PARTOGRAPH
The partograph is a graphic recording of progress of labour
and sailent conditions of mother and foetus.
It is a tool assess the progress of labour and recognize
need for action at the appropriate time and timely referral partograph: it is
the graphical sheet which is used to record all vital interventions,
investigations , and events of labour.
Role Of The Midwife In Filling The
Partograph:
1.
Foetal condition : foetal heart rate should be
counted and recorded every half hourly. Counter the FHS for one full minute.
The should be preferably counted immediately following a uterine contraction .
if the FHS is > 160/ minute or >120/ minute, it indicates foetal
distress. Mark as given under foetal distress simultaneously , every 30 minutes
, also observe the condition of the membranes and the color of the amniotic
fluid as visible at the vulva, and record it as
a.
Membranes intact (mark ‘I’)
b.
Clear (mark ‘C’)
c.
Meconium stained (mark ‘M’)
d.
No liquor
(mark ‘A’), as the case may be
2.
Labour
v
Start plotting on the labour graph, only after
the woman is in active labour. Active labour is when the cervical dilatation is
more than 3 cms and at least 2 good contractions (i.e each lasting for more
than 20 seconds) per 10 minutes.
v
The cervical dilatation in cms is to be recorded
, first when the woman first reports in labour and then every four hourly.
v
The initial recording is placed to the left the
alert line ( cervical dilatation must be 3 cms and above, i.e active labour ,
before you start plotting) and normally the line should continue to remain to
the left of the alert line. Write the time accordingly in the row for time.
v
If the alert line is crossed it indicates a
prolonged labour, and you should be alert that something is abnormal with the
labour.
v
Crossing of the action line indicates the need
for intervention and referral.
v
The number of good contractions in 10 minutes
are recorded every half hourly and the appropriate number of boxes are
blackened.
3.
Maternal condition : maternal pulse and BP are
recorded half hourly and plotted on the graph.
4.
Intervention: mention here any drug that you
have administered during labour, including the dose and route of
administration, and when.
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