1

CARE OF THE MOTHER, CHILD AND

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

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

mother’s cervix is dilated to 4 cm Ruptured Membrane
C
+ Clear Liquor
 If it is less than 4 cm, just take the VS of
R.M. + Meconium-
the mother and whatever procedure that M
stained Liquor
she desires
R.M. + blood-stained
B
liquor
WHY MONITOR? R.M. + stained liquor
- Because the intrapartum period is probably A
(absent membrane)
the 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 FIRST STAGE OF LABOR- contractions help your
before long obstructed labor cervix to 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 progressively better coordinated, discomfort is
observation minimal, and the cervix effaces and dilates to 4 cm
 Reduce incidence of CS rate (2 contractions every 10 minutes)
 Facilitates handover procedure
 Highly effective in reducing complications ACTIVE PHASE- the cervix becomes fully dilated,
from prolonged labor of mother (postpartum and the presenting part descends well/ 4-7 cm
hemorrhage, sepsis, uterine rupture and its 3 contractions every 10 minutes
sequelae) and for the newborn (death,
anoxia, SECOND STAGE OF LABOR- Cervix is dilated to 7cm-
infx etc.) 10cm
-the cervix becomes fully dilated, and the
COMPONENTS presenting part descends well
I. PATIENT IDENTIFICATION
- Name THIRD STAGE OF LABOR- Afterbirth
- Gravida Transcribed by: After the birth of your baby, your uterus continues
Kristine Maderazo and Vance Jowie Anne S. Sedilla
- Para to contract to push out the placenta (afterbirth).
 2

CARE OF THE MOTHER, CHILD AND

ADOLESCENT (WELL CLIENT)
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