WHO Labour Care Guide: Which Observations Need an Alert?
Flags the labor observations that meet a WHO Labour Care Guide alert threshold.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Stage of labor
- Active first stage (5 cm or more)
- Companion present
- Yes
- Pain relief
- Yes
- Oral fluid
- Yes
- Posture
- Upright or mobile
- Baseline fetal heart rate per minute
- 168
- Fetal heart decelerations
- None
- Amniotic fluid
- Ruptured, clear
- Fetal position
- Occiput anterior
- Caput
- 0 (none)
The other 11 values
- Moulding
- +
- Maternal pulse per minute
- 92
- Systolic pressure, mmHg
- 124
- Diastolic pressure, mmHg
- 78
- Axillary temperature, °C
- 37.0
- Urine protein
- Negative
- Urine acetone
- Negative
- Contractions per 10 minutes
- 4
- Contraction duration in seconds
- 45
- Cervical dilatation in cm
- 6
- Hours at this dilatation without progress
- 2
Result: 1 of the 19 rows assessed meets the Labour Care Guide's alert threshold.
The tool opens with these values already filled in. Replace them with your own.
What you enter
- Stage of labor
- Companion present
- Pain relief
- Oral fluid
- Posture
- Baseline fetal heart rate per minute
- Fetal heart decelerations
- Amniotic fluid
- Fetal position
- Caput
The other 13 fields
- Moulding
- Maternal pulse per minute
- Systolic pressure, mmHg
- Diastolic pressure, mmHg
- Axillary temperature, °C
- Urine protein
- Urine acetone
- Contractions per 10 minutes
- Contraction duration in seconds
- Cervical dilatation in cm (first stage)
- Hours at this dilatation without progress
- Parity (second stage)
- Hours in the second stage
How this is calculated
Citation
World Health Organization. WHO labour care guide: user's manual. Geneva: WHO; 2020. Tables 2-6 (the Alert column and step-4 plan for each row). Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.