WHOMMCH/E9.2 Distr: Generai The Partograph A MANAGERIAL TOOL FOR THE PREVENTION OF PROLONGED LABOUR SECTION III Facilitator's guide The World Health Organization Maternal and Child Health and Family Planning Programme Geneva 1989ORGANISATION MONDIALE DE LA SANTE & WORLD HEALTH ORGANIZATION THE PARTOGRAPH SECTION III Facilitator's guide ACKNOWLEDGEMENTS ‘This manual was prepared with the help of Dr. Lennox. The World Health Organiza- tion would like to thank the Camegie Corporation and the contributors to the Safe Motherhood Operations Research for their financial support. This document is not a formal oubieation of che World Hest» Organzation (WHO). ond all righes are reserved Dy" the Organization. Tee “document” may, Nawevsr be freely reviewed. abstactea, veprocuced ot renmated, 9 gare or in whit, but net forsale or uit in conhine: ‘lon witn commercal gues The waws excressed in doeument by named awinors ar solely the Fsponaibiley of thaze authors, Ce document n'est pas une publication officielle de free ‘gation mondiale de io. Santé (OMS) et tous is droits ¥ Bfthrens "sont eserves par Organication. St peut te Eommenté, resume ou ne tans aueune Yenvcton, ne Surait otpenaant. ttre febrodit A tasui, partnlament (Suen tora, pours wante ou 8 des fins commerciales Ges opinions exprimées dans ler documents par es autwurs cites nommementrrengagent ue leaite autourwHOMcii8e 2 CONTENTS age No. age No. in this in guide PAGE UNIT TITLE Torics USER'S DISCUSSION EXERCISES NO MANUAL SESSIONS 1 INTRODUCTION + Objectives : : 2 Overview : 31 INTRODUCING. Teaching objectives - 3 THE ‘Materials required 3 PARTOGRAPH "Getting to know each : other's problems : 3 : 3 Observations in labour . 3 ‘i 3 Introducing the partograph 23 4 : 4 Screening for special cases 2 4 i 4 + Leaming objectives : . 52 CERVICAL _—_. Teaching objectives - - - 5 DILATATION — Materials required. - - - 5 INLABOUR Vaginal examination 22 56 - 6 + Latent and active phases of labour - - - 7 » Frequency of vaginal ‘examinations : : : 8 « Leaming objectives : - - 9 3 PLOTTING —_. Teaching objectives : - - 9 ‘CERVICAL Materials required : - - 10 DILATATION “Exercises : - 10 10 ON AGRAPH — Lookat the graphs - : - 10 + Learning objectives : - : n Sample exercises : : u 12 4 CERVICAL. Teaching objectives : : - 2 DILATATION. Materials required : : - 2 ANDTHE Understanding the PARTOGRAPH _partograph “5 - - B - Charting cervical dilatation on admission - : “ 4 = Charting subsequent cervical dilatation 67 . 6 6 « Transfer from latent to active phase 8 : 16 6 Normal labour 3 : - 6 Learning objectives - : = 7 + Sample exercises - : v7