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Utilization of Partograph Notes

A partograph is a chart used to monitor labor progress, fetal and maternal conditions, and identify complications. It includes patient information, fetal condition, labor progress, and maternal condition, with alert and action lines to guide interventions. While it serves as an early warning tool to reduce complications, its effectiveness is limited by the need for training and underutilization in some settings.

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7 views2 pages

Utilization of Partograph Notes

A partograph is a chart used to monitor labor progress, fetal and maternal conditions, and identify complications. It includes patient information, fetal condition, labor progress, and maternal condition, with alert and action lines to guide interventions. While it serves as an early warning tool to reduce complications, its effectiveness is limited by the need for training and underutilization in some settings.

Uploaded by

nikhilsoni8276
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Utilization of Partograph - Detailed Notes

Definition

A partograph is a chart used to record the progress of labour, fetal and maternal condition, enabling timely recognition of

deviations from normal labour.

Objectives of Using a Partograph

- Monitor the progress of labour

- Assess fetal well-being

- Monitor maternal condition

- Identify prolonged or obstructed labour

- Prevent complications like fetal distress and uterine rupture

- Assist clinical decision-making

Components of a Partograph

1. Patient Information:

- Name, age, gravida, parity, admission time, rupture of membranes

2. Fetal Condition:

- Fetal heart rate (FHR), amniotic fluid status, molding

3. Labour Progress:

- Cervical dilatation, descent of the head, uterine contractions

4. Maternal Condition:

- Pulse, BP, temperature, urine output (volume, protein, ketones)

Understanding the Graph

Alert Line:

- Starts at 4 cm dilatation, represents normal progress (1 cm/hr)

Action Line:

- 4 hours to the right of alert line, indicates need for medical intervention

Interpretation of Partograph
Utilization of Partograph - Detailed Notes

FHR < 110 or > 160 bpm: Fetal distress -> Evaluate immediately

Slow cervical dilatation: Prolonged labour -> Consider intervention

Meconium-stained fluid: Fetal compromise -> Close monitoring

Molding 3+: Cephalopelvic disproportion -> Possible cesarean

No head descent: Obstructed labour -> Surgical action needed

Steps in Using a Partograph

1. Record patient information

2. Start plotting at 4 cm dilatation

3. Monitor and record FHR, amniotic fluid, molding every 30 mins

4. Plot cervical dilatation, head descent every 4 hrs

5. Record uterine contractions, maternal vitals

6. Act promptly on abnormal findings

Advantages of the Partograph

- Early warning tool

- Reduces maternal and neonatal complications

- Encourages standard monitoring and timely referrals

- Supports decision-making in labour management

Limitations

- Requires training and awareness

- Underused in resource-limited settings

- Not applicable in early (latent) phase of labour

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