Partogram

Question 1

What is a Partogram?

Answer 1

Pictorial assessment of the progress of labour → allows rapid identification of slow/obstructed labour

Question 2

Who gets a partogram?

Answer 2

• All women in active labour (>4 cm dilated, contracting >3 in 10)
• All women on syntocinon
• Threatened premature labour with the use of atosiban (inhibits oxytocin and vasopressin)

Question 3

What are the components of a partogram?

Answer 3

• Maternal HR – every 30 mins
• Contractions – every 30 mins
• Colour of liquor – every 30 mins
• BP and temperature – every 4 hours
• Cervicograph
• Abdominal descent
• Cervical dilatation – every 4 hours
  
  • Nulliparous – 0.5 cm/hour
  • Parous – 0.5-1 cm/hour