Maintaining The New Partogram: Prepared By: KMIU Ranasinghe & HKDK Nadeeshani
Maintaining The New Partogram: Prepared By: KMIU Ranasinghe & HKDK Nadeeshani
Maintaining The New Partogram: Prepared By: KMIU Ranasinghe & HKDK Nadeeshani
new partogram
Prepared by : KMIU Ranasinghe & HKDK Nadeeshani
Faculty of Medicine, University of Colombo
With contributions from:
Professor Hemantha Senanayake
Professor Malik Gunawardana
Partogram:
• Name
• Age
• BHT number
• POG
• Gravidity
• Parity
• Blood group
• Date & Time
• Special problems
• Special instructions
CTG information- N / S / P
Actions taken
Time at full cervical dilation
and commencement of
pushing
Second stage of
labour
Fetal heart rate (every 10
minutes during passive
phase/ every 5 mins in
expulsive phase)
When should the partogram be
started?
If the frequency of uterine
contractions is 2 or more per 10
minutes
or
<
between 20-40 S
between 40-60 S
Duration of a Duration of a Duration of a
contraction = < 20 s contraction = 20 s contraction = 40 s –
Contraction free – 40 s 60s
Contraction free Contraction free
interval = 5mins interval = 1min
interval = 3mins
Documentation of cervical dilation
10
9
8
7
Cervical dilation
6
5
abdominal descent
4 4 hours
3
2 Abdominal descent
1
0
Descent of the fetal head on
abdominal palpation
Documentation about the colour of liquor
I (Intact membranes)
C (Clear)
M (Meconium)
B (Blood stained)
A (Absent)
Restless or drowsy?
Alert & oriented?
Respiratory rate
Pulse rate
Systolic Blood
pressure
Diastolic Blood
pressure
Urine output
Consistency of the
uterus
Level of fundus
Bleeding PV
Bladder dilation
PV & PR findings if
done
Neonatal condition
Monitor & document maternal pulse at 15 min
intervals, & SBP, DBP and respiratory rate at 30 min
intervals.