LPC & investigation for GDM on diet come with LPOL

 Izzat Mubarak: Aslmkm Dr Shaiful...

Is there any particular graph or table or chart  plotted/drawn for the "Labour Progression Chart"??

Or is it just an imaginary chart in the minds of medical personals to follow the progress of pregnant mothers??

Azrul Aziz: Kt ward ade la zat

 Azrul Aziz: Monitor contraction pain, fhr

 Izzat Mubarak: Another question....

39 weeks Poa mother with GDM on diet control admitted to Htaa due to leaking liquor and contraction pain.

So this patient is already in labour.

As for the investigation, do we still need to perform blood test, and ultrasound??

Because we already know that she has been following up in the klinik kesihatan (after 36 weeks it is a weekly check up).

 Dr Shaiful Ehsan: Waalaikumsalam...dear izzat & others

The partogram is in the bedticket of patient (postpartum) and in labor room....

We start plot it once we do ARM / enter labor room.....

Usually we repeat VE in 4 hrs if its early and may done earlier upon stronger contraction or other indications...
U can see it in labor room....

The reason to do the chart is to detect any poor progress of labor and any other abnormality in which intervention need to be done....

We expect 1cm opening progress per hr....it may be longer for primig....shorter for multigravida

Btw...u should be able to see the chart throughout the posting..its UNUSUAL if cant find it...please dont make me WORRY guys....

Dr Shaiful Ehsan: Dear izzat for ur 2nd question:
39 weeks POA with GDM on diet come with LPOL...
If the TAS done 2 weeks ago...we may repeat depends on our suspicion....

Eg if u palpate it is larger or head not engaged....or any informations not complete on previous scan....

UFEME is a must as asymptomatic bacteriuria is common in GDM or DM and Pregnancy...
Review the latest HB, BSP and Hba1c for that patient from her red book....
If any abnormality....need to repeat the fbc...
Dxt obviously need to be monitor during labor...
Tq.

 Izzat Mubarak: Ah i see dr...yes, i have seen the partogram in the labour room...

In the ward i do see Houseman writing in the bed ticket to monitor labour progress chart...so i began to wonder where is the "LPC"...

If you mean the LPC as the Partogram then alhamdulillah i have seen...otherwise, i have to work even harder...

Thank you Dr for the time and effort and help offered