partogram

(redirected from Partograph)

par·to·gram

(par'tō-gram),
Graph of labor parameters of time and dilation with alert and action lines to prompt intervention if the curve deviates from expected.
[L. partus, childbirth, + -gram]

par·to·gram

(pahr'tō-gram)
Graph of labor parameters of time and dilation with alert and action lines to prompt intervention if the curve deviates from expected.
Synonym(s): Friedman curve, labor curve.
[L. partus, childbirth, + -gram]

partogram

(part′ŏ-gram″)
In obstetrics, a graphical representation of labor that in a healthy delivery results in the birth of a child.

Patient care

The parameters recorded on the graph include changes in fetal heart rate, rate of dilation of the maternal cervix, and rate of fetal descent. These data can be compared with known norms to help identify delays in the expected progress of labor and improve intrapartum care.

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World Health Organization partograph in management of labour.
The conference entitled The Role of Midwives in Saving Women's Lives included the following topics: The use of partograph as a decision-making tool in the hands of midwives for monitoring progress of labour; Safe abortion and post abortion care and role of midwives; neonatal resuscitation; role of midwives at home and hospital; and mother-to-child transmissions and role of midwives.
Although the partograph is used to monitor the progress of labour throughout Zimbabwe, its action guidelines need to be researched and adapted to the unique situations in Zimbabwe.
Health care workers may have to acquire new technical skills, such as the use of the partograph in labor or manual vacuum aspiration, to manage pregnancy complications and make appropriate referrals.
Qualitative aspects include partograph correctly and completely filled out; mother and newborn alive (if delivery in health facility); antenatal records correa and complete; proportion of women with caesarean delivery according to national guidelines; and written invitation sent within a week after non-attendance at a family planning appointment.
Use of partograph and active management of third stage of labour--both essential skills for safe delivery--were not included in the training curriculum.
For example, referral was considered when the partograph crossed the alert line, when transverse lie was detected or when a woman presented in labour with a twin pregnancy.

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