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Managing Complications in Pregnancy and Childbirth: - IAWG

Managing Complications in Pregnancy and Childbirth: - IAWG

Managing Complications in Pregnancy and Childbirth: - IAWG

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C-70 Normal labour <strong>and</strong> childbirthFigure C-11, page C-69 is a sample partograph for normal labour:• A primigravida was admitted <strong>in</strong> the latent phase of labour at 5 AM:- fetal head 4/5 palpable;- cervix dilated 2 cm;- 3 contractions <strong>in</strong> 10 m<strong>in</strong>utes, each last<strong>in</strong>g 20 seconds;- normal maternal <strong>and</strong> fetal condition.Note: This <strong>in</strong>formation is not plotted on the partograph.• At 9 AM:- fetal head is 3/5 palpable;- cervix dilated 5 cm;Note: The woman was <strong>in</strong> the active phase of labour <strong>and</strong> this<strong>in</strong>formation is plotted on the partograph. Cervical dilatation isplotted on the alert l<strong>in</strong>e.- 4 contractions <strong>in</strong> 10 m<strong>in</strong>utes, each last<strong>in</strong>g 40 seconds;- cervical dilatation progressed at the rate of 1 cm per hour.• At 2 PM:- fetal head is 0/5 palpable;- cervix is fully dilated;- 5 contractions <strong>in</strong> 10 m<strong>in</strong>utes each last<strong>in</strong>g 40 seconds;- spontaneous vag<strong>in</strong>al delivery occurred at 2:20 PM.

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