Partogram
In obstetrics , the partogram is used to identify whether the birth is normal and whether and when medical measures must be taken to keep mother and child away from harm. When using a partogram, no positive or negative influences on the birth result could be detected. The partogram is a simple aid that is mainly used when there is no large medical equipment ( ultrasound , CTG ) available for birth monitoring . Thus, its use in less developed countries can reduce the rate of Caesarean sections.
The WHO recommends the partogram with a graphic representation. x-axis the time, y-axis the widening of the cervix (dilation). Since there is a linear relationship between the two - dilatation of the cervix at 1 cm / 1 hour, a 45 ° line between the x and y axes can indicate the normal course of the widening of the cervix. If there is a delay, the attention line or the action line (parallel to the former, offset to the right at 4-hour intervals) are exceeded. The colored / round partogram disc seems more suitable for recognizing the current status with colored fields. The colored / round partogram disc (model NSIONI) is reminiscent of a clock with a 12-hour division. Thanks to the coloring, it allows a quick orientation of the birth situation and, in contrast to the WHO graphic, does not have to be redrawn every time. The green field shows the normal course with dilation 1 cm / 1 h. The yellow area shows an incipient delay, "Attention" (improvement of the situation through e.g. infusion, oxygen, catheterization, etc.), when entering the red area "Action" the birth should be ended as soon as possible (e.g. B. suction cup , forceps delivery , caesarean section ).
literature
- Hans Jochen Diesfeld et al. (Ed.): Health care in developing countries: Medical action from a population-related perspective . Springer, 2nd edition 2001, ISBN 9783540418122 , p. 362 ff.