PARTOGRAM
| A | Station of head | |
| B |
Rupture of membrane |
|
| C |
Contraction of uterus |
|
| D |
Partogram |
Assessment of progress of labour is best done by:
| A |
Station of head |
|
| B |
Rupture of membrane |
|
| C |
Contraction of uterus |
|
| D |
Partogram |
Ans. is d i.e. Partogram
Partogram is the best method to assess progress of labour.
Partogram is the graphical recording of stages of labour including cervical dilatation, descent and rotation of the head.
- It was introduced by WHO a part of the Safe Motherhood initiative.
- The main purpose of the partogram is to avoid prolonged labour and intervene timely.
- Once labour is diagnosed, its progress is charted on a partogram by abdominal and vaginal examination.
- The latent phase of labour is up to 3 cm dilatation, and should not be more than 8 hours. In the active phase which extends from 3 cm to complete cervical dilatation, labour is expected to progress at the rate of at least 1 cm cervical dilatation per hour which corresponds to the liPri
- The action line is drawn 4 hours to the right and parallel to the alert line in the WHO partoaram.
- Labour is considered normal as long as the progress of cervical dilatation is to the left of the alert line.
- Prolonged labour is diagnosed, once the alert line is crossed, i.e., there is a shift to the right. This is considered an indication for intervention.
- If the patient is in a peripheral hospital, once the alert line is crossed, it is an indication for referral to a higher centre.
Thus, the partogram can be used to identify an abnormal labour pattern and to indicate the correct time for intervention by means of the alert and action lines.
Cervical dilatation and descent of the ncau k which are the best parameters to assess the progress of labour) are plotted on y axis aixs and time in hours is plotted on x axis.
| A | Assess the fetal well-being in labour | |
| B | Assess the condition the baby at birth | |
| C | Record the events of pregnnacy | |
| D | Assess the progress of labour |
Normal partogram include the following except :
| A |
Cervical dilatation in X – axis |
|
| B |
Descent of head in Y – axis |
|
| C |
Sigmoid shaped curve |
|
| D |
Alert line followed 4 hours later by action line |
Cervical dilatation in X – axis
Partogram helps in detecting
| A |
Abruptio placenta |
|
| B |
Obstructed labour |
|
| C |
Incoordinate uterine action |
|
| D |
PPH |
Obstructed labour
Partogram is a graphic record of:
| A |
Fetal growth |
|
| B |
Fetal well being |
|
| C |
Labour |
|
| D |
Involution |
Labour
What is the graphical record of cervical dilatation in centimeters against duration of labour in hours called ?
| A |
Partogram |
|
| B |
Pictogram |
|
| C |
Hysterograph |
|
| D |
Amniograph |
Partogram
