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Comprehensive Guide to WHO Partograph

The WHO Partograph is a tool used to monitor labor and identify potential complications. It is started when a woman is in active labor at 4cm dilation. It has three parts - fetal condition, progress of labor, and maternal condition. Fetal condition tracks heart rate, amniotic fluid, and molding. Progress of labor charts cervical dilation, descent of the fetal head, and uterine contractions. Maternal condition includes vital signs and any drugs administered. The Partograph allows healthcare providers to monitor the labor process and identify potential issues that may require intervention.

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Zabrina Tan Cua
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372 views23 pages

Comprehensive Guide to WHO Partograph

The WHO Partograph is a tool used to monitor labor and identify potential complications. It is started when a woman is in active labor at 4cm dilation. It has three parts - fetal condition, progress of labor, and maternal condition. Fetal condition tracks heart rate, amniotic fluid, and molding. Progress of labor charts cervical dilation, descent of the fetal head, and uterine contractions. Maternal condition includes vital signs and any drugs administered. The Partograph allows healthcare providers to monitor the labor process and identify potential issues that may require intervention.

Uploaded by

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

WHO Partograph

WHO Partograph
Start use when woman is in active labor
(4cm and above)
Managing labor only
Doesnt help to identify other risk factors
which may have been present before
labor started
Fill in information about both mom and
baby

Parts of a Partograph
Part 1: fetal condition
Part 2: progress of labor
Part 3: maternal condition

Personal Information

Fetal Condition
Fetal Heart Rate
Amniotic Fluid and Membranes
Moulding

Fetal Heart Rate


Vertical axis: 10
bpm
Horizontal axis: 30
minutes
<100 = severe
bradycardia
>180 = severe
tachycardia
Requires immediate
action

Amniotic Fluid
Assess fetal condition
4 ways
intact membranes = I
ruptured membranes +
ruptured membranes +
M
ruptured membranes +
ruptured membranes +

Record at each IE

clear liquor = C
meconium-stained =
blood-stained = B
absent = A

Moulding
Indicator of how adequate the pelvis in accommodating the fetal
head
Increasing molding with head high in pelvis CPD
Note and record at each IE
Palpate fetal skull bones and sutures
Separated and palpated easily: 0
Just touching each other: +
Overlapping bones: ++
Overlapping severely: +++

Progress of Labor
Cervical Dilatation
Descent of fetal head
Uterine contractions

Cervical Dilatation
Centimeters
Vertical side: 1 cm dilatation
Horizontal side: hours elapsed, 30
minutes
2 diagonal lines (alert and action lines)
Alert: 1 cm per hour dilatation (nullipara)
Action: < 1 cm per hour dilatation

Fetal Descent
Vertical:
number of
finger
breadths
Horizontal:
every 30
minutes

Uterine Contractions
Observation made every half hour
How often are they?
How long do they last?
Frequency: number in a 10 minute period
Number of vertically shaded square

Duration: time first felt abdominally until


it stops (seconds)
Coded with appropriate shading

# of contraction in 10
minutes and duration in
seconds
Less than 20 seconds:
Between 20 and 40 seconds:
More than 40 seconds:

Maternal Condition
Name/ Age/ AOG
Medical/ Obstetric issues
Oxytocin
Drugs given
Pulse, BP, Temperature,
urine volume (protein and
acetone)

Maternal Condition

Oxytocin
If there is unsatisfactory progress of labor
due to lack of UC
Amniotomy ROM and oxytocin infusion
Record every half hour
Concentration (U/L)
Number of drops per minute
Always make sure that the membranes
are ruptured before oxytocin are used

Drugs Given
Name
Dosage
Route
Record corresponding to
time of administration

Vital signs of Mom


Pulse, BP, Temperature,
content of urine
Pulse dot q30mins
BP double ended arrow -q4
hours
Temperature q4 hours
Urine void every 2-3 hours,
check for protein and acetone

Vital Signs of Mom

The End.
Thank you for listening!

References
[Link]
Williams Obstetrics

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