Some rights reserved. Licence (CC BY-NC-SA 3.0 IGO). The WHO Labour Care guide should be used in conjunction with the User’s Manual. Responsibility for the interpretation and use of the material lies with the reader. In no event shall the WHO be liable for
damages arising from its use.

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