What is the importance of partograph?
A partograph is a tool used to monitor labor and prevent prolonged and obstructed labor focusing on observations related to maternal, fetal condition and labor progress.
How is partograph used in labour monitoring?
When you record the findings on the partograph, make sure that:
- You use one partograph form per each labouring mother.
- You start recording on the partograph when the labour is in active first stage (cervical dilation of 4 cm and above).
How does a partograph help prevent obstructed labour?
This tool is recommended for routine monitoring of labor to provide an early warning system. The partograph helps the care provider to identify slow progress in labor early, and to initiate appropriate interventions to prevent prolonged and obstructed labor.
What are the principles of partograph?
It is based on the following principles: The active phase of labour commences at 3 cm cervical dilatation. The latent phase of labour should last not longer than 8 hours. During active labour, the rate of cervical dilatation should be not slower than 1 cm/hour.
How does a partogram work?
A partogram or partograph is a composite graphical record of key data (maternal and fetal) during labour entered against time on a single sheet of paper. Relevant measurements might include statistics such as cervical dilation, fetal heart rate, duration of labour and vital signs.
What is Moulding in labour?
The extent of overlapping of fetal skull bones is called moulding, and it can produce a pointed or flattened shape to the baby’s head when it is born (Figure 4.5). Figure 4.5 Normal variations in moulding of the newborn skull, which usually disappears within 1–3 days after the birth.
What is partogram in labour?
The partograph is a tool for monitoring maternal and foetal wellbeing during the active phase of labour, and a decision-making aid when abnormalities are detected. It is designed to be used at any level of care.
What is Action Line in Partograph?
A number of common partogram designs follow the work of Philpott and Castle’ and most incorporate an action line. An action line allows unambiguous diagnosis of prolonged labour, enabling the timing of intervention to be based on the rate of cervical dilatation.
What is documented on a partogram?
Maternal assessment. • Record maternal blood pressure, pulse, temperature, respirations, and other. observations (e.g. reflexes, blood sugar levels) on the graph at the top of the. partogram.
What are the 7 cardinal movements of labor?
Anglo-American literature lists 7 cardinal movements, namely engagement, descent, flexion, internal rotation, extension, external rotation, and expulsion.
What is simplified partograph?
The Paperless Partogram: A Simplified Tool to Prevent Prolonged Labor. The goal is to alert clinicians of slow progress in labor so that they can intervene to prevent prolonged labor. The partograph is a low-cost tool for saving the lives of mothers and babies.
How is the partograph used in labour monitoring?
The partograph is used as part of an approach to labour monitoring. As such, the partograph by its nature is a complex intervention, relying on a number of factors for effective use, including interaction between a number of causal relations, behaviors and outcomes [11].
What is the objective of the partogram study?
Objective: To determine the effect of partogram on the frequency of prolonged labour, augmented labour, operative deliveries and whether appropriate interventions based on the partogram will reduce maternal and perinatal complications.
What is the purpose of the partograph in health care?
The purpose of the partograph is to enable health professionals to monitor wellbeing and progress in labour and provide timely intervention when required (see Fig. 1).
Is there evidence that the partograph is effective?
Evidence of partograph effectiveness is inconclusive; a Cochrane review suggested that overall use of the partograph did not significantly impact on a number of specified outcomes [ 2 ]. However, included trials were methodologically limited; were mainly conducted in high-income settings; and may not have included all relevant outcomes.