Partograph
The Partograph is a tool that can be used by midwifery personnel to assess the progress of labor and to identify when intervention is necessary. Studies have shown that using the partograph can be highly effective in reducing complications from prolonged labor for the mother (postpartum hemorrhage, sepsis, uterine rupture and its sequelae) and for the newborn (death, anoxia, infections, etc.).
A partograph must be started only when a women is in
labor. In the latent phase (cervix dilatation not more than 2 cm), she
should have two or more contractions in 10 minutes, each lasting 20 seconds or
more. In the active phase (cervix dilatation more than 3 cm), she should have
one or more contractions in 10 minutes, each lasting 20 seconds or more.
Uses of Partograph
- To monitor all stages of labor of all women arriving at the
maternity or health facility.
- To monitor the progress of labor: cervical dilatation, descent of fetal head, and uterine contractions.
- To monitor fetal conditions with the following parameters: fetal heart rate, membranes and liquor and moulding of fetal skull
- To monitor maternal conditions like: pulse, blood pressure, temperature, urine, drugs, IV fluids, and oxytocin.
- To assist in making the correct decision about transfer,
Caesarean section, or other life-saving interventions.
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