1. PARTOGRAM PROF DR MN MOHD AZHAR ROYAL COLLEGE OF MEDICINE PERAK RECORDING PROGRESS OF LABOUR

3. TOOL FOR RECORDING THE PROGRESS OF LABOUR PARTOGRAM

4. PARTOGRAM PARTOGRAM is a graphical information about the progress of labour in which the salient information about the fetal well-being, maternal well-being and the progress of labour are recorded into a chart.

5. PARTOGRAM Is a managerial tool used to record all observations made on a woman and fetus in labour in one chart. Partogram helps to identify at an early stage those women whose labour is slow. A managerial tool for prevention of prolonged labour. IT’S SIGNIFICANT:

6. PARTOGRAM For all women who are in labour (i.e. either low or high risk group). WHO REQUIRE PARTOGRAM RECORDING

9. PARTOGRAM WHAT NEED TO BE RECORDED

10. PARTOGRAM RECORDING Begin plotting at the “zero” hour on the partogram Enter the outcome of delivery 1 2 All entries made in relation to time when the observations are made 3 Notes should be legible, dated and timed. 4

18. PARTOGRAM RECORDING Latent phase Labour progress recording in latent phase At admission: - Dilatation  2 cm - Descent  -2 2 hours after admission: - Dilatation  2 cm - Descent  -1 Plot dilatation as “ X ” Plot descent as “ O ” + + As the dilatation is only 2 cm therefore the labour progress is in the latent phase

19. PARTOGRAM RECORDING Latent phase Labour progress recording in active phase Plot dilatation as “ X ” Plot descent as “ O ” + + + + Latent phase Active phase +1 -1 -2 Descent “ X ” 7 cm 4 cm 2 cm Dilatation “ O ” 4 hours 2 hours 0 hours (admission)

20. PARTOGRAM RECORDING Latent phase Cervical dilatation + + + + If labour progress well plotting of cervical dilatation should always remain to the left of alert line. If it cross to right of action line this warns that labour may be prolonged.

22. PARTOGRAM RECORDING Labour progress Recording the uterine on the partogram 5 strong contractions in 10 minutes 2 weak contractions in 10 minutes 3 moderate contractions in 10 minutes Nos. of Contraction in 10 mins

25. PARTOGRAM RECORDING Latent phase Analyzing the progress of labour from the partogram + + + + + If progress is satisfactory the plotting will remain on or to the left of the alert line. If labour is not progressing normally the plotting will be to the right of the alert line. Active phase

26. PARTOGRAM RECORDING Latent phase LABOUR PATTERNS Normal labour Prolonged latent phase Primary dysfunctional labour Secondary arrest Active phase

27. THANK YOU PROF DR MN MOHD AZHAR ROYAL COLLEGE OF MEDICINE PERAK RECORDING PROGRESS OF LABOUR - PARTOGRAM