Paograph represents various stages of labor with respect to time. True about paograph is all except:
(A) Each small square represents one hour (B) Ale and action lines are separated by a difference of 4 hours (C) Paograph recording should be staed at a cervical dilation of 4 cm (D) Send the patient to first referral unit if the labor progression line crosses the ale line
(C) Ans: C. Paograph recording should be staed at a cervical dilation of 4 cm(Ref: Williams 24/e p452)Paograph recording:Staed after a cervical dilation of 3 cm (not the 4 cm).i.e. During active stage of labor.Designed by WHO for use in developing countries.Stages of labor:Labor a Divided into latent phase.Latent phase should last no longer than 8 hours.Active phase - Stas at 3 cm dilatation a progress should be no slower than 1 cm/hr.Recommended wait period:4-hour before intervention for slow active phase.Labor is graphed & analysis includes use of ale action lines.