Partograph Trainer

The WHO Modified Partograph (2000) plots cervical dilation only from the active phase — 4 cm onward — against time in hours. The vertical axis runs 4 cm at the bottom to 10 cm (full dilation) at the top; the horizontal axis is elapsed hours.WHO Modified Partograph (2000) cervical dilation ko sirf active phase se — 4 cm se aage — time ke against hours mein plot karta hai. Vertical axis neeche 4 cm se upar 10 cm (full dilation) tak chalti hai; horizontal axis elapsed hours hai.

Alert line: starts at 4 cm, hour 0, and rises diagonally at the reference rate of 1 cm per hour, reaching 10 cm at hour 6. The first plot of cervical dilation is always marked directly on the alert line. If a later plot falls to the right of the alert line, labor is progressing slower than 1 cm/hr — reassess and increase monitoring.Alert line: 4 cm, hour 0 se shuru hoti hai, aur 1 cm per hour ke reference rate par diagonally rise karti hai, hour 6 par 10 cm tak pahunchti hai. Cervical dilation ka first plot hamesha directly alert line par mark kiya jaata hai. Agar ek baad ka plot alert line ke right mein aata hai, to labor 1 cm/hr se slower progress kar raha hai — reassess karein aur monitoring badhayein.

Action line: drawn parallel to the alert line, exactly 4 hours to its right. Crossing the action line is the trigger point for active intervention — obstetric review, augmentation, or referral to a higher level of care, depending on the full clinical picture.Action line: alert line ke parallel banayi jaati hai, uske exactly 4 hours right mein. Action line cross karna active intervention ka trigger point hai — obstetric review, augmentation, ya higher level of care ke liye referral, full clinical picture par depend karte hue.

A partograph is never read on cervical dilation alone — descent of the head (in fifths palpable), fetal heart rate, contraction frequency, liquor colour, moulding, and maternal vitals are all plotted alongside it. This tool focuses on the cervicograph itself first, since that's the part every source agrees students plot least reliably.Ek partograph kabhi bhi sirf cervical dilation par read nahi kiya jaata — head ka descent (fifths palpable mein), fetal heart rate, contraction frequency, liquor colour, moulding, aur maternal vitals sab iske saath plot kiye jaate hain. Yeh tool pehle cervicograph par khud focus karta hai, kyunki har source is baat par agree karta hai ki students ise sabse kam reliably plot karte hain.