Electronic fetal monitoring: Are we meeting documentation standards?

Gary Hankins, Terry Leicht, Garland D. Anderson, Thomas F. Rowe

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To test whether fetal heart rate documentation requirements for high-risk pregnancies are too stringent to achieve compliance, especially during the second stage of labor. STUDY DESIGN: Random retrospective chart and monitor strip review of deliveries occurring one year earlier were reviewed. Thirty-four low-risk and 34 high-risk pregnancies were selected and assessed for compliance with nationally accepted documentation guidelines. RESULTS: All monitor strips and charts were successfully retrieved from medical records. Charted documentation of the strips met national requirements in the active phase of the first stage of labor in 97% of cases, as did documentation during the second stage. For high-risk pregnancies, compliance during the active phase of the first stage of labor was 65% as compared to 35% in the second stage. All infants had normal five-minute Apgar scores, and none had umbilical arterial acidemia. CONCLUSION: Given current resources, we cannot reliably meet established documentation standards for high-risk pregnancies. Such overly stringent documentation standards pose a significant risk in cases going to litigation. A standard should be developed that is based on outcome data.

Original languageEnglish (US)
Pages (from-to)441-444
Number of pages4
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume44
Issue number5
StatePublished - May 1999

Fingerprint

Cardiotocography
Documentation
High-Risk Pregnancy
First Labor Stage
Compliance
Second Labor Stage
Umbilicus
Fetal Heart Rate
Apgar Score
Jurisprudence
Medical Records
Guidelines

Keywords

  • Fetal monitoring
  • Labor
  • Pregnancy, high-risk

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

Cite this

Electronic fetal monitoring : Are we meeting documentation standards? / Hankins, Gary; Leicht, Terry; Anderson, Garland D.; Rowe, Thomas F.

In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist, Vol. 44, No. 5, 05.1999, p. 441-444.

Research output: Contribution to journalArticle

Hankins, Gary ; Leicht, Terry ; Anderson, Garland D. ; Rowe, Thomas F. / Electronic fetal monitoring : Are we meeting documentation standards?. In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist. 1999 ; Vol. 44, No. 5. pp. 441-444.
@article{12fb1b2b64b647559de7ea004a59524a,
title = "Electronic fetal monitoring: Are we meeting documentation standards?",
abstract = "OBJECTIVE: To test whether fetal heart rate documentation requirements for high-risk pregnancies are too stringent to achieve compliance, especially during the second stage of labor. STUDY DESIGN: Random retrospective chart and monitor strip review of deliveries occurring one year earlier were reviewed. Thirty-four low-risk and 34 high-risk pregnancies were selected and assessed for compliance with nationally accepted documentation guidelines. RESULTS: All monitor strips and charts were successfully retrieved from medical records. Charted documentation of the strips met national requirements in the active phase of the first stage of labor in 97{\%} of cases, as did documentation during the second stage. For high-risk pregnancies, compliance during the active phase of the first stage of labor was 65{\%} as compared to 35{\%} in the second stage. All infants had normal five-minute Apgar scores, and none had umbilical arterial acidemia. CONCLUSION: Given current resources, we cannot reliably meet established documentation standards for high-risk pregnancies. Such overly stringent documentation standards pose a significant risk in cases going to litigation. A standard should be developed that is based on outcome data.",
keywords = "Fetal monitoring, Labor, Pregnancy, high-risk",
author = "Gary Hankins and Terry Leicht and Anderson, {Garland D.} and Rowe, {Thomas F.}",
year = "1999",
month = "5",
language = "English (US)",
volume = "44",
pages = "441--444",
journal = "The Journal of reproductive medicine",
issn = "0024-7758",
publisher = "Donna Kessel",
number = "5",

}

TY - JOUR

T1 - Electronic fetal monitoring

T2 - Are we meeting documentation standards?

AU - Hankins, Gary

AU - Leicht, Terry

AU - Anderson, Garland D.

AU - Rowe, Thomas F.

PY - 1999/5

Y1 - 1999/5

N2 - OBJECTIVE: To test whether fetal heart rate documentation requirements for high-risk pregnancies are too stringent to achieve compliance, especially during the second stage of labor. STUDY DESIGN: Random retrospective chart and monitor strip review of deliveries occurring one year earlier were reviewed. Thirty-four low-risk and 34 high-risk pregnancies were selected and assessed for compliance with nationally accepted documentation guidelines. RESULTS: All monitor strips and charts were successfully retrieved from medical records. Charted documentation of the strips met national requirements in the active phase of the first stage of labor in 97% of cases, as did documentation during the second stage. For high-risk pregnancies, compliance during the active phase of the first stage of labor was 65% as compared to 35% in the second stage. All infants had normal five-minute Apgar scores, and none had umbilical arterial acidemia. CONCLUSION: Given current resources, we cannot reliably meet established documentation standards for high-risk pregnancies. Such overly stringent documentation standards pose a significant risk in cases going to litigation. A standard should be developed that is based on outcome data.

AB - OBJECTIVE: To test whether fetal heart rate documentation requirements for high-risk pregnancies are too stringent to achieve compliance, especially during the second stage of labor. STUDY DESIGN: Random retrospective chart and monitor strip review of deliveries occurring one year earlier were reviewed. Thirty-four low-risk and 34 high-risk pregnancies were selected and assessed for compliance with nationally accepted documentation guidelines. RESULTS: All monitor strips and charts were successfully retrieved from medical records. Charted documentation of the strips met national requirements in the active phase of the first stage of labor in 97% of cases, as did documentation during the second stage. For high-risk pregnancies, compliance during the active phase of the first stage of labor was 65% as compared to 35% in the second stage. All infants had normal five-minute Apgar scores, and none had umbilical arterial acidemia. CONCLUSION: Given current resources, we cannot reliably meet established documentation standards for high-risk pregnancies. Such overly stringent documentation standards pose a significant risk in cases going to litigation. A standard should be developed that is based on outcome data.

KW - Fetal monitoring

KW - Labor

KW - Pregnancy, high-risk

UR - http://www.scopus.com/inward/record.url?scp=0033001508&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033001508&partnerID=8YFLogxK

M3 - Article

C2 - 10360257

AN - SCOPUS:0033001508

VL - 44

SP - 441

EP - 444

JO - The Journal of reproductive medicine

JF - The Journal of reproductive medicine

SN - 0024-7758

IS - 5

ER -