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CARE OF THE MOTHER, CHILD AND ADOLESCENT

(WELL CLIENT)
COMPONENTS
PARTOGRAPH I. PATIENT IDENTIFICATION
- Name
- Gravida
- Para
SOURCE: - Hospital No.
 Lecturer- Ma’am De Las Alas - Patient No.
 Internet - Date and time of admission
- Time of ruptured membrane
PARTOGRAPH
- Composite graphical record of observations II. FETAL CONDITION
- Only used during NSD - Fetal Heart Rate
- Developed and tested by WHO (1994)  Monitor every 30 minutes in latent phase
- Serves an early warning system and assists in  Monitor every 15 minutes in active phase
making timely decisions  Monitor every 5 minutes in 2nd stage of
- It is used to control the progress of labor labor
- Updated to diminish maternal mortality  Mark it with a dot and join th lines
- Monitors the labor and FHT (Normal FHT: 120-160 (Partograph)
bpm) - Liquor (Amniotic Fluid)

 We will only use the partograph if the mother’s Membrane is INTACT I

cervix is dilated to 4 cm Ruptured Membrane +
C
 If it is less than 4 cm, just take the VS of the Clear Liquor
mother and whatever procedure that she R.M. + Meconium-
M
desires stained Liquor
R.M. + blood-stained
B
liquor
WHY MONITOR?
R.M. + stained liquor
- Because the intrapartum period is probably the A
(absent membrane)
most dangerous and traumatic period
OBJECTIVES
- Molding the fetal skull bones
 Detect abnormal progress of labor
 Prevent prolonged labor
From lecture and from the internet:
 Detect fetal problems
 Recognize cephalopelvic disproportion before long
FIRST STAGE OF LABOR- contractions help your cervix to
obstructed labor
thin and begin to open
 Assist in early detection in transfer, augmentation or
termination
LATENT PHASE- Irregular contractions become
 Increase the quality and regularity of observation
progressively better coordinated, discomfort is minimal, and
 Reduce incidence of CS rate
the cervix effaces and dilates to 4 cm (2 contractions every
 Facilitates handover procedure
10 minutes)
 Highly effective in reducing complications from
prolonged labor of mother (postpartum
ACTIVE PHASE- the cervix becomes fully dilated, and the
hemorrhage, sepsis, uterine rupture and its
presenting part descends well/ 4-7 cm
sequelae) and for the newborn (death, anoxia,
- 3 contractions every 10 minutes
infx etc.)

Transcribed by: Kristine Maderazo and Vance Jowie Anne S. Sedilla

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CARE OF THE MOTHER, CHILD AND ADOLESCENT
(WELL CLIENT)
SECOND STAGE OF LABOR- Cervix is dilated to 7cm- 10cm
-the cervix becomes fully dilated, and the presenting part
descends well

THIRD STAGE OF LABOR- Afterbirth

After the birth of your baby, your uterus continues to
contract to push out the placenta (afterbirth). The placenta
usually delivers about 5 to 15 minutes after the baby
arrives.

FOURTH STAGE OF LABOR - Recovery

III. PROGRESS OF LABOR

THINGS TO REMEMBER:
 Gravida- 1cm per hour
 Para- 1.5 cm per hour
 5 to 13 minutes- time needed for placenta delivery
 1 minute after delivery of baby- administering of
oxytocin
 500 cc of bld- hemorrhage

IV. MATERNAL CONDITION

- Partograph

Transcribed by: Kristine Maderazo and Vance Jowie Anne S. Sedilla