Which of the following obstetric condition can be detected using a Paogram?
A paogram is a graphic record of progress of labor that helps to detect whether labour is progressing normally or not, indicates when augmentation of labour is appropriate and assists in recognising cephalopelvic dispropoion long before labour becomes obstructed. Three impoant parameters plotted in it are cervical dilation, cervical effacement in centimeters and descent of the presenting pa in fifths palpable above the pelvic brim. The American College of Obstetricians and Gynecology Paogram consists of a latent phase of 8 hours and and an ale line staing at a cervical dilatation of 3cm and progressing at a rate of 1cm per hour. Action line lies 2 hours to the right and parallel to the ale line. Action is recommended with a delay in cervical dilatation of more than 2 hours or delay in descent of head more than 1 hour. Ref: The Paograph and How to Assess Labour By Anna Nolte page 1, Donald School Manual of Practical Problems in Obstetrics edited by Narendra Malhotra, page 489.
Abruptio placentae
Obstructed labour
Incoordinate uterine action
PPH