Consider the following statements regarding the WHO Labour Care Guide for labour monitoring : 1. Active phase starts from 5 cm of cervical dilatation. 2. There is fixed rate for dilatation for every hour of labour in active phase. 3. There are no alert or action lines on the partograph. 4. There is a separate section for intensive monitoring for second stage of labour as well. Which of the statements given above are correct?
1, 3 and 4
The correct answer is 1, 3 and 4. The WHO Labour Care Guide (2020) replaced the old partograph after evidence that the Friedman curve overestimates normal progress. Statement 1 is correct: the active first stage now begins at 5 cm dilatation, not 4 cm, and full dilatation is usually reached within 12 hours in a primigravida. Statement 3 is correct: the rigid alert and action lines have been removed, replaced by dilatation-specific reference thresholds for the time spent at each centimetre. Statement 4 is correct: a dedicated second-stage monitoring section has been added, which the old partograph lacked.
Statement 2 is incorrect: the guide explicitly abandons the fixed 1 cm per hour expectation, because normal labour may progress more slowly, especially between 5 and 6 cm, and the old rule led to unnecessary augmentation and caesarean section. Every option containing statement 2 is therefore wrong.
Key point: Three changes to remember: active phase from 5 cm, no alert/action lines and no fixed 1 cm per hour, and a separate second-stage section.
Similar Questions
Consider the following statements regarding the cause for onset of labour :
Statement 1 :
Alteration in estrogen-progesterone ratio results in prostaglandin synthesis and onset of labour.
Statement 2 :
Decreased fetal production of dehydroepiandrosterone sulfate (DHEA-S) and cortisol inhibits the conversion of fetal pregnenolone to progesterone.
Which one of the following is correct with respect to the above statements?
Important Questions from Normal Labour
- Which one of the following is NOT a component of active phase in the partograph?
- The components of partograph are all EXCEPT:
- Which of the following information are provided by partograph?
1. Colour of liquor
2. Uterine contractions with duration and frequency
3. Dilatation of cervix
Select the correct answer using the code given below: - Which one of the following is NOT a sign of separation of placenta?
- Consider the following cardinal movements of mechanism of normal labor:
1. Engagement
2. Internal rotation
3. Flexion
4. Restitution
5. Crowning
6. External rotation
What is the correct sequence of movements in labor in occipito-lateral position?
