Provider documentation and elective induction of labor: a 6-month experience at a university medical center - 13/08/11
Reprints: Lloyd D. Holm, DO, Department of Obstetrics and Gynecology, University of Nebraska Medical Center, 983255 Nebraska Medical Center, Omaha, NE 68198-3255Résumé |
Objective |
This retrospective study investigated the documentation of clinical history that assured fetal lung maturity, presentation part, and gestational age by 3 provider groups (university obstetricians, family practice, and private obstetricians) before the elective induction of labor.
Study Design |
This study was conducted at a large university-based medical center. All labor/delivery admissions (n = 1297) and all elective inductions of labor (n = 268) were reviewed. The variables that were compared included provider group vs delivery percentages, induction rates, and cesarean deliveries.
Results |
Nine percent of elective inductions occurred before 39 weeks of gestation; 12.7% of the inductions lacked documentation of the presenting part; 17.6% of the inductions failed to meet any commonly accepted screening criteria that assured fetal lung maturity. Rates of elective inductions varied between 16% and 31% when the 3 groups of providers were compared (P < .0001).
Conclusion |
Adequate documentation is lacking in electively induced patients. A statistically significant relation exists between provider group and clinical behavior as they relate to the elective induction of labor.
Le texte complet de cet article est disponible en PDF.Key words : documentation, elective induction, quality assurance
Plan
| Cite this article as: Holm LD. Provider documentation and elective induction of labor: a 6-month experience at a university medical center. Am J Obstet Gynecol 2009;200:336.e1-336.e5. |
|
| Authorship and contribution to the manuscript is limited to the author indicated. There was no outside funding or technical assistance with the production of this article. |
Vol 200 - N° 3
P. 336.e1-336.e5 - mars 2009 Retour au numéro
Article précédent
- Distinct pathophysiologic pathways induced by in vitro infection and cigarette smoke in normal human fetal membranes
- Ramkumar Menon, Stephen J. Fortunato
- Yolk sac on transvaginal ultrasound as a prognostic indicator in the treatment of ectopic pregnancy with single-dose methotrexate
- Gary H. Lipscomb, Isabel G. Gomez, Vanessa M. Givens, Norman L. Meyer, Derita F. Bran
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?