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...

Extracted 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 ()


Extracted 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?