Prolonged labor is a leading cause of death among mothers and newborns in the developing world. It is most likely to occur if a woman's pelvis is not large enough for her baby's head to pass through or if a woman's uterus does not contract sufficiently. If her labor does not progress normally, the woman may experience serious complications such as obstructed labor, dehydration, exhaustion, or rupture of the uterus. Prolonged labor may also contribute to maternal infection or hemorrhage and to neonatal infection.
Skilled management of labor using a partograph, a simple chart for recording information about the progress of labor and the condition of a woman and her baby during labor, is key to the appropriate prevention and treatment of prolonged labor and its complications. Following the recommendation of the World Health Organization (WHO), the Maternal and Neonatal Health (MNH) Program promotes the use of the partograph to improve the management of labor and to support decision-making regarding interventions. When used appropriately, the partograph helps providers identify prolonged labor and know when to take appropriate actions.
Skilled management of labor using a partograph, a simple chart for recording information about the progress of labor and the condition of a woman and her baby during labor, is key to the appropriate prevention and treatment of prolonged labor and its complications. Following the recommendation of the World Health Organization (WHO), the Maternal and Neonatal Health (MNH) Program promotes the use of the partograph to improve the management of labor and to support decision-making regarding interventions. When used appropriately, the partograph helps providers identify prolonged labor and know when to take appropriate actions.
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