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Comprehensive Guide to Using Partograph

The partograph is a tool used to monitor maternal and fetal wellbeing during labor and aid decision making when abnormalities are detected. It is designed for use at all levels of care. The partograph helps prevent and manage prolonged or obstructed labor and serious complications. It should be started when the woman is in active labor and observations should be made and plotted systematically. The key elements plotted are cervical dilation, fetal head descent, and hours of labor. Contractions, fetal heart rate, and other vital signs are also recorded to allow close monitoring during labor.

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HERRERA, ANGELA
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95 views2 pages

Comprehensive Guide to Using Partograph

The partograph is a tool used to monitor maternal and fetal wellbeing during labor and aid decision making when abnormalities are detected. It is designed for use at all levels of care. The partograph helps prevent and manage prolonged or obstructed labor and serious complications. It should be started when the woman is in active labor and observations should be made and plotted systematically. The key elements plotted are cervical dilation, fetal head descent, and hours of labor. Contractions, fetal heart rate, and other vital signs are also recorded to allow close monitoring during labor.

Uploaded by

HERRERA, ANGELA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

PARTOGRAPH

• is a tool for monitoring and is a graphic record of vital observations


for maternal and fetal wellbeing during the active phase of labor, and a
decision-making aid when abnormalities are detected. It is designed to
be used at any level of care.
•Developed in Africa and recommended by WHO

PURPOSE OF PARTOGRAPH
• Prevent and manage prolonged or obstructed labor
• Prevent serious complications such as ruptured uterus, still birth
• Monitor the vital signs of the client

USING THE PARTOGRAPH


• Start using the partograph only when client is having regular
contractions & in active phase of labor
• For the continuation of care, you endorse to the assigned person in
following shift the partograph.
• Observation should be systematic and made at the right frequency
• Nurse should know how to plot, read the graph and how to make
decision

HOW TO FILL IN THE PARTOGRAPH


• Should contain all the information needed • The key of partograph
reading are the cervical dilation, descent of the head and hours of labor
•Dilatation of the cervix is marked by X •Descent of the head is marked
by O
• Alert line begins at 4cm cervical dilation to the expected full dilation
at the rate of 1cm/hour
• Record FHT every 30 minutes
• Contractions should be recorded every half an hour • When the • •
• Record the color of the amniotic fluid
➢ I – intact
➢ R – ruptured
• if the membrane is ruptured
➢ C – clear fluid
➢ M – meconium stain
➢ B – blood stain
• Record the date and time of ruptured membrane
• In documenting the degree of moulding , use scale:
֎ 0 – no moulding
֎ +1 – bones are touching each other
֎ +2 – bones are overlapping but can be separated by
fingers
֎ +3 – bones are overlapping but cannot be separated by
finger
• The WHO partograph has two diagonal lines: an alert line and an
action line. The alert line goes from 4 to 10 cm and corresponds to an
average dilation rate of 1 cm per hour. If the labor curve crosses to the
right of this alert line, this means that the dilation is less than 1 cm per
hour.
• In the cervical dilatation section of the partograph, down the left side,
are the numbers 0–10. Each number/square represents 1 cm dilatation.
Along the bottom of this section are 24 squares, each representing 1
hour

• contractions is less than 20 seconds, use dots


• When the contractions is more than 20 – 40 seconds, use dashes
• When contractions last more than 40 seconds, use the black out
• If oxytocin is being used, record the amount, vol of the IV, gtts/min
• Record from the start and every after 30minute
= Dots are mild contractions of less than 20 seconds duration

= Diagonal lines indicate moderate contractions of 20 to 40


seconds duration

= Solid Color represents strong contractions of longer than 40


seconds.

• Record additional drugs given


• Record the pulse every 30 minutes and mark it using dot
• Record BP every 4 hours and mark it using arrows
• Record body temperature every 2 hours
• Record urine output

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