Partogram

A partogram or partograph is a composite graphical record of key data (maternal and fetal) during labour entered against time on a single sheet of paper. Relevant measurements might include statistics such as cervical dilation, fetal heart rate, duration of labour and vital signs.[1]

In, 1954 Friedman prepared the cervicography.[2] In 1972 Philpott and Castle, working in Rhodesia (now Zimbabwe), developed the first partograph, by utilizing Friedman's cervicograph, and adding the relationship of the presenting part to the maternal pelvis.[3][4]

It is intended to provide an accurate record of the progress in labour, so that any delay or deviation from normal may be detected quickly and treated accordingly. However, a Cochrane review came to the conclusion that there is insufficient evidence to recommend partographs in standard labour management and care.[5]

  1. ^ "The Partogram" (PDF). Archived from the original (PDF) on 2011-09-27. Retrieved 2011-06-21.
  2. ^ Friedman, Emanuel A. (December 1954). "The graphic analysis of labor". American Journal of Obstetrics and Gynecology. 68 (6): 1568–1575. doi:10.1016/0002-9378(54)90311-7. ISSN 0002-9378. PMID 13207246.
  3. ^ Philpott, R. H.; Castle, W. M. (July 1972). "CERVICOGRAPHS IN THE MANAGEMENT OF LABOUR IN PRIMIGRAVIDAE: I. The Alert Line for Detecting Abnormal Labour". BJOG: An International Journal of Obstetrics & Gynaecology. 79 (7): 592–598. doi:10.1111/j.1471-0528.1972.tb14207.x. ISSN 1470-0328. PMID 5043422. S2CID 39709708.
  4. ^ Philpott, R. H.; Castle, W. M. (July 1972). "CERVICOGRAPHS IN THE MANAGEMENT OF LABOUR IN PRIMIGRAVIDAE: II. The Action Line and Treatment of Abnormal Labour". BJOG: An International Journal of Obstetrics & Gynaecology. 79 (7): 599–602. doi:10.1111/j.1471-0528.1972.tb14208.x. ISSN 1470-0328. PMID 5043423.
  5. ^ Lavender, T; Cuthbert, A; Smyth, RM (6 August 2018). "Effect of partograph use on outcomes for women in spontaneous labour at term and their babies". The Cochrane Database of Systematic Reviews. 2018 (8): CD005461. doi:10.1002/14651858.CD005461.pub5. PMC 6513424. PMID 30080256.
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