PARTOGRAM/PARTOGRAPH

 This is a graphic method of recording the salient features of labour

This is a tool for managing labour only

The observations charted on the partograph are

Progress of labour:-

Latent & Active phases of labour

Cervical dilation

Descent of fetal head

Uterine contractions

The Foetal condition:-

Foetal Heart rate

Membranes labour

Molding of the foetal skull bones

The maternal condition:-

Pulse, blood pressure e & temp

Urine volume, Protein & Acetone

Drugs & IV fluids

Oxytocin regime

INDUCTION

Induction:-

A deliberate (planned) initiation of uterine contraction that stimulate labor

Oxytocin infusion is used for Induction.

Obtain a baseline tracing of uterine contraction > FHR

Increase IV dosage of oxytocin as prescribed only after accessing contractions, FHR, & Maternal BP & pulse

Do not rate of oxytocin once the desired contraction pattern is obtained (contraction frequency of 2 to 3 minutes & lasting 60 seconds

Discontinue oxytocin as prescribe if contraction frequency is less than 2 minutes or duration is more than 90 second or if fetal distress is noted

This is a graphic method of recording the salient features of labour

This is a tool for managing labour only

The observations charted on the partograph are

Progress of labour:-

Latent & Active phases of labour

Cervical dilation

Descent of fetal head

Uterine contractions

The Foetal condition:-

Foetal Heart rate

Membranes labour

Molding of the foetal skull bones

The maternal condition:-

Pulse, blood pressure e & temp

Urine volume, Protein & Acetone

Drugs & IV fluids

Oxytocin regime

1. Immediately after an amniotomy has been performed the nurse should first assess.

(A) Bladder distension
(B) Cervical dilation
(C) Maternal blood pressure
(D) Fetal heart rate pattern

... Answer is (D)
Fetal heart rate pattern"

2. A client has just rupture synthetic prostaglandins for the induction of labour. The nurse plans to monitor the client for which of the following side effects.

(A) Nausea and uterine tetany
(B) Hypertension and vaginal bleeding
(C) Urinary retention and saves headache
(D) Brady carding and hypothermia

... Answer is (A)
Nausea and uterine tetany