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Understanding the Partograph Usage

This document outlines how to monitor labor progress using a partograph. The partograph allows monitoring of cervical dilation, contractions, and maternal and fetal well-being to intervene if needed. It involves assessing progress every 4 hours and hourly monitoring of fetal heart tone, contractions, and other findings like amniotic fluid color. Alert lines on the partograph indicate when closer monitoring or referral is needed to avoid risks to the mother and baby.

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LEAH DENNESSE DIAMANTE
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14 views12 pages

Understanding the Partograph Usage

This document outlines how to monitor labor progress using a partograph. The partograph allows monitoring of cervical dilation, contractions, and maternal and fetal well-being to intervene if needed. It involves assessing progress every 4 hours and hourly monitoring of fetal heart tone, contractions, and other findings like amniotic fluid color. Alert lines on the partograph indicate when closer monitoring or referral is needed to avoid risks to the mother and baby.

Uploaded by

LEAH DENNESSE DIAMANTE
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

*The useful tool for monitoring the

progress of labor.
*To intervene in a timely manner to
avoid maternal and neonatal
morbidity or mortality
*To ensure close monitoring of the
woman in labor

*
*
1. Assessment of progress of labor
- Cervical dilatation
- Contractions (duration, interval, frequency)
- Alert and action lines
2. Assessment of maternal well being
- Pulse, temperature, blood pressure
- Urine voided
*
3. Assessment of fetal well being
- Fetal heart rate and pattern
- Color of amniotic fluid
*
* The upper colored
portion is where the
progress of labor is
plotted.

* The lower portion is


where observations of
the maternal and fetal
well-being are written.
*Plotting cervical dilatation when labor is in
active phase

*MONITOR EVERY 4 HOURS ( or more frequently


if necessary)
*- vital signs : BP, temperature, PR and cervical
dilatation

*
MONITOR EVERY HOUR :
-FHT, frequency, intensity and duration of
contractions, woman’s mood and behavior

OTHER FINDINGS TO RECORD


-Vaginal bleeding (0, +,++, +++)
-Time membranes ruptured
- “ I “ if membranes are intact

*
* - Color of amniotic fluid
* “ C “ membranes are ruptured and
amniotic fluid is clear
* “ M” amniotic fluid is meconium stained
* “ A” amniotic fluid is absent
* “ B “ amniotic fluid is bloody
*- urine voided (yes,no)

*
*Reassess woman and consider criteria for
referral
*Alert transport services
*Empty bladder
*Ensure adequate hydration but omit solid foods
*Encourage upright position and walking if
woman wishes
*Monitor intensively
*Refer urgently to an BEMONC
facility unless delivery is
imminent

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