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Skilled management of labor using a partograph, a simple chart for recording information about the progress of labor and the condition of a woman and her baby during labor, is key to the appropriate prevention and treatment of prolonged labor and its complications.
The fetal heart rate is recorded at the top of the partograph every half hour in the first stage of labour (if every count is within the normal range), and every 5 minutes in the second stage. Count the fetal heart rate: As frequently as possible for about 10 minutes and decide what to do thereafter.
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. Relevant measurements might include statistics such as cervical dilation, fetal heart rate, duration of labour and vital signs.
The partograph is a tool for monitoring maternal and foetal wellbeing during the active phase of labour, and a decision-making aid when abnormalities are detected. It is designed to be used at any level of care.
The partograph is designed for recording maternal identification, fetal heart rate, colour of the amniotic fluid, moulding of the fetal skull, cervical dilatation, fetal descent, uterine contractions, whether oxytocin was administered or intravenous fluids were given, maternal vital signs and urine output.
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The partograph or partogram has been established as the gold standard labor monitoring tool universally. It has recommended by the World Health Organization (WHO) for use in active labor [1]. The function of the partograph is to monitor the progress of labor and identify and intervene in cases of abnormal labor.
The partograph (sometimes known as partogram) is usually a pre‐printed paper form on which labour observations are recorded. The aim of the partograph is to provide a pictorial overview of labour, and to alert midwives and obstetricians to deviations in maternal or fetal well‐being and labour progress.
Labor Begin plotting in active labor. Cervical dilatation = 4 cm and 2 contractions / 10 minutes. Always plot initial finding at Alert line. Note the time. Repeat P/V after 4 hours and plot the cervical dilatation. In active phase cervical dilatation should be 1 or ore than 1 cm/ hour.

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