PARTOGRAPH

·
a fool to help in management oflabor RECORDING

.
guides birth attendant identify women
to whose labor is delayed I label the record of pertinentpatient identifying information
and therefore decide appropriate action
PLOTTING THE PROGRESS OF LABOR
For active labor only
·

cervical dilatation
·
as X mark

MONITORING DURING LABOR ·

start &4cm/more;is contracting adequately (3-4 contrac -

·
Progress oflabor tions in 10 mins.)
-

cervical dilatation
- contraction pattern

· maternal well-being I start plotting on

pulse, temperature, BP alert line in the

-
urine voided
X
.intersection
VS corresponding cervical
Fetal well-being
①
·

- >
diyan since intersection dilatation finding
-

Fetal heart rate,pattern

-color ofamniotic fluid

PARTS OFTHEPARTOGRAPH

2. indicate the time

I Kalinane
progress OF the IEwas made per line
is:1hour
labor and the
therefore,
observation was plotted
-
write this in the
Maternal,Fetal vertical line where

well-being
the x is plotted
NOT THE SPACE

connectt he x's to

↑-
demonstrate the
1594

·
3. Perform
x pattern
liner Or more often if
Hert -> action needed I plot
I line I don'tforgetto write
the time each observ-

ation made

·
parallel,4 hours to the rightofalert line for IE
↳ is madalas matrauma ung blood vessels:enlargement ofraging PRACTICE
·
G1P0. @1am:scm, @Sam:9cm, @ 7am:10cm -> intact Bow

CONDITIONS THAT DO NOT NEED PARTOGRAPH

should
anteparum hemorrhage not normal

~
·

stay
x on

· severe pre-eclampsiaIeclamps id note:to the left X the green

dapat ifa sa
·
Fetal distress
borederline

·previous CS <pic 2) X

·
malpresentation 1am Sam locm

a
very premature baby
·
obvious obstructed labor
 X

X normal:stays on

the
or to lapt
-> borederline
X considered Of the alert
pero
ling

X
Note: as soon as

1 cm is reached,
the should
cervix
yellow part:
dilate normally
-passes the
& rate of 1
um/ur
alert ling

red part:
abnormal

isplotting passess alert line

asa RHU where
-reasses, consider referal mostesp. Kapag facilities are not

available to deal we obstetric emergencies

-
alerttranspo services
-monitor intensively

It plotting passess action line

must be in an Emergency Historic care (BEmoC:basic for normal delivery)
OTHER FINDINGS TO NOTEY RECORD

·
status ofmembrane
·
I:intact

I
· c clear
=

· M meconium
=
stained When membrane is
·
A:absent ruptured
B bloody
=
·

·
BP
·
PR
·
Temperature
· urine - more
frequent ifindicated
·
A ofcontractions in 10
min period
·
FHT in
full min
-itwoman is in latant phase:record only other findings
-remains in latent phase for 8 hrs:transfer to hospital

practice

-
+AKD
note

IOURDES, GYPL
X

02/24/2023
X

X
apM 1am
SpM

I I M

140

e
3
3.
120/50 so 110/70