Question
In the normal condition, the graph shown in the picture below
include all of the following EXCEPT ?
| A. |
Cervical dilatation in X-axis.
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| B. |
Descent of head in Y-axis.
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| C. |
Sigmoid shaped curve.
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| D. |
Alert line followed 4 hours later by action line.
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Show Answer
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Correct Answer � A
Explanation
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- Normal partogram does not include Cervical dilatation in X-axis.
Partogram is:
- Graphical representation of stages of labour;
- Assessment of labour
- Cervicograph is: Graph showing relationship between cervical dilatation & labour.
- Partograph is a composite graphical record of cervical dilatation in centimeters & descent of head against duration of labor in hours
- Introduce as an early warning system to detect labour that was progressing normally, for timely transfer to a referral center
- In a partograph the labor process is divided into
- Latent phase that ends when the cervix is 3 cm dilate &
- Active phase starts with cervical dilation of 3 cm. Cervix should dilate at least 1cm/hour in this active phaseQ
- Cervical dilation rate (cervicograph) is plotted in relation to alert line & action lineQ.
- Concept of Alert line & Action line given by Philpott
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Alert line
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Action line
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Alert line starts at the end of latent phase (3 cm
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Action line is drawn four hours to the right of the
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cervical dilation) & ends with full dilation of the
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alert line. An interval of 4 hours is allowed to
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cervix (10cm) in 7 hours (1cm/hour dilation rate)°
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diagnose delay in active phase and then appropriate
intervention is done°.
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Labor is considered abnormal when cervicograph crosses the alert line & falls on zone 2°.
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Intervention is required when it crosses the action line & falls on zone 3°.
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