PARTOGRAM. Keywords: partogram, cervical dilation, action line, alert line, labour assessment, labour monitoring. BACKGROUND INFORMATION. The following two observations must be recorded on the partogram: The baseline The degree of moulding (i.e. 0 to 3+) is also recorded on the partogram. The percent of deliveries correctly monitored with a partogram (sometimes known as a partograph). A partogram is a simple chart that clinical staff can use to.

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In a pictorial overview, the partogram graphically displays the dynamics of labor during the first stage of delivery.

Its early detection and timely intervention can reduce fetomaternal morbidity. Login with your Social ID. I agree to my personal data being stored and used as per Privacy Policy. All of Newborn Health. A case controlled, prospective and interventional study paryogram women paftogram labour was carried out in the obstetric unit of Jinnah Post graduate medical center, Karachi, from 1st July to 30th December, Cochrane Database of Systematic ReviewsIssue 8.

Role of partogram in high risk pregnancies: an experience at a tertiary centre. – PubMed – NCBI

The information provided on this web site is not official U. Effect of partogram use on outcomes for women in spontaneous labour at term. Five hundred women were studied before and after the introduction of partogram.

There is no one partogram template; different health facilities may use different versions, with varying degrees of usefulness and simplicity.

Role of partogram in preventing prolonged labour.

Please review our privacy policy. In this study, partogram had no significant impact on duration of labour, rate of operative interventions and perinatal outcome following its use in the labour management of high risk pregnancies.

However, a systematic Cochrane review concluded, partograj the basis of the findings of this reviewwe cannot recommend routine use of the partogram as part of standard labour management and care. Supplemental Content Full text padtogram. It takes 20 seconds, requires only basic addition and the reading of a clock or watch, and holds potential for more effectively mobilizing clinicians to prevent prolonged labor. Please review our privacy policy. For example, if uterine contractions are poor close to the ALERT ETD, clinicians can give the woman oxytocin or an equivalent to strengthen contractions.


The goal is to alert clinicians of slow progress in labor so that they can intervene to prevent prolonged labor. So whywhy bet on the wrong horse? Especially now — when a better horse is here!

Though percentage of normal vaginal delivery was higher in Partogram group You must be logged in to post a comment. Supplemental Content Full text links. To study the role of patogram in the management of labouring mothers with high risk pregnancies at a tertiary care centre.

By using partogram, frequency of prolonged and augmented labour, postpartum haemorrhage, ruptured uterus, puerperal sepsis and perinatal morbidity and mortality was reduced.

Cases included were pregnancy-induced hypertension, gestational diabetes mellitus, cholestasis, hypothyroidism, history of previous one LSCS for trial of labour, postdated pregnancy.

The paperless partogram illustrates the potential for about 20 seconds and two time stamps to help save the lives of mothers and babies. Log in to Reply. To determine the effect of parhogram on the frequency of prolonged labour, augmented labour, operative deliveries and whether appropriate interventions based on the partogram will reduce maternal and perinatal complications. Generate a file for use with external citation management software.

After introduction of partogram Didn’t get the message? Further trial evidence is required to establish the efficacy of partogram use” Lavender et al. Once cervical dilation reaches 4 centimeters and contractions happen every ten minutes, a woman is considered to be in the active stage of labor.

J Pak Med Assoc. Preventing prolonged labor is a key strategy for reducing maternal and neonatal death.

The Paperless Partogram: A Simplified Tool to Prevent Prolonged Labor

At the time of the ALERT ETD, clinicians should be sensitized to the fact that the woman has not yet delivered and, if the current facility lacks C-section capabilities, make arrangements for transportation to a facility with available emergency obstetric care. Management of labour was standardised using set protocols of intrapartum care followed by partgram of duration of labour, rate of intervention, maternal and perinatal outcomes in both group.


Partograma con curvas de alerta. Add to My Bibliography. Debdas proposes a new, low-skill method for preventing prolonged labor—the paperless partogram.

And we strengthen health information systems so countries can make better decisions and sustain good health outcomes over time. Epub Aug 6. Appropriate on all counts. We create tools and approaches for rigorous evaluations, providing evidence to address health challenges.

;artogram Debdas of India would say no. Even after the WHO simplified the partograph model to make it more user-friendly inthe partograph is still rarely used in low-resource areas, and, when actually used, it is rarely interpreted correctly 2. Percent of deliveries in which a partogram is correctly used.

National Center for Biotechnology InformationU. Skip to navigation Search Site only in current section. This prolonged labor prevention strategy is cheap and easy to use, even for health workers without much formal education.

Of course, if a woman faces obstetric complications before any ETD, clinicians should pursue medical interventions to keep her and her child healthy regardless of ETD. Correct use is defined as: National Center for Biotechnology InformationU. A partogram is a simple chart that clinical staff can use to monitor labor and identify when it is not progressing satisfactorily.