Labor scale versus who partograph in the management of labor. Find powerpoint presentations and slides using the power of, find free presentations research about partograph ppt. Monitoring labour with a partograph can reduce adverse pregnancy outcomes such as prolonged labor, emergency csections, birth asphyxia and stillbirths. The fetal condition the progress of labour the maternal condition. Partograph 3 free download as powerpoint presentation. Partograph is a greek word which means labour curve. Furthermore, the design of the partograph is not exactly perfect to present the process of labour. In one trial, there were no significant differences in the mean duration md of the first md 0. Sep 11, 20 unsubscribe from medical aid films films for life. The partograph is a vital tool for health professionals who need to be able to identify pathological labor. A free powerpoint ppt presentation displayed as a flash slide show on id. Knowledge and use of the partograph among healthcare personnel at the peripheral maternity centres in nigeria. There is no laboratory test that gives a labor titer or an xray procedure that can define the difference between the laboring and nonlaboring patient. The partograph is actually your record chart for the labouring mother figure 4.
The present study, which is intended to answer whether or not the partographs that are used to monitor mothers. Partograph was further modified by philpott and castle in 1972. To determine future research, education and practice priorities for realizing the potential of the partograph, cohosted by who, usaids maternal and child health integrated program mchip. Sampled modified who partograph that had been used to monitor labour three months prior to actual data collection period from february to april 2014 were considered as a study population. Department of gynecology and obstetrics geneva university hospital switzerland. How to use the partograph how to use a partograph a vital tool for the care of every woman in labour. Completion of the modified world health organization who partograph during labour in public health institutions of addis ababa, ethiopia. However, evidence from other studies indicates that partograph use may contribute to shorter labours and some improvement in maternal and fetal outcomes 18 21. Using the partograph study session 4 using the partograph introduction. Partograph is the graphic statistical analysis of progress of labour in primigravida and multipara. To determine future research, education and practice priorities for realizing the potential of the partograph, cohosted by who, usaids maternal and. A total of 420 of the modified who partographs used to monitor mothers in.
However, partograph use is still very low, particularly. The who partogram has been modified in 2000 to make it simpler and easier to use. Partograph lecture free download as powerpoint presentation. The observations that are recorded will document the following. How to use a partograph to assess women in labour youtube. The who partograph is a famous chart that is commonly used to observe uncomplicated labour and is almost an objective approach to guide interference. It is a composite graphical record of cervical dilation and descent of head against duration of labor in hours. The modified world health organization who partograph was introduced in wolisso in january 2007.
Comparative feasibility of two world health organization. A study conducted in addis ababa, ethiopia on knowledge and utilization of partograph among obstetric care givers in public health institutions showed that over half 57. The partograph is a graphic record of vital observations during the course of labour in order to assess its progress and carry out appropriate interventions if and when necessary. Evaluating progress of labor in nulliparas and multiparas.
Among the five major causes of maternal mortality in developing countries like ethiopia hypertension, haemorrhage, infection, obstructed labour and unsafe abortion, the middle three haemorrhage, infection, obstructed labour are highly correlated with prolonged labour. The training material was developed by the mamoni hss programme in consultation with obstetrical and gynaecological society of bangladesh. Ppt partograph powerpoint presentation free to download. The present study, which is intended to answer whether or not the partographs that are used to monitor mothers in. Full text the use of the partograph in labor monitoring. May 21, 2014 partograph versus no partograph two trials conducted in canada and mexico involving a total of 1590 women compared partograph with no partograph. The partograph consists of a graphic representation of labour and is an excellent. Pdf completion of the modified world health organization. Friedman in 1954, following a study on a large number of women in the usa, described a normal cervical dilatation pattern see fig. Starting a partograph a partograph should be started only when a woman is in active phase of labour contractions must be 1 or more in 10mins, each lasting for 20secs or.
Research open access completion of the modified world. We use cookies to ensure you get the best experience from. Relevant measurements might include statistics such as cervical dilation, fetal heart rate, duration of labour and vital signs. Apr 18, 20 a study conducted in addis ababa, ethiopia on knowledge and utilization of partograph among obstetric care givers in public health institutions showed that over half 57. Analysis of mode of delivery of women admitted in the latent and active phase, showed that women admitted in the latent phase had more operative both abdominal and vaginal deliveries as labour progressed to the right of the alert line in active. The partograph is a graphic record of vital observations to assess progress during labour. The present study, which is intended to answer whether or not the. All facilities were using the modified who partograph. Health professionals knowledge and use of the partograph in. Ppt who%20partograph powerpoint presentation free to. A total of 420 of the modified who partographs used to monitor mothers in labour from five public health institutions that provide. A crosssectional study of partograph utilization as a. How to use a partograph to assess women in labour duration. Partograph 3 childbirth human pregnancy free 30day.
Unfortunately, the rule of the partograph in reducing the incidence of cs is questionable. A detailed description of how to use the partograph, with exercises and case histories designed to embed essential knowledge. History of partogram friedmans partogram devised in 1954 was based on observations of. It is used to recognize complications in childbirth on time and to take appropriate actions. It is a composite graphical record of cervical dilation and descent of. Who recommendation on the use of active phase partograph with. Background the partograph has been endorsed by world health organization who since 1994 which presents an algorithm for assessing maternal and foetal conditions and labor progression. Who partograph there have since been modifications to philpotts action linec51. A managerial tool for the prevention of prolonged labour. The partograph is designed for use in all maternity settings, but has a different level of.
Interactive partogram partograph labor curve and calculator. Research open access completion of the modified world health. The correct completion of the partograph was very low. Health care workers found the modified partograph the most. Use of the partograph current thinking sciencedirect. Mar 16, 2018 how to use a partograph to assess women in labour duration. Supported by a distinguished international editorial board. The common obstetric emergencies are obstructed labour and prolonged labour. Completion of the modified world health organization who.
The partograph used in the training material was who modified partograph which excludes latent phase of labour monitoring and the instructions were written in english on partograph paper. Pdf completion of the modified world health organization who. A partogram or partograph is a composite graphical record of key data maternal and fetal during labour entered against time on a single sheet of paper. Utilization of the modified who partograph in assessing the. Obstructed labour, which is a major cause results from prolonged, neglected labour. The definition or clinical diagnosis of labor is a retrospective one. Correct use of the partograph can help to prevent and manage prolonged or obstructed labour and other serious complications such as a ruptured uterus, obstetric fistula and. Partograph is basically a graphic representation of the events of labour plotted against time in hours. Video how to use a partograph obstetric and neonatal.
The labour scale, which is a modified version of the who partograph, in that the alert and action lines are replaced by a scale of cervical dilatation, is shown to minimise the diagnosis of labour dystocia without increasing the risk of mother or foetus in a small study. We aimed to assess the knowledge and utilization of the partograph and associated factors among health professionals at public health institutions in eastern ethiopia. This partograph, like others, is basically a graphic representation of the events of labour plotted against time in hours. Health organization partograph in public health institutions of bale zone, ethiopia. How to use a partograph english watch in french a vital tool for the care of every woman in labour. Correct use of the partograph can help to prevent and manage prolonged or obstructed labour and other serious complications such as a ruptured uterus, obstetric fistula and stillbirth.
Partograph versus no partograph two trials conducted in canada and mexico involving a total of 1590 women compared partograph with no partograph. Partograph or partogram is a simple, inexpensive tool which gives continuous pictorial overview of labour. Partograph maternal and neonatal directed assessment of. In addition to labor progress, attention should be paid to factors such as fetal heart rate abnormalities to optimize outcome. The latent phase has been removed and plotting on the partogram begins in the active phase when the cervix is 4 cms dilated. Partograph a partograph is a graphical record of the observations made of a women in labour for progress of labour and salient conditions of the mother and fetus it was developed and extensively tested by the world health organization who. In conclusion, the use of the modified who partograph as an evaluation tool for labor progress showed similar duration of labor and similar pattern of labor progress among nulliparas and multiparas. A partogram is a medical tool used to track labor progress. Starting a partograph a partograph should be started only when a woman is in active phase of labour contractions must be 1 or more in 10mins, each lasting for 20secs or more cervical dilatation must be 4cms or more. Documentation status of the modified world health organization partograph in public health institutions of bale zone, ethiopia desalegn markos1 and daniel bogale2 abstract background.
Jun 30, 2018 the who partogram has been modified in 2000 to make it simpler and easier to use. The who partograph begins only in the active phase of labour, when the cervix is 4 cm or more dilated see below. Find powerpoint presentations and slides using the power of, find free. However, it is a tool which is only as good as the healthcare professional who is using it. Partograph use this form for monitoring active labour name of facility.
123 833 983 193 663 810 124 431 11 1079 1252 165 1336 6 310 194 488 613 1088 906 1409 1116 1025 46 1157 1344 943 198 1392 600 1405 376 489 854 79 316 1488 1332 572 667 777 1311 1226 694 1260 847 766 952