What phase of labor is partograph used?

What phase of labor is partograph used?

The partograph is a tool for monitoring maternal and foetal wellbeing during the active phase of labour, and a decision-making aid when abnormalities are detected. It is designed to be used at any level of care.

What is a partograph in labour?

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. History of Partogram.

How do you plot a partograph in labour?


  1. Begin plotting in active labor.
  2. Cervical dilatation > = 4 cm and > 2 contractions / 10 minutes.
  3. Always plot initial finding at Alert line. Note the time.
  4. Repeat P/V after 4 hours and plot the cervical dilatation.
  5. In active phase cervical dilatation should be 1 or ore than 1 cm/ hour.

What is normal progress of labour?

It has been taught for decades that normal labour should progress at a speed of at least 1 cm cervical dilatation per hour, starting at 3–4 cm of dilation.

How do you monitor normal labour?

During the 1st stage of labor, maternal heart rate and blood pressure and fetal heart rate should be checked continuously by electronic monitoring or intermittently by auscultation, usually with a portable Doppler ultrasound device (see fetal monitoring ).

What are the 4 stages of labour?

Labor happens in four stages:

  • First stage: Dilation of the cervix (mouth of the uterus)
  • Second stage: Delivery of the baby.
  • Third stage: Afterbirth where you push out the placenta.
  • Fourth stage: Recovery.

How effective is induction of labour?

About 75 percent of first-time mothers who are induced will have a successful vaginal delivery. This means that about 25 percent of these women, who often start with an unripened cervix, might need a C-section.

What are the stages of labour?

There are three stages of labour. The first stage is when your cervix is opening and your baby is moving down the birth canal. The second stage is when your baby is being born and the third stage is when the placenta is delivered. Understanding the stages of birth can help you know what is happening during your labour.

What are the signs of normal labour?

Symptoms of going into labour

  • Period-like cramps.
  • Backache.
  • Diarrhoea.
  • A small bloodstained discharge as your cervix thins and the mucus plug drops out (this is called a ‘show’)
  • A gush or trickle of water as the membranes break.
  • Contractions.

What is abnormal CTG in labour?

An abnormal CTG has two or more features which are non-reassuring, or any abnormal features. Further information about classifying FHR traces: If repeated accelerations are present with reduced variability, the FHR trace should be regarded as reassuring.