The original publication is available at http://www.samj.org.za
In summary, the partogram has been subject to change from the time it was conceived. What is important is that it should be used properly, keeping in mind the purpose of its components and their interpretation in context. One should be careful not to misinterpret the sifnificance of the latent phase. The action line has two possible meanings depending on whether it is placed 2 or 4 hours right of the alert line (the former means transfer to a facility where appropriate action can take place). Finally, the slope of the alert and action lines should be borne in mind in order not to overdiagnose 'slow labour'.
- BB - Editors737