Matemal and Newborn Health Unit Liverpool School of Trapical Medicine LSTM/RCOG Life Saving Skills-Essential (Emergency) Obstetric Care and Newborn Care LSTM Partograph Case 5 Name: Mrs SA Hospital No.: 462432 XY History Age (Years): 24 •Lower abdominal pains 3 hours Parity: Para 3+1 •Drainage of liquor 2 hours Gestational age (Weeks): 39 Cervix Membranes/ (cm) Presentation FHR UMin.) Moulding Time Lie Descent Contractions V10 Min.) Liquor 10am 4cm Spontaneous rupture 2 hours ago, clear Cephalic 140 3/5 3 (30 seconds) Zpm 8cm Clear Cephalic 156 1+ 3/5 3 (40 seconds) 4pm 9am Clear Cephalic 120 2+ 1/5 4 (45 seconds) Questions Time 10am 2pm 4pm Puserate /Min.) 86 90 92 Comment on the partograph? 2. What action will you take? 3. What are the options for delivery? Blood pressure (mmHg) 130/70 130/70 130/70 37 37 37 Temperature (9

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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Matemal and Newborn Health Unit Liverpool School of Trapical Medicine
LSTM/RCOG Life Saving Skills-Essential (Emergency) Obstetric Care and Newborn Care
LSTM
Partograph Case 5
Name:
Mrs SA
Hospital No.:
462432 XY
History
Age (Years):
24
•Lower abdominal pains 3 hours
•Drainage of liquor 2 hours
Parity:
Para 3+1
Gestational age (Weeks):
39
Time
Cervix Membranes/
(am)
Lie
Presentation FHR (Min.) Moulding
Descent
Contractions
/10 Min.)
Liquor
10am
4cm
Spontaneous
rupture 2 hours
ago, clear
Cephalic
3/5
3 (30 seconds)
140
2pm
3 (40 seconds)
8cm
Clear
Cephalic
156
1+
3/5
Apm
9cm
Clear
Cephalic
1/5
4 (45 seconds)
120
2+
Questions
Time
10am
2pm
4pm
Pulserate (/Min.)
86
90
92
Comment on the partograph?
2. What action will you take?
3. What are the options for delivery?
Blood pressure (mmHg)
130/70
130/70
130/70
37
37
37
Temperature ()
Transcribed Image Text:Matemal and Newborn Health Unit Liverpool School of Trapical Medicine LSTM/RCOG Life Saving Skills-Essential (Emergency) Obstetric Care and Newborn Care LSTM Partograph Case 5 Name: Mrs SA Hospital No.: 462432 XY History Age (Years): 24 •Lower abdominal pains 3 hours •Drainage of liquor 2 hours Parity: Para 3+1 Gestational age (Weeks): 39 Time Cervix Membranes/ (am) Lie Presentation FHR (Min.) Moulding Descent Contractions /10 Min.) Liquor 10am 4cm Spontaneous rupture 2 hours ago, clear Cephalic 3/5 3 (30 seconds) 140 2pm 3 (40 seconds) 8cm Clear Cephalic 156 1+ 3/5 Apm 9cm Clear Cephalic 1/5 4 (45 seconds) 120 2+ Questions Time 10am 2pm 4pm Pulserate (/Min.) 86 90 92 Comment on the partograph? 2. What action will you take? 3. What are the options for delivery? Blood pressure (mmHg) 130/70 130/70 130/70 37 37 37 Temperature ()
Maternal and Newborn Health Unit Liverpool School of Tropical Mediine
LSTM/RCOG Lie Saving Skilh -Eential (Emergency) Obstetic Care and Niewborn Care
LSTM
Symbols
Usual frequency of examina tion
Cervix
Vaginal examination
4 hourly
Head
X - X hourly
Fetal Heart Rate
Breech
Fetal heart rate
Contractions: Palpate abdomen (uterine fundus)over 10 min.
«20 seconds
Mild
Amniotic fluid
Maderate
20-40 seconds
Membranes intact
Strong
>40 seconds
Membranes ruptures, clear fluid
Descent: Abdominalpalpation
Meconium stained fluid
M
45 35
2
Biood stained fluid
Abdomer
Moulding
Sutures apposed
Helve covty
Sutures overlapped but reducible
2+
Conpety Sp Sincipa Encixt Groput re
M Ng y
Sutures overlapped but not reducible
Ocuut Ou Ox O
jae ra
1. WHO Managing compications in pregnancy and chidbirm 1
Matemal and Newban Health Unit iverpool School of Tropical Medicine
LSTM/RCOG Life Saving Skils-Easential (Emergency) Obstetric Care and Newborn Cam
LSTM
Name:
Mrs DG
Partograph Case 3
Hospital No.:
462432 XY
Age (Vears):
19
History
"Lower abdominalpains for 10 hours
*No drainage of liqour
Parity:
Para 0"
Gestational age (Weeks)
38
Membranes
Cervie
(om)
FHR
Contractions
Time
Lie
Presentation
Mouldng
Descent
(UMin)
10 Min.)
Uquer
am
Som
ngatnd
C
S40
Aicia
C
netuof
wwbra
ongtatina
am
Sem
Cee
car
ngtati
dina
clar
Time
fam
10am
12pm
2pm
teM
84
88
92
d pem
130/70
140/70
TempareC
37
37.5
375
Questions 1. Comment an the partograph. What actions are required?
Transcribed Image Text:Maternal and Newborn Health Unit Liverpool School of Tropical Mediine LSTM/RCOG Lie Saving Skilh -Eential (Emergency) Obstetic Care and Niewborn Care LSTM Symbols Usual frequency of examina tion Cervix Vaginal examination 4 hourly Head X - X hourly Fetal Heart Rate Breech Fetal heart rate Contractions: Palpate abdomen (uterine fundus)over 10 min. «20 seconds Mild Amniotic fluid Maderate 20-40 seconds Membranes intact Strong >40 seconds Membranes ruptures, clear fluid Descent: Abdominalpalpation Meconium stained fluid M 45 35 2 Biood stained fluid Abdomer Moulding Sutures apposed Helve covty Sutures overlapped but reducible 2+ Conpety Sp Sincipa Encixt Groput re M Ng y Sutures overlapped but not reducible Ocuut Ou Ox O jae ra 1. WHO Managing compications in pregnancy and chidbirm 1 Matemal and Newban Health Unit iverpool School of Tropical Medicine LSTM/RCOG Life Saving Skils-Easential (Emergency) Obstetric Care and Newborn Cam LSTM Name: Mrs DG Partograph Case 3 Hospital No.: 462432 XY Age (Vears): 19 History "Lower abdominalpains for 10 hours *No drainage of liqour Parity: Para 0" Gestational age (Weeks) 38 Membranes Cervie (om) FHR Contractions Time Lie Presentation Mouldng Descent (UMin) 10 Min.) Uquer am Som ngatnd C S40 Aicia C netuof wwbra ongtatina am Sem Cee car ngtati dina clar Time fam 10am 12pm 2pm teM 84 88 92 d pem 130/70 140/70 TempareC 37 37.5 375 Questions 1. Comment an the partograph. What actions are required?
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