The partograph is a graphic record of the process of labour and relevant details of the mother and fetus. It was initially introduced as an early warning system to detect labour that was not progressing normally. This would allow for timely transfer to occur to a referral centre for augmentation or Caesarean section as required. The partograph indicates when augmentation is needed and can point to possible cephalopelvic disproportion before labour becomes obstructed.
Indication: The WHO partograph begins only in the active phase of labour when the cervix is 4 cm or more dilated. Procedure: For Maternal well-being Pulse rate should be recorded in every 30 min. Blood pressure and temperature should be recorded in every 4 hours and mark with arrows, unless the patient has a hypertensive disorders or pre-eclamsia, in which case record in every 30 min. Urine output and dipstick testing for…
