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Partogram

Neelam Maurya

Partogram

INTRODUCTION:

  • PARTOGRAM is a graphical information about the progress of labour in which the salient information about the fetal well-being, maternal well-being and the progress of labour are recorded into a chart.

SIGNIFICANCE:

  • Is a managerial tool used to record all observations made on a woman and fetus in labour in one chart. 
  • Partogram helps to identify at an early stage those women whose labour is slow.
  •  A managerial tool for prevention of prolonged labour.

INDICATION:

  • Records fetal condition, la­bor progress, and maternal condition
  • Detects insufficient uterine action, Obstructed labour and/or cephalopelvic disproportion
  • Helps reduce prolonged labor and its sequelae 

COMPONENTS:

  • Patient identification
  • Time: It is recorded at an interval of one hour. Zero time for spontaneous labour is time of admission in the labour ward and for induced labour is time of induction.
  • Fetal heart rate: It is recorded at an interval of thirty minutes.
  • State of membranes and colour of liquor: “I” designates intact membranes, “C” designates clear and “M” designates meconium stained liquor.

Cervical dilatation and descent of head

  • Uterine contractions: Squares in vertical columns are shaded according to duration and intensity.
  • Drugs and Fluids
  • Blood pressure: It is recorded in vertical lines at an interval of 2 hours.
  • Pulse rate: It is also recorded in vertical lines at an interval of 30 minutes.
  • Oxytocin: Concentration is noted down in upper box; while dose is noted in lower box.
  • Urine analysis
  • Temperature record
  • Normal partogram include
  • Descent of head in Y – axis
  • Sigmoid shaped curve
  • Alert line followed 4 hours later by action line

ADVANTAGES:

  • Provides information on single sheet of paper at a glance
  • No need to record labour events repeatedly
  • Prediction of deviation from normal progress of labour
  • Improvement in maternal morbidity, perinatal morbidity and mortality

CALCULATION:

  • The indicator is calculated for a specific reference pe­riod as:
  • # of deliveries correctly monitored with a partogram x 100
  • Total # of deliveries
Exam Question
 
  • Assessment of progress of labour is best done by Partogram
  • Normal partogram include
  • Descent of head in Y – axis
  • Sigmoid shaped curve
  • Alert line followed 4 hours later by action line
  • Partogram helps in detecting Obstructed labour
  • Partogram is a graphic record of Labour
  • Partogram is the graphical record of cervical dilatation in centimeters against duration of labour in hours
Don’t Forget to Solve all the previous Year Question asked on Partogram