You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is From what cm of cervical dilatation is paogram plotted in regular intervals? and explain in detail?
The best method to monitor labour is through the paograph ! The paograph is a graphic record of the progress of labour and relevant details of the mother and fetus The WHO paograph begins only in the active phase of labour, when the cervix is 4 cm or more dilated Observations to be made: Maternal well - being: Pulse every 30 minutes Blood pressure and temperature 4-hourly Urine output and dipstick testing for protein Ketones (if available) and glucose after vooding Fetal well - being: Record fetal hea rate for 1 minute every 15-30 minutes after a contraction in the first stage Every 5 minutes in the second stage If abnormalities are noted, urgent delivery can be considered. Liquor: Clear Meconium stained (thick or thin) Bloody Absent Thick meconium suggests fetal distress Moulding 0= bones are separated and sutures can be easily felt; +1 = bones are just touching each other; +2 = bones are overlapping but can be reduced; +3 = bones are severely overlapping and irreducible. Cervical dilatation:assess at each VAGINAL EXAMINATION and mark with a cross x. Begin at 4 cm. Ale line: staing at 4 cm of cervical dilatation, up to the point of expected full dilatation at the rate of 1 cm per hour. Action line: parallel and 4 hours to the right of the ale line. Descent of head:assessed by abdominal palpation: this refers to the pa of the head (which is divided into five pas) palpable above the symphysis pubis;recorded as a circle (O)at every vaginal examination. At 0/5, the sinciput (S) is at the level of the symphysis pubis. PLEASE NOTE: Newer guidelines are now suggesting onset of active labour and thus initial marking to be plotted at 6 cm dilatation. However till consensus is achieved on this, the previous definition of 4 cm shall be accepted for answering. Students should be on the lookout for such a guideline.