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. 1973 Nov 24;4(5890):451–455. doi: 10.1136/bmj.4.5890.451

Partograms and Nomograms of Cervical Dilatation in Management of Primigravid Labour

John Studd
PMCID: PMC1587584  PMID: 4758447

Abstract

Philpott's graphic labour has been modified and used in 15,000 labours; it has been unanimously accepted by the staff. A nomogram has been constructed to show the normal progressive dilatation of the cervix for primigravidae admitted at different stages of cervical dilatation. Retrospective evaluation of the nomogram showed that it can separate normal labour from labour destined to result in an abnormal outcome, such as longer first and second stages, a greater incidence of instrumental delivery, and babies with low Apgar scores.

It is suggested that the use of a stencil representing normal labour progress, together with Philpott's partogram, will be of considerable use, both in specialist and in general-practitioner units.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Hendricks C. H., Brenner W. E., Kraus G. Normal cervical dilatation pattern in late pregnancy and labor. Am J Obstet Gynecol. 1970 Apr 1;106(7):1065–1082. doi: 10.1016/s0002-9378(16)34092-3. [DOI] [PubMed] [Google Scholar]
  2. O'Driscoll K., Jackson R. J., Gallagher J. T. Prevention of prolonged labour. Br Med J. 1969 May 24;2(5655):477–480. doi: 10.1136/bmj.2.5655.477. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. O'Driscoll K., Stronge J. M., Minogue M. Active management of labour. Br Med J. 1973 Jul 21;3(5872):135–137. doi: 10.1136/bmj.3.5872.135. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Philpott R. H., Castle W. M. Cervicographs in the management of labour in primigravidae. I. The alert line for detecting abnormal labour. J Obstet Gynaecol Br Commonw. 1972 Jul;79(7):592–598. doi: 10.1111/j.1471-0528.1972.tb14207.x. [DOI] [PubMed] [Google Scholar]
  5. Philpott R. H., Castle W. M. Cervicographs in the management of labour in primigravidae. II. The action line and treatment of abnormal labour. J Obstet Gynaecol Br Commonw. 1972 Jul;79(7):599–602. doi: 10.1111/j.1471-0528.1972.tb14208.x. [DOI] [PubMed] [Google Scholar]
  6. Studd J. W., Philpott R. H. Partograms and action line of cervical dilatation. Proc R Soc Med. 1972 Aug;65(8):700–701. [PMC free article] [PubMed] [Google Scholar]

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