Managing Complications in Pregnancy and Childbirth: - IAWG

Unsatisfactory progress of labourS-63Figure S-8, page S-63 is a sample partograph for poor progress oflabour due to inadequate uterine contractions corrected with oxytocin.• The woman was admitted in active labour at 10 AM:- fetal head 5/5 palpable;- cervix dilated 4 cm;- two contractions in 10 minutes, each lasting less than 20seconds.• At 12 PM:- fetal head still 5/5 palpable;- cervix still dilated 4 cm and to the right of the alert line;- no improvement in contractions.• At 2 PM:- poor progress of labour due to inefficient uterine contractionsdiagnosed;- augmented labour with oxytocin 10 units in 1 L IV fluids at 15drops per minute;- escalated oxytocin until a good pattern of contractions wasestablished;- contractions improved and were accompanied by descent ofthe presenting part and progressive cervical dilatation.• Spontaneous vaginal delivery occurred at 8 PM.