Partogram
Partogram
Partogram
Contains: patient’s name, gravidity and parity, hospital number, time of ruptured membranes and the time of admission.
Fetal wellbeing
Fetal Heart Rate: Count fetal heart rate every 30 minutes ,Count for one full minute,
immediately following a uterine contraction
Degree of moulding
0 no moulding
+1 sutures approximate each other (but not overlapping)
+2 bones overlap each other but reducible
+3 bones overlap each other and irreducible
Progress of labor
It consists of 3 parts:
A line drawn from the point of cervical dilatation noted at the first vaginal
examination in active labour. This line denotes a dilatation rate of 1cm/hour.
If the line connecting between X & O doesn’t cross the alert line it means
everything is going well. Only re-evaluation (every 4 h [primiparous], 2 h
[multiparous])
If the line connecting between X & O crosses the alert line it means something
is wrong; check her vital signs, contractions, if she need oxytocin, IV fluid or
analgesia; then re-evaluate. (1st stage every 1-2 h, 2nd stage every ½ h )
Action line
A line parallel and 4 hours to the right of the alert line .
If it crosses the action line → you should take an action; which means
you should deliver the baby.
Urine
- Urine volume
- Urine analysis – dipstick: protein/acetone Nil or +