Ppt partograph powerpoint presentation free to download. The observations that are recorded will document the following. Pdf completion of the modified world health organization who. Usefulness of the partograph by maggie sullivan moderator 30 aug, 20 thank you to our colleages at ganm for an interesting discussion on the use, and usefulness, of partographs. The training also included the indications that required immediate referral to emoc equipped facilities. To determine future research, education and practice priorities for realizing the potential of the partograph, cohosted by who, usaids maternal and child health integrated program mchip. Apr 18, 20 a study conducted in addis ababa, ethiopia on knowledge and utilization of partograph among obstetric care givers in public health institutions showed that over half 57. Role of paperless partograph in monitoring primiparous and. The partograph or partogram is recommended by the world health organisation who, for. Ppt who%20partograph powerpoint presentation free to.
Study of course of labour by using the modified who partogram. The position reports to the district health officer. A partograph is a graphical presentation of a womans progress of labour. A detailed description of how to use the partograph, with exercises and case histories designed to embed essential knowledge. The appropriate use of the partograph allows early identification of. A partogram or partograph is a composite graphical record of key data maternal and fetal during labour entered against time on a single sheet of paper. 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 2.
Know when to start a partograph understand and complete all parts of the partograph describe all abnormalities in labour know how to recognize prolonged labour on the partograph know when to transfer a woman in labour have some knowledge of possible management options. All facilities were using the modified who partograph. The aim of the present study is to evaluate labor progress adhering to the who guidelines regarding the modified partograph. Study of course of labour by using modified who partograph. The partograph is designed for use in all maternity settings, but has a different level of. Level of partograph completion and healthcare workers. Evaluating progress of labor in nulliparas and multiparas. The partograph was endorsed and modified by the world health organisation who between 1990 and 2000 to monitor the fetal and maternal wellbeing during the active stage of labour.
The fetal condition the progress of labour the maternal condition. Research open access completion of the modified world. Utilization of the modified who partograph in assessing the. Using the partograph study session 4 using the partograph introduction.
Once the woman has true signs of labour, the midwife initiates the use of the partograph to record her findings. This partograph, like others, is basically a graphic representation of the events of labour plotted against time in hours. Ajit virkud elaborates the technical minutiae of plotting a who partograph. Subsequently, in 2008 the who produced the modified partograph where the latent phase was removed, to make it simpler and easier to. It is designed for early detection of abnormal progress of labour and prevention of prolonged labour in order to reduce risk of postpartum haemorrhage pph, sepsis, obstructed labour and its sequels such as ruptured uterus and obstetric fistula. Among the five major causes of maternal mortality in developing countries like ethiopia hypertension, haemorrhage, infection, obstructed labour and unsafe abortion, the middle three haemorrhage, infection, obstructed labour are highly correlated. Partograph definition of partograph by medical dictionary. May 21, 2014 active phase partograph with a fourhour action line is recommended for monitoring the progress of labour. However, it is a tool which is only as good as the healthcare professional who is using it. A free powerpoint ppt presentation displayed as a flash slide show on id. Partograph is basically a graphic representation of the events of labour plotted against time in hours. This interactive labor curve and partogram and partograph allows you to enter labor cervical dilatation by time and graphically see whether labor is progressing normally or not. By the end of the program the participant should be able to.
Now that you have completed this study session, you can assess how well you have achieved its learning outcomes by answering the following questions. Since 1987, as 1990 and 1991 in southeast asia comprising 35 484 women part of the safe motherhood initiative. The who partograph begins only in the active phase of labour, when the cervix is 4 cm or more dilated see below. The gdg acknowledged the low quality of the supporting evidence but noted that many units in both high and lowincome settings currently use the partograph and, although no clinical benefits in health outcomes were reported in the rcts. Results all facilities were using the modified who partograph. Partograph is an important tool to detect deviation from normal labour, and early referral helps in prevention of such castrotrophe. Starting a partograph a partograph should be started only when a woman is in active phase of labour contractions must be 1 or more in 10mins, each lasting for 20secs or more cervical dilatation must be 4cms or more. It is the best tool to help you detect whether labour is progressing normally or abnormally, and to warn you as soon as possible if there are signs of fetal distress or if the mothers vital signs deviate from the normal range. Cervical dilatation is plotted on vertical line on the left side of the graph in cms 410 cms against elapsed time on the horizontal line in hours. Active phase of labour commenced at 4 cm of cervical dilatation.
Uganda improving partograph use in uganda through coaching. Paperless partogram a simple and acceptable alternative. The who partogram has been modified in 2000 to make it simpler and easier to use. Utilization of the modified who partograph in assessing the progress of labour. Pdf evaluation of primigravida in labour using modified who. Partograph is basically a graphic representation of the events of labour plotted against time in. In a prospective study 259 nulliparas and 204 multiparas were compared for rates of normal labor progression in the active phase. Pdf students perceptions and outcome following training. Likewise, submit the parturient to repeated vaginal examination, besides being extremely inconvenient, can facilitates the possibility of. Who recommendation on the use of active phase partograph with. The partograph is additionally divided into three tabs, foetal, labour and maternal for quick viewing and ease of navigation.
Usefulness of the partograph connecting our members with. The commonest partograph which is used globally is. Health workers perspective a cross sectional study on use and documentation of partograph and factors that prevent optimal utilization of the partograph. The partograph or partogram is recommended by the world health organisation who, for monitoring labour wellbeing and progress. Resultsall facilities were using the modified who partograph. Analysis of mode of delivery of women admitted in the latent and active phase, showed that women admitted in the latent phase had more operative both abdominal and vaginal deliveries as labour progressed to the right of the alert line in active. Perspectives of health workers at bwaila and ethel mutharika maternity units in lilongwe malawi. A crosssectional study of partograph utilization as a. Research open access completion of the modified world health.
Since the introduction of the modified who partograph one study has compared it with the original partograph for their ease of use by labor ward staff, and few studies have reported on its use to evaluate labor progress. Interactive partogram partograph labor curve and calculator. Pdf study of course of labour by using modified who. Partograph or partogram is a simple, inexpensive tool which gives continuous pictorial overview of labour. The partograph used in the training material was who modified partograph which excludes latent phase of labour monitoring and the instructions were written in english on partograph paper. The use of modified who partograph significantly improves the maternal and neonatal outcome of labour thus recommending use of who partograph in all maternity units. The partograph is a graphical record of the progress of labour and. Among the five major causes of maternal mortality in developing countries like ethiopia hypertension, haemorrhage, infection, obstructed labour and unsafe abortion, the middle three haemorrhage, infection, obstructed labour are highly correlated with prolonged labour. Standard protocols were defined based on the time interval as follows. I have added several links clarifying what a partograph is and a few research articles. In order to produce a more objective assessment, the parameters of labourparts of the modified who partograph were assessed to determine whether they had been monitored according to standard protocol.
The partograph was endorsed and modified by the world health organisation who between 1990 and 2000 to monitor. Jun 14, 2019 this interactive labor curve and partogram and partograph allows you to enter labor cervical dilatation by time and graphically see whether labor is progressing normally or not. Progress of labor was assessed by the use of modified who partograph. The present study, which is intended to answer whether or not the partographs that are used to monitor mothers. To evaluate the progress of labor in nulliparas and multiparas using the modified world health organization who partograph. The checklist was designed to obtain information on the main variables included as components of the modified who partograph. The course of labour in 400200 primiparous and 200 multiparous women with term, singleton pregnancies with vertex presentation in labour without any complications was studied by using. 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. Pdf study of course of labour by using modified who partograph. Subsequently, in 2008 the who produced the modified partograph where the latent phase was removed, to make it simpler and easier to use.
Usefulness of the partograph by maggie sullivan moderator 30 aug, 20. There is poor documentation of the modified world health organization who partographs during labour in public health institutions of bale zone. Write your answers in your study diary and discuss them with your tutor at the next study support meeting. Who recommendation on the use of active phase partograph. Jun 30, 2018 the who partogram has been modified in 2000 to make it simpler and easier to use. Carol bedwell1, karen levin2, celia pett3 and dame tina lavender1 abstract background.
Pdf the objective was to study the frequency and mode of delivery of women admitted in the latent and active phase of labour in st. Correct use of the partograph can help to prevent and manage prolonged or obstructed labour and other serious complications such as a ruptured uterus, obstetric fistula and. 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 a free powerpoint ppt presentation displayed as a flash slide show on id. Pdf evaluation of primigravida in labour using modified. Thank you to our colleages at ganm for an interesting discussion on the use, and usefulness, of partographs. The common obstetric emergencies are obstructed labour and prolonged labour. Completion of the modified world health organization who. The who and gynaecology in addis ababa in the early 1980s. Partograph is a greek word which means labour curve. Scribd is the worlds largest social reading and publishing site.
The partograph is a graphical presentation of the progress of labour, and of fetal and maternal condition during labour. Relevant measurements might include statistics such as cervical dilation, fetal heart rate, duration of labour and vital signs. The modified world health organization who partograph was introduced in wolisso in january 2007. Active phase partograph with a fourhour action line is recommended for monitoring the progress of labour. A study conducted in addis ababa, ethiopia on knowledge and utilization of partograph among obstetric care givers in public health institutions showed that over half 57. This screen shows a particular patients detailed partograph,at a particular point in time. The present study, which is intended to answer whether or not the partographs that. The correct completion of the partograph was very low.
Documentation status of the modified world health organization partograph in public health institutions of bale zone, ethiopia desalegn markos1 and daniel bogale2 abstract background. Who modified partograph, labour abnormalities,maternal morbidity. The partograph is a graphic record of vital observations to assess progress during labour. For leading obstetricians in india and teachers in the medical colleges, there was nothing new about active management original article knowledge and practice on partograph abstract. The training material was developed by the mamoni hss programme in consultation with obstetrical and gynaecologi. The use of modified who partograph significantly improves the maternal and neonatal outcome of labour thus recommending use of who partograph in. Who partograph there have since been modifications to philpotts action linec51. Partograph use this form for monitoring active labour name of facility.
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