Questions 1. Comment on the partograph What actions we required?
Matemal and Newborn Health Unit Liverpool School of Tropical Medicine LSTM/RCOG Life Saving Skills - Essential (Emergency) Obstetric Care and Newborn Care LSTM Partograph Case 5 Name: Hospital No.: Age (Years): Parity: Gestational age (Weeks): Mrs SA 462432 XY 24 Para 3+1 39 History Lower abdominal pains 3 hours • Drainage of liquor 2 hours Time lie Presentation FHR Min.) Moulding Descent Contractions (10 Min.) 10am Cephalic Cervix Membranes/ (cm) Liquor 4cm Spontaneous rupture 2 hours ago, clear 8cm Clear 9cm Clear L 140 0 3/5 3 (30 seconds) L 1 3/5 2pm 4pm Cephalic Cephalic 156 120 3 (40 seconds) 4 (45 seconds) L 2+ 1/5 Questions Time 4pm 10am 86 130/70 2pm 90 130/70 Pulserate /Min.) Blood pressure (mmHg) 92 1. 130/70 Comment on the partography 2. What action will you take? 3. What are the options for delivery? 37 37- 37 Temperature (9
Maternal and Newborn Health Unit Liverpool School of Tropical Medicine ESTM/RCOG Life Saving Sidik-Esential (Emergency) Obstetric Care and Newborn Care LSTM Symbols Cervin Head Breech Fetal heart rate Usual frequency of examination Vaginal examination 4 hourly Fetal Heart Rate % -% hourly Contractions: Palpate abdomen (uterine tundus) over 10 min. Mild Moderate Strong <20 seconds 20-40 seconds >0 seconds Amniotic fluid Membranes intact Membranes ruptures, clear fluid Meconlum stained fluid Blood stained fluid c Descent: Abdominal palpation: M B Pro Moulding Sutures apposed Sutures overlapped but reducible Sutures overlapped but not reducible 24 Copy Special Edit op Ooster 1. WHO Managing complications in pregnancy and childbirth LSTM Partograph Case 3 Matemal and Newborn Health Unit Liverpool School of Tropical Medicine ISTM/RCOG Life Saving Skills --Easendal (Emergency Obstetric Care and Newborn Game Name: Mrs DG Hospital No. 462412 XY Age (years 19 History Parity: Para 0 Lower abdominal pains for 10 hours Gestational age (Weeks) 38 -No drainage of ligour Cervia Membranes FHR Time (cm) Lie Presentation /Min) Moulding Liquor 10 Arc Descent Contractions /Min) ws ws 140 20 Time for 30am 12 pm 2pm 100 340/70 130/70 37 140/70 375 To 37.5 Maternal and Newborn Health Unit Liverpool School of Tropical Medicine ESTM/RCOG Life Saving Sidik-Esential (Emergency)
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