Real-Time Partograph: Maternal Components as a Key Indicator for Labor Care

Authors

  • Ramaprasad S
  • Kowsalya S

Keywords:

Amniotic fluid, Blood Pressure (BP), Cervical dilatation, Fetal Heart Rate (FHR), Molding, Partograph, Station of head

Abstract

Partograph plays a significant role in maternal health in diagnosing and monitoring the progress of labor. In the earlier days, maternal deaths and complications were significantly high due to the lack of skills and failure to monitor the changes in the mother during labor. Partograph has many components, including maternal and fetal. Maternal components include cervical dilatation, uterine contraction, temperature, Blood Pressure (BP), urine analysis, and pulse. Fetal components include molding, the head's station, and the amniotic fluid's nature; some indicators must be checked. The partograph monitoring should begin when the cervical dilatation is about 4 cm and more with all signs of actual labor. The first plotting should be done on the alert line for accurate findings. Cervical dilatation should be checked once every 4 hours and two hours once if any induction is done. The uterine contractions should be determined once every half an hour for about 10 minutes and plotted against the space for the contractions. The fetal components, like the amniotic sac, should be checked for rupture or intactness and about the nature of the fluid. The station of the head denotes the position of the fetal head and the progress of labor. The average Fetal Heart Rate (FHR) measurement is 120-160 beats per minute. There are tremendous trends related to partographs that are about to happen in obstetrics. Finally, the partograph acts as objective data or evidence for the decision-making during labor.

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Published

2024-07-31

How to Cite

S, R. ., & S, K. . (2024). Real-Time Partograph: Maternal Components as a Key Indicator for Labor Care. Journal of Midwifery, Women Health And Gynaecological Nursing, 6(3), 1–7. Retrieved from https://matjournals.net/nursing/index.php/JMWHGN/article/view/151