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    NCM 1-7 L The Partograph

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    conahs nasugbu
    The partograph is a tool recommended by the WHO to monitor labor progress and identify when intervention is needed. It tracks cervical dilation, fetal descent, uterine contractions, fetal heart rate, and maternal vitals over time. The active phase of labor begins at 3cm dilation and plotting starts at 4cm. During active labor, dilation should be at least 1cm/hour to avoid unnecessary intervention. The partograph helps prevent prolonged labor and its risks while improving maternal and neonatal outcomes.

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    NCM 1-7 L The Partograph

    Uploaded by

    conahs nasugbu
    48 views8 pages
    The partograph is a tool recommended by the WHO to monitor labor progress and identify when intervention is needed. It tracks cervical dilation, fetal descent, uterine contractions, fetal heart rate, and maternal vitals over time. The active phase of labor begins at 3cm dilation and plotting starts at 4cm. During active labor, dilation should be at least 1cm/hour to avoid unnecessary intervention. The partograph helps prevent prolonged labor and its risks while improving maternal and neonatal outcomes.

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    The partograph

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    Ncm 1-7 l the Partograph

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    The partograph is a tool recommended by the WHO to monitor labor progress and identify when intervention is needed. It tracks cervical dilation, fetal descent, uterine contractions, fetal heart rate, and maternal vitals over time. The active phase of labor begins at 3cm dilation and plotting starts at 4cm. During active labor, dilation should be at least 1cm/hour to avoid unnecessary intervention. The partograph helps prevent prolonged labor and its risks while improving maternal and neonatal outcomes.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    48 views8 pages

    NCM 1-7 L The Partograph

    Uploaded by

    conahs nasugbu
    The partograph is a tool recommended by the WHO to monitor labor progress and identify when intervention is needed. It tracks cervical dilation, fetal descent, uterine contractions, fetal heart rate, and maternal vitals over time. The active phase of labor begins at 3cm dilation and plotting starts at 4cm. During active labor, dilation should be at least 1cm/hour to avoid unnecessary intervention. The partograph helps prevent prolonged labor and its risks while improving maternal and neonatal outcomes.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 8

    THE PARTOGRAPH:

    MONITORING WOMAN IN LABOR


    PARTOGRAPH
     A tool advocated by WHO to be used by the nurse, midwife
    and the medical doctor to assess the progress of labor and to
    identify when intervention is necessary.

     The partograph must be started only when the woman is in


    the active phase labor with cervical dilatation of more than
    3cm (plotting – starts at 4cm) and uterine contractions of
    two or more within 10 minutes, each lasting 20 seconds or
    more.
    3 components of the Partograph
    1. Progress of Labor - Monitoring uses parameters cervical
    dilatation, descent of fetal head, and uterine contractions.

    2. Fetal Condition – monitoring uses parameters fetal heart


    rate, amniotic membranes and liquor, and molding of fetal
    skull.

    3. Maternal Condition – monitoring uses parameters pulse,


    blood pressure, temperature, urine, drugs, IV fluids and
    oxytocin.
    Some principles observed in the use of
    the partograph
     The active phase of labor commences at 3cm cervical
    dilatation. Plotting in the partograph is started when the
    cevix is 4cm dilated.

     The latent phase of labor should not last longer than 8 hours
    in the primigravidae, when the cervix dilates at a rate of 1cm
    per hour.

     In the multigravidae, the latent phase lasts for about 4 hours,


    when the cervix dilates at the rate of 1.5 cm per hour. In
    multigravidae, cervical effacement and dilatation occur
    simultenously.
    Some principles observed in the use of
    the partograph
     During active labor, the rate of cervical dilatation should be
    not slower than 1cm per hour.

     A lag of 4 hours between a slowing of labor and the need for


    intervention is unlikely to compromise the fetus or the
    mother and avoids unnecessary intervention.

     Vaginal examination should be performed as infrequently as


    is compatible with safe practice; once every 4 hours is
    recommended.
    Some principles observed in the use of
    the partograph
     The partograph shows graphically the rate of progress of
    labor.
    o The rate of cervical dilatation
    o The rate of fetal head descent
    o The duration and frequency of uterine contractions
    o Monitoring vital signs

    • Palpation of uterine contractions is done every half hour in the


    active phase (every hour in the latent phase). With the
    partograph, there are only two observations made,
    FREQUENCY and DURATION of uterine contractions.
    Some principles observed in the use of
    the partograph
     In uterine contraction monitoring, the number of contractions in
    10 minutes is recorded. In the active phase, the partograph should
    be started when contractions last more than 20 seconds and with
    two or more contractions in 10 minutes.

     With the partograph, listening to the FHR is done immediately


    after a contractions with the woman in lateral position. FHR is
    recorded every half hour in the first stage of labor.

     The partograph should be enlarged to full size before use.


    Values of the partograph
     The Prevention of prolonged or augmented labor:
    - Reduced risk of postpartum hemorrhage
    - Sepsis
    - Obstructed labor
    - Uterine rupture

    • Improvement in maternal outcomes: Reduced number of


    augmented labor and operative interventions like cesarean section.

    • Improvement in neonatal outcomes: reduced intrapartum fetal


    deaths and neonatal morbidity.

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