Assessing Documentation of Procedure Prerequisites in Women Undergoing Vacuum-assisted Vaginal Delivery (VAVD)
ACOG ePoster. Doulaveris G. Apr 27, 2018; 211476; 3I
Georgios Doulaveris
Georgios Doulaveris
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Abstract
Rate & Comment (0)
Introduction: There are specific prerequisites that need to be met prior to VAVD and documented afterwards to demonstrate standard of care was met. Our objective was to examine the presence of adequate documentation in patients undergoing VAVD.

Methods: This was a retrospective cohort analysis of patients undergoing VAVD in seven academic NY hospitals over two years derived from a quality improvement database. Singletons in cephalic presentation beyond 34 weeks of gestation were included. Data was reviewed for documentation of fetal station and position, cervical dilation, pelvic adequacy, fetal heart tracing, estimated fetal weight, empty bladder, and indication. Standard univariate analyses were performed.

Results: 698 VAVDs were reviewed. 654 (93.7%) patients had a successful VAVD and 44 (6.3%) had a failed VAVD. In 246 cases (35.2%) at least one component was not documented; cervical dilation was most commonly omitted (74 cases, 10.6%) and indication least commonly (12 cases, 1.7%). Failed procedures had a significantly higher percentage of missing documentation for indication (6.8% vs. 1.4%, p=0.03), number of pop-offs (22.7 vs. 6.6%, p=0.0009), fetal station (27.3% vs. 3.8%, p
    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.


Save Settings