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Partogram: A Record of The Progress of Labour and Relevant Details of The Mother and Fetus

The document describes a partogram, which is a record used to monitor the progress of labor and the health of the mother and fetus. It includes sections to document information about the mother, fetal well-being, labor progress, medications, and maternal health. Key components that are tracked include cervical dilation, fetal heart rate, uterine contractions, maternal vital signs, and flags for abnormal labor progress. The partogram is intended to allow healthcare providers to monitor labor and identify any complications.

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Shafiah Aqilah Mohd Jamal
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
156 views

Partogram: A Record of The Progress of Labour and Relevant Details of The Mother and Fetus

The document describes a partogram, which is a record used to monitor the progress of labor and the health of the mother and fetus. It includes sections to document information about the mother, fetal well-being, labor progress, medications, and maternal health. Key components that are tracked include cervical dilation, fetal heart rate, uterine contractions, maternal vital signs, and flags for abnormal labor progress. The partogram is intended to allow healthcare providers to monitor labor and identify any complications.

Uploaded by

Shafiah Aqilah Mohd Jamal
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Partogram

A record of the progress of labour and relevant details of the mother


and fetus
Partograph
Components of partogram
• Mother information
• Fetal well-being - Fetal heart rate, Liquor, Moulding
• Labour progress - Dilatation, Descent, Uterine contractions
• Medications - Oxytocin, Analgesics
• Maternal well-being - Blood Pressure, Pulse, Temperature, Urine
Mother information
• Name
• Age
• Parity
• Gestation
• Date & time of admission
• Time of membrane rupture
• Brief antenatal history
Fetal well-being
• Fetal heart rate - 1 minute every 30 minutes (after a contraction)
• Liquor:
• Membrane intact = I
• Membrane ruptured - Clear liquor = C
- Meconium stained liquor = M
- Absent liquor = A
• Moulding:
• 0 = bones are separated and sutures can be easily felt
• + 1 = bones are just touching each other
• + 2 = bones are overlapping but can be reduced
• + 3 = bones are severely overlapping and irreducible.
Labour progress
• Dilatation = X
• Latent - less than 4 cm
• Active - 4 cm and above
• Descent = O
• refers to the part of the head palpable above the symphysis pubis
• +5, +4, +3, +2, +1, 0, -1, -2, -3, -4, -5
• Uterine contractions
• number of contractions in 10 minutes, duration in seconds
• < 20 seconds, 20–40 seconds, > 40 seconds
Medications
• Oxytocin: record the amount (in units) of oxytocin per volume of IV
fluids, and the number of drops per minute, every 30 minutes when
used.
• Drugs given: record any additional drugs given.
Maternal well-being
• Record pulse rate - every 30 minutes
• Blood pressure and temperature - every 4 hours
• Urine output and dipstick testing for protein, ketones (if available)
and glucose - every time passing urine
• Record all fluids (Input/Output)
Analysis of labor progress
• Satisfactory progress – plotting remain left of alert line
• Abnornal progress – plotting cross to right of alert line
• Types of progress
• Normal labour
• Prolonged latent phase
• Primary dysfunctional labour
• Secondary arrest
Abnormal progress
• Prolonged latent phase (>8hrs – nullip, >6hrs – multip)
• Risk of maternal exhaustion
• Increased risk of uterine infection (chorioamnionitis)
• Primary dysfunctional labour
• Cervical dilatation > 4cm (active phase)
• Dilatation < 1cm / hour
• Secondary arrest (in active phase)
• Cephalopelvic disproportion (CPD)
• Absolute – Anatomical
• Relative – Malposition

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