Partograph

partograph

partograph

It is graphical representation of events, through which maternal or fetal condition are assessed simultaneously in a single sheet.

Key features which are recording above to below in the partograph, as-

  • Starting with patient profile consisting of Name, date of admission, obstetrical score, gestation weeks, consultant name etc.
  • Below to that is, recording of fetal heart rate FHR in every 30 minutes. Mention it by .(dot) & join the line.
  • Below FHR is, status of membrane, if Intact denote ‘I’ if ruptured, note the color of amniotic fluid as clear ‘C’ or Meconium stained ‘M’.
  • Next section consisting ploting for cervical dilatation(in cm.) (PLOT X) or descent of head (PLOT O). In primigravida cervical dilatation in active phase (after 3 cm. dilatation) is at the rate of 1cm./hr or in multipara 1.5 cm./hr. Average duration is about 8 hrs. In primigravida or 4hrs. In multipara during active phase.
  • Below to this is uterine contraction, mentioned in squares of vertical column in 10 minute interval, & fill it according to intensity of duration of contraction.
  • Mild(<20sec.)2 moderate(20-40sec.)3 severe(>40sec.)1
  • Next section is oxytocin U/L, that is its dilution or drops/min to be infused.
  • Below it is drugs or I/V fluids infusion.
  • Next area for recording is maternal pulse rate in every 30 min denoting is by .(dot), or BP by  ↕ in every 2 hrs. Below that is temperature in ° C is unaffected.
  • Last section include urine analysis consisting of physical characteristics color, volume, pH, specific gravity or the test for the presence of acetone, glucose and protein.

Advantage–  Identify deviation from normal labour duration in 1st stage & early assessment of prolonged labour.