FACULTY OF NURSING

LESSON PLAN ON:

PARTOGRAM

SUBMITTER BY: SUBMITTED TO:

MISS SHREYA SHARMA MRS. JASMI MANU (PROF.)
M. SC. NURSING 1ST YEAR PRINCIPAL
FACULTY OF NURSING FACULTY OF NURSING
RAMA UNIVERSITY RAMA UNIVERSITY
 GENERAL DESCRIPTION

NAME: Miss Shreya Sharma

COURSE: M. Sc. Nursing 1st year

BATCH: 2021-2022

TOPIC: Partogram

DATE: 20/11/22

TIME: 45 Minutes

VENUE: M. Sc. Nursing 1st-year class

METHOD OF TEACHING: Lecture cum discussion

AV AIDS: Whiteboard, Model, PPT, Images, Video

NAME OF THE SUPERVISOR:

PREVIOUS KNOWLEDGE OF THE GROUP: The group has basic knowledge about the Partogram as they have learned about it
during their graduation
 GENERAL OBJECTIVES

At the end of the session, the group will learn about the Partogram and will be able to apply the knowledge in clinical life or day-
to-day life.

SPECIFIC OBJECTIVES

At the end of the session, the group will be able to:

 define the Partogram.

 enumerate the components of the Partogram.
 enlist the advantages and limitations of the Program.
 discuss the usage of the Partogram
 elaborate on the digital Partogram.
 explain the plotting of the Partogram.
 S. TIME SPECIFIC CONTENT ACTIVITIES AV EVALUATION
NO OBJECTIVES AIDS
. TEACHING LEARNING
1. 2 INTRODUCTION: A partogram or partograph is a The teacher The listeners
minutes composite graphical record of key data (maternal and fetal) is are actively
during labor entered against time on a single sheet of paper. introducing listening.
Relevant measurements might include statistics such as the topic to
cervical dilation, fetal heart rate, duration of labor, and vital the group.
signs.

It is intended to provide an accurate record of the progress in

labor so that any delay or deviation from normal may be
detected quickly and treated accordingly. However, a
Cochrane review concluded that there is insufficient
evidence to recommend partographs in standard labor
management and care.

S. TIME SPECIFIC CONTENT ACTIVITIES AV EVALUATION

NO OBJECTIVES TEACHING LEARNING AIDS
.
2. 3 to define the DEFINITION: According to the Medical Dictionary, “a The teacher The listeners P What is a
minutes Partogram Partogram is a graph of labor parameters of time and dilation is explaining are actively O Partogram?
with alert and action lines to prompt intervention if the curve the meaning listening. W
deviates from expected.” of the topic E
A Partogram or partograph is a composite graphical to the group. R
record of key data (maternal and fetal) during labor entered P
against time on a single sheet of paper. O
I
N
T
 S. TIME SPECIFIC CONTENT ACTIVITIES AV EVALUATION
NO OBJECTIVES AIDS
. TEACHING LEARNING
3. 5 to enumerate COMPONENTS: The teacher The listeners M What are the
the components
minutes  Patient identification is are making O components of
of the
Partogram.  Time: It is recorded at an interval of one hour. Zero time enumerating notes. D the Partogram?
for the spontaneous labor time of admission in the labor the E
ward and for the induced labor time of induction. components L
 Fetal heart rate: It is recorded at an interval of thirty of the
minutes. Partogram.

 State of membranes and color of liquor: "I" designates

intact membranes, "C" designates clear, and "M"
designates meconium-stained liquor.
 Cervical dilatation and descent of the head.
 Uterine contractions: Squares in vertical columns are
shaded according to duration and intensity.
 Drugs and fluids
 Blood pressure: It is recorded in vertical lines at an
interval of 2 hours.
 Pulse rate: It is also recorded in vertical lines at an
interval of 30 minutes.
 Oxytocin: Concentration is noted down in the upper box;
while dose is noted in the lower box.
 Urine analysis
 Temperature record
 S. TIME SPECIFIC CONTENT ACTIVITIES AV EVALUATION
NO OBJECTIVES AIDS
. TEACHING LEARNING
4. 5 to enlist the ADVANTAGES: The teacher The listeners P What pros and
minutes advantages and  Provides information on a single sheet of paper at a is enlisting are actively O cons of the
limitations of glance the meaning listening. W Partogram?
the Program.  Early prediction of deviation from normal progress of of the topic E
labor to the group. R
 Improvement in maternal morbidity, perinatal morbidity, P
and mortality. O
LIMITATIONS: I

 It requires a skilled healthcare worker who can fill N

and interpret the partograph. T

 Recent studies have shown there is no evidence that

partograph use is detrimental to outcomes.
 Often paper-partograph and the equipment required
to complete it are unavailable in low resource
settings.
 Despite decades of training and investment,
implementation rates and capacity to correctly use
the partograph are very low.
 According to some recent literature, cervical
dilatation over time is a poor predictor of severe
adverse birth outcomes. This raises questions about
the validity of a partograph alert line.
 S. TIME SPECIFIC CONTENT ACTIVITIES AV EVALUATION
NO OBJECTIVES AIDS
. TEACHING LEARNING
5. 5 to discuss the USAGE: The teacher The listeners I What are the uses
minutes usage of the A partograph is contained in the Perinatal Institute's "Birth is discussing are actively M of the
Partogram notes". the usage of taking part in A Partogram?
the the G
The use of a partograph in established labor is recommended Partogram. discussion. E
by the National Institute for Clinical Excellence (NICE) in S
the "Intrapartum Care" guideline
 S. TIME SPECIFIC CONTENT ACTIVITIES AV EVALUATION
NO OBJECTIVES AIDS
. TEACHING LEARNING
6. 15 to elaborate on DIGITAL PARTOGRAM: The teacher The listeners V What is a digital
minutes the digital A digital partograph is an electronic implementation is elaborating are listening I Partogram?
Partogram of the standard paper-based partograph/partogram that can on the digital carefully D
work on a mobile or tablet PC. Partograph is a paper-based Partogram. E
tool developed by the W.H.O. to monitor labor during O
pregnancy. The use of the partograph is recommended as an
important indicator for monitoring intrapartum care.
Partograph includes several labor vitals including cervix
dilatation of the mother. Plotting the cervix dilatation against
time can help predict deviation from the normal labor
progress. Various researchers have suggested using digital
partograph to overcome the limitations of paper-based
partograph. Much literature is available regarding the
feasibility of a digital partograph.
 S. TIME SPECIFIC CONTENT ACTIVITIES AV EVALUATION
NO OBJECTIVES AIDS
. TEACHING LEARNING
6. 15 to elaborate on DIGITAL PARTOGRAM: The teacher The listeners V What are the
minutes the digital Advantages: is elaborating are listening I disadvantages of
Partogram  Mitigating human errors. on the digital carefully D digital
 Increased accountability & preventing false data entry. Partogram. E Partogram?

 Allows easy data analysis. O

 Availability.
 Ease of use.
 S. TIME SPECIFIC CONTENT ACTIVITIES AV EVALUATION
NO OBJECTIVES AIDS
. TEACHING LEARNING
7. 10 to explain the CONTRAINDICATIONS OF PARTOGRAM: The teacher is The listeners W What are the
minutes contraindication  Admission with cervical dilatation of 9-10 cm. elaborating on are listening H contraindications
s of the  Those scheduled for elective cesarean section. the carefully I of a Partogram?
Partogram.  Those going for emergency cs immediately on contraindications T

admission. Partogram. E
B
O
A
R
D
 RECAPITULATION

 What is a Partogram?
 What are the components of the Partogram?
 What pros and cons of the Partogram?
 What are the uses of the Partogram?
 What is a digital Partogram?
 What are the disadvantages of digital Partogram?
 What are the contraindications of a Partogram?

ASSIGNMENT
Write in detail on Partogram and its developer.

DATE OF SUBMISSION: 21/11/22

 SUMMARY

During the session, we discussed the definition of the Partogram. There are various components which are needed to be filled at
the time of Partogram plotting. In addition, we learned the Partogram's usage, advantages, limitations, and contraindications. We also
learned about digital Partogram in this session.

CONCLUSION

The partograph is a time-based graphical representation of the events in the first stage of labor. The partograph is a tool for assessing and interpreting
the progress of labor. It is a tool for preventing protracted labor. Partograms are of two types: 1) Composite partograph= Has recordings of both the latent and
active phases of the first stage of labor. 2) WHO modified partograph= Has recordings of only the active phase of the first stage of labor.
 BIBLIOGRAPHY
 STUDENT HUNT, MEDICINE, PARTOGRAM. Available at: https://estudhut.com/partograph/.
 Partogram. (2022, June 14). In Wikipedia. https://en.wikipedia.org/wiki/Partogram
 Konar Hiralal; DC Dutta’s Textbook of Obstetrics; Jaypee Bother’s Medical Publications; 8th Edition; Partograph, page no. 607.
 Arora Sakshi; Self-Assessment & review Obstetrics; Jaypee Health Science Publisher; 9th Edition; Partograph, page no. 84.