PARTOGRAPH
DEFINITION
A partograph
is a composite
graphical record of
cervical dilatation
and descent of
head against
duration of labour
in hours.
ADVANTAGES OF PARTOGRAM
To assess labor at glance, early detection of abnormal
progress of labor
Prevention of prolonged labor
Recognition of CPD long before obstructed labor
Reduce incidence of CS rate
Highly effective in reducing complications
Make observation & recording of Feto-maternal condition
more objectively
DISADVANTAGES OF
PARTOGRAM
Clinical
Assumes
findings
that all May have Lack of
women influence
subjectiv knowled
progress interventi
on rate e ge
at same
variation
rate
s
PRINCIPLES OF PARTOGRAM
Active phase of labour commences at 3cm cervical
dilatation.
Latent phase of labour should not last longer than
8 hours
During active labour, the rate of cervical dilatation
should not be slower than 1 cm/hour
Vaginal examination should be performed as
frequently, can be done once in 2 - 4 hours
Uterine activity and fetal heart rate are assessed
every 30 minutes
It should be used for all women in established
labour
COMPONENTS OF PARTOGRAPH
PARTOGRAPH RECORDINGS
PARTOGRAPH RECORDINGS
PARTOGRAPH RECORDINGS
PARTOGRAPH RECORDINGS
PARTOGRAPH RECORDINGS
PARTOGRAPH RECORDINGS
PARTOGRAPH RECORDINGS
PARTOGRAPH RECORDINGS
FETAL HEAD DESCENT
PARTOGRAPH RECORDINGS
PARTOGRAPH RECORDINGS
OXYTOCIN DRIP
Record the amount of
oxytocin per volume IV
of fluids in drop per
minute every 30
minutes when used.
Record the drugs
given;
Record any additional
drugs given.
PARTOGRAPH RECORDINGS