9118123, 3:50 PM 5.2 Monitoring labour and delivery | MSF Medical Guidelines ing "Accept Al s site uses cookies to enhance your browsing experience, By our Privacy Policy storing of cookies on your device. Ret OB Strictly ni CO Functional ( Performance Cookies ssary htips:medicalguidetnes mst org/enviewporVONClenglshi5-2-monitoringlabour-and-delvery-51416967 nimltsectiontarget-2 18918123, 3:50 PM 5.2 Monitoring labour and delivery | MSF Medical Guidelines 5.2 Monitoring labour and delivery Permalink 5.2.3 Immediate postpartum maternal monitoring. 5.2.1 Partograph ‘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. Its central feature a graph used to record the progress of cervical dilation, as determined by vaginal examination. Start the graph at 5 cm of dilation, and 8 contractions every 10 minutes. In certain situations, e.g. induction of labour, itis started at 4 cm of dilation. Indicators are plotted on the graph each time they are checked: = Maternal indicators: + Vital signs (heart rate, blood pressure and temperature) + Time of spontaneous or artificial rupture of the membranes. + Uterine contractions (number per 10 minutes and duration) + Urine output * Drugs administered (oxytocin, antibiotics, etc.) — Foetal indicators: + Foetal heart rate + Amniotic fluid (colour, odour and quantity) + Descent of the foetal head and head moulding our curve asfertoa man is at a wy eemvuns must be made (augmentation of labour, artificial rupture of membranes, caesarean section, etc). See Chapter 7. The WHO partograph hitpssImedicalgudetines.mst orgeniviewpor/ONClenglshi5-2-monitoring labour-and-delivery-51416957 himifsection target 2 2159118123, 3:50 PM 5.2 Monitoring labour and delivery | MSF Medical Guidelines see tei hae Hoxie Tie daiie dk ba S5seeg5S8 228 Kies to enhance your br sing experience, By storing of cookies on your device. Read our Privacy Policy you agree to the C Strictly ne CO Functional (Performance Cookies — Vital signs (heart rate, blood pressure, temperature and respiratory rate), blood loss and uterine retraction: + between Hour 0 and Hour 2: every 15 to 30 minutes + between Hour 2 and Hour 4: every hour — Verify that the woman drinks and urinates. = Check if there are other treatment indications, e.g., antibiotherapy for prolonged rupture of membranes with intra-uterine infection (Chapter 4, Section 4.9.3), anaemia (Chapter 4, Section 4.1), etc. = In case of caesarean section, see Chapter 6, Section 6.4. htips:medicalguidetnes mst org/enviewporONClenglshi5-2-monitoringlabour-and-delvery-514 16957 nimitsectiontarget-2 359118123, 3:50 PM 5.2 Monitoring labour and delivery | MSF Medical Guidelines For monitoring and care following the immediate postpartum, see Chapter 11, Section 11,2 and Section 11.4. king "Ac J agree to the This site uses cookies to enhance your browsing experience, By All", y storing of cookies on your device. Read our Privacy Policy Ost tly r Functional ssary C Performance Cookies ntips:tmedicalguidetnes mst org/enviewporONClenglshi5-2-monitring Jabour-and-elvery-514 16957 himltsectontarget-2 459118123, 3:50 PM 5.2 Monitoring labour and delivery | MSF Medical Guidelines 19 experience, By clicking "Accept All’, you agree to the s site uses cookies to enhance your brow our Privacy Policy storing of cookies on your device. Rea OB Strictly ni CO Functional ( Performance Cookies ssary tips:tmedicalguidetnes mst org/enviewporONClenglshi5-2-monitring Jabour-and-elvery-514 16957 himltsectontarget-2 35