Partogram
 

This is the graph that monitors cervical dilation. It has four phases

  • Latent phase (0-3cm)

  • Active phase when dilatation is very rapid (3-8cm)

  • Acceleration phase (8-10 cm)

  • Deceleration phase (Just before 10cm)

It is also called cervicogram or Friedman's curve.

The cervix normally dilates from 0 cm (admitting no finger) to 10 cm, admitting 5 fingers). At the time of dilatation, effacement of the same cervix follows pari passu, which is to say the cervix is gradually taken up and finally disappears. It is being assimilated into the lower segment of uterus and becomes reconstituted only after labor. Hence damage to cervix during labor may affect the formation (and possibly subsequent formation) of lower segment of uterus.

Disorders of partogam

  • Prolonged latent phase

  • Protracted active phase

  • Prolonged deceleration

  • Secondary arrest of dilatation

Other disorders associated with partography

  • Arrest of descent

  • Failure of descent

 
Partogram


Prolonged labor

 

 

DIGITAL LOCATOR OF CERVIX FROM BELOW (PELVIS): Layer 1, layer of skin of female pelvis. Layer 2, layer of pelvic fascia. Layer 3 layer of greater pelvis, Layer 4, layer of lesser pelvis. Roll over mouse to label; click to display page. Then click blinking end page to display cervix page. Cervix is localized at layer 4. Cervix and label

 

 

 

 

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