MRS. PETER MUGERE MWANZO, 24 YEARS OLD AND A MOTHER
OF TWO IS ADMITTED IN ACTIVE PHASE OF LABOUR ON
17/07/2024. AT 9 AM. SHE REPORTS MEMBRANES HAVING
RUPTURED AT 4.AM SAME DAY.
ON EXAMINATION:-
FETAL HEART RATE = 144B/M
CERVICAL DILATATION = 6 CM
DESCENT = 4/5PARTS UP
DRAINING CLEAR LIQUOR
SUTURES WIDELY SEPARATED,
CONTRACTIONS ARE THREE MODERATE CONTRACTIONS. NO
OXYTOCIN NO DRUGS COMMENCED,
HER BLOOD PRESSURE IS 11O/70 MMHG AND A PULSE RATE
OF 80BEATS/MIN.
HER TEMPERATURE IS 36.7C, URINE OUTPUT OF 200MLS/2HRS,
NO PROTEIN NO ACETONE
COMMENCE HER PARTOGRAPH AT 9.30AMFOUR NHOURS LATER:-
ON EXAMINATION:-
FETAL HEART RATE = 140B/M
CERVICAL DILATATION = 9 CM
DESCENT = 2/5PARTS UP
DRAINING CLEAR LIQUOR
SUTURES SLIGHTLY OVERLAPPING,
CONTRACTIONS ARE FOUR STRONG
CONTRACTIONS. NO OXYTOCIN NO DRUGS
COMMENCED,
HER BLOOD PRESSURE IS 11O/70 MMHG AND A
PULSE RATE OF 85BEATS/MIN.
HER TEMPERATURE IS 36.7C, URINE OUTPUT OF
200MLS/2HRS, NO PROTEIN NO ACETONE
UPDATE HER PARTOGRAPH