## Parameters Plotted on WHO Partograph **Key Point:** The partograph is a simple graphical tool designed to monitor labor progress and identify complications. Only specific parameters are plotted to keep it practical and focused. ### Parameters INCLUDED on the Partograph | Parameter | Section | Details | | --- | --- | --- | | Cervical dilation | Labor progress | Plotted as a curve against time | | Descent of fetal head | Labor progress | Plotted alongside dilation | | Uterine contractions | Uterine activity | Frequency, intensity, duration recorded | | Fetal heart rate | Fetal condition | Recorded at regular intervals | | Amniotic fluid color | Fetal condition | Normal, meconium-stained, or blood-stained | | Vital signs (BP, pulse, temp) | Maternal condition | Recorded in designated boxes | ### Parameters NOT Plotted on Partograph **High-Yield:** Urine output is monitored clinically during labor but is **not plotted as a graph** on the standard WHO partograph. While maternal vital signs (temperature, blood pressure, pulse) are recorded, urine output is documented separately in clinical notes, not as a graphical parameter. **Clinical Pearl:** The partograph focuses on labor progress and fetal well-being; routine maternal monitoring (like urine output) is recorded elsewhere in the partograph form or in the patient's clinical record. ### Why This Design? The partograph is intentionally simplified to: - Identify prolonged labor early - Detect fetal distress - Guide timely intervention - Be usable in resource-limited settings [cite:WHO Partograph Guidelines 2008]
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