"The Partograph Decoded Part 1: Your Step-by-Step Guide- Key Components
Автор: Love Obstetrics & Gynaecology
Загружено: 2025-06-16
Просмотров: 437
The Partograph – Your Essential Guide to Safe Labor Monitoring
Before starting the video have a hardcopy of Partograph in front of you.
📌 What You’ll Learn:
What is a Partograph? – A graphical tool to track labor progress & detect complications early.
Key Components – Cervical dilation, fetal heart rate, contractions, maternal vitals, and more.
How to Plot & Interpret – Step-by-step guide to using alert/action lines correctly.
Common Mistakes & Pitfalls – Avoid errors that could delay critical interventions.
Video Contents-
0:40 Introduction
1:02 Key Component
1:25 Component -Patient's ID
4:47 Component - Labour Progress
5:33 Cervical Dilatation Alert/Action Lines Zones
7:13 Fetal Head descent
9:42 Time Bar
10:40 Uterine Contractions
12:40 Oxytocin
13:22 Drugs & IV fluids
13.35 Component - Fetal Monitoring
14:35 Amniotic Fluid
15:44 Moulding
17:16 Moulding vs Caput
18:20 Component -Maternal Parameters
20:18 Revision
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Edited in Video Guru App.
****In any comorbidity****
1 Identify the High Risk
2 Write it in bold letters on the file of patient and the Partograph(Red Ink)
3 Inform to Nursing Sister in duty.
4 Inform it during the Handing over.
5 Consider the specific monitoring requirements and Drugs Required or Contraindicated.
Eg. Anemia: The Silent Labor Saboteur
Partograph Superpowers: Fetal Heart Rate FHR Tracking
1. Anemic fetuses have reduced oxygen reserves. The partograph:
Detects early decelerations before clinical distress
Flags tachycardia more than 160 bpm as first sign of compromise
Example: At 6 cm dilation, FHR rises to 165?
Time to:
✓ Administer O₂
✓ Rule out abruption
✓ Prepare for urgent delivery if persistent
2. Blood Loss Vigilance
The partograph's maternal pulse column is your hemorrhage radar:
Rising pulse more than 100 before BP drops? Occult bleeding
Action: Order stat Hb, secure IV access, alert blood bank
3. Labor Progress Correlation
Slow dilation + anemia? The partograph:
Triggers early decision for augmentation vs. C-section
Prevents "wait and watch" disasters
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