Dr.

KRUTHI

PARTOGRAM

DEFINITION
Partograph is a complete graphical record 0f

cervical dialatation and descend of the head against duration of labor in hours.

COMPONENTS
At the top of the partogram is mothers

information such as Name Age Date of admission EDD Parity .

FETAL HEART RATE

The top most section is used for the recording of the fetal heart rate Which is done every half an hour in between the contractions .

LIQUOR
The state of the

membranes and color of the liquor. The intact membranes are indicated as I If the membranes are ruptured date and time of the rupture is noted . Clear liquor is noted by C and neconium stained liquor is indicated by M.

CERVICAL DIALATATION AND DESCENT

 The cervical dialatation and descent of the fetal

head is noted in the next part of partogram . The first vaginal examination is to be done on the admission to the labor ward . The cervical dialatation in centimetres and records at the start of the chart , the zero time on the chart on the x axis . Examinations ar done every 4 hours , preferably every 2 hours in the active stage and plotted on the chart.

 The station of the fetal head in relation to the ischial spine is noted in the o axis .

 This part of the partograph contains 2 arbitary lines - alert line and action line. If labour progress well plotting of cervical dilatation should always remain to the

left of alert line.

If it cross to right of

action line this warns that labour may be prolonged.

UTERINE CONTRACTIONS
Uterine contractions are marked in the 5 squares of the vertical in column according to duration and intensity. The number of contractions in a 10 minute periods is noted in the

appropriate number of squares .

Weak contractions

Moderate
Strong

OXYTOCIN
Oxytocin : concentration in the upper line and dose rte of infusion drops per minute in the bottom line are noted .
IV fluids and any other drugs given in the labor period are noted .

MATERNAL CONDITION
Maternal blood pressure

,pulse are noted in the next column. Urine : each time patient passes urine amount is noted ketone bodies and protein. If catheterization performed it is recorded as C. Temperature.

ADVANTAGES
A single sheet of paper can provide details of

necessary informations required at a glance. Easier . It predicts the deviation from the normal duration of labour. Appropriate steps can be taken in time . Facilitates handover formalities

 Introduction of partogram in management of

labour by WHO 1994 has reduced the prolonged labour and caesarean section. There is improvement in maternal morbidity , perinatal morbidity and mortality

THANK YOU