PARTOGRAPH EXERCISES

Case 1

Maria Cruz, a 23-year-old, Gravida 2 Para 1 was admitted today at 2am, IE showed a 5cm dilated cervix, cephalic, intact bag of water. Vital signs of
BP=110/70mmHg, PR=88bpm, T=36.2 and FHT=140bpm. She had 3 contractions in 10 minutes with a moderate intensity. At 6am, the bag of water
ruptured with clear amniotic fluid. IE showed 8cm dilated cervix. Vital signs of BP=120/80 mmHg, PR=90bpm, T=36.5 and FHT=146bpm. At 8am,
cervix was 9 cm. She delivered spontaneously at 8:30 am. 10 units oxytocin was given IM. Placenta was delivered complete at 8:35 am.
Case 2

Frances Rogers, a 26-year-old, Gravida 1 Para 0 was admitted in labor room at 14:00. On abdominal examination the contractions were 2 in 10
minutes, each lasting 20 seconds. The head was 5/5 above the brim and the fetal heart was 130/min. On vaginal examination the cervix was 2 cm
dilated, membranes were intact, no moulding felt. Vital Signs of blood pressure was 110/70 mmHg; her pulse 78/min; temperature 36.6°C. She
passed 100 ml of urine; protein and acetone were negative. At 18:00 an abdominal and vaginal examination was carried out. Fetal heart rate of
140/min. IE showed 5 cm dilated, descent of the head 3/5 above the brim, ruptured membrane with clear amniotic fluid, no moulding noted. Upon
abdominal palpation, uterine contractions of 3 in 10 minutes, each lasting 50 seconds. Vital Signs of blood pressure of 105/70 mmHg; pulse 80/min,
temperature 37°C.