Electronic fetal heart rate monitoring: Applying principles of patient safety

American Journal of Obstetrics and Gynecology

Volumn 206, Issue 4, 2012, Pages 278-283

  Miller, David A ^a,c,d   Miller, Lisa A ^b,c  

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

^b Perinatal Risk Management and Education Services   (United States)

^c Clinical Computer Systems Inc   (United States)

^d GE HEALTHCARE   (United States)

Author keywords

electronic fetal heart rate monitoring; interpretation; management; patient safety; standardization

Indexed keywords

OXYGEN;

DECELERATION; DELIVERY; FETUS ELECTROCARDIOGRAPHY; FETUS HEART RATE; HUMAN; HYPOXEMIA; HYPOXIA; INTRAPARTUM CARE; OXYGEN TRANSPORT; OXYGENATION; PATIENT SAFETY; PRIORITY JOURNAL; REVIEW; UTERUS CONTRACTION;

DELIVERY, OBSTETRIC; EVIDENCE-BASED MEDICINE; FEMALE; FETAL MONITORING; HEART RATE, FETAL; HUMANS; PATIENT SAFETY; PREGNANCY;

EID: 84859429918     PISSN: 00029378     EISSN: 10976868     Source Type: Journal    
DOI: 10.1016/j.ajog.2011.08.016     Document Type: Review

References (21)

1. Committee on Quality of Health Care in America, Institute of Medicine. Kohn LT, Corrigan JM, Donaldson MS, eds. To err is human: building a safer health system. Washington, DC: National Academy Press; 2000:14.
2. Pettker CM, Thung SF, Norwitz ER, et al. Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol 2009;200:492.e1-8.
3. Clark SL, Belfort MA, Dildy GA, Meyers JA. Reducing obstetric litigation through alterations in practice patterns. Obstet Gynecol 2008;112:1279-83.
4. National Institute of Child Health and Human Development Research Planning Workshop. Electronic fetal heart rate monitoring: research guidelines for interpretation. Am J Obstet Gynecol 1997;177:1385-90.
5. MacLennan A. A template for defining a causal relation between acute intrapartum events and cerebral palsy: international consensus statement. BMJ 1999;319:1054-9. (Pubitemid 29476439)
6. American College of Obstetricians and Gynecologists. Neonatal encephalopathy and cerebral palsy: defining the pathogenesis and pathophysiology. Washington, DC: The College; 2003.
7. American College of Obstetricians and Gynecologists. ACOG practice bulletin no. 70: clinical management guidelines for obstetricians-gynecologists: intrapartum fetal heart rate monitoring. Obstet Gynecol 2005;106:1453-61.
8. Association of Women's Health, Obstetric and Neonatal Nurses. Fetal heart monitoring: principles and practices, 3rd ed. Washington, DC: Association of Women's Health, Obstetric and Neonatal Nurses; 2005.
9. American College of Nurse-Midwives. Position statement: standardized nomenclature for electronic fetal monitoring. Silver Spring, MD: American College of Nurse-Midwives; 2006.
10. Macones GA, Hankins GD, Spong CY, Hauth J, Moore T. The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal monitoring: update on definitions, interpretation, and research guidelines. Obstet Gynecol 2008;112:661-6.
11. American College of Obstetricians and Gynecologists. ACOG practice bulletin no. 106: intrapartum fetal heart rate monitoring: nomenclature, interpretation, and general management principles. Obstet Gynecol 2009;114:192-202.
12. American College of Obstetricians and Gynecologists. ACOG practice bulletin no. 116: management of intrapartum fetal heart rate tracings. Obstet Gynecol 2010;116:1232-40.
13. Itskovitz J, LaGamma EF, Rudolph AM. Heart rate and blood pressure responses to umbilical cord compression in fetal lambs with special reference to the mechanism of variable decelerations. Am J Obstet Gynecol 1983;147:451-7. (Pubitemid 13012325)
14. Martin CB Jr, de Haan J, van der Wildt B, Jongsma HW, Dieleman A, Arts TH. Mechanisms of late decelerations in the fetal heart rate: a study with autonomic blocking agents in fetal lambs. Eur J Obstet Gynecol Reprod Biol 1979;6:361-73.
15. Tucker SM, Miller LA, Miller DA. Mosby's pocket guide to fetal monitoring: a multidisciplinary approach, 6th ed. St Louis, MO: Mosby-Elsevier; 2009:139-62.
16. Miller DA. Intrapartum FHR monitoring: maximizing benefits and minimizing risks. Contemporary Obstetrics and Gynecology February 2010:26-36.
17. American Academy of Pediatrics, American College of Obstetricians and Gynecologists. Guidelines for perinatal care, 6th ed. Washington, DC: American Academy of Pediatrics; 2007.
18. Association of Women's Health, Obstetric, and Neonatal Nurses, Fetal Heart Monitoring. Position statement; available at: https://www.awhonn.org/ awhonn/content.do?name=05-HealthPolicyLegislation/5H-PositionStatements.htm. Accessed July 6, 2011.
19. Simpson KR, James DC. Efficacy of intrauterine resuscitation techniques in improving fetal oxygen status during labor. Obstet Gynecol 2005;105:1362-8. (Pubitemid 40734270)
20. Parer JT, King T, Flanders S, Fox M, Kilpatrick SJ. Fetal acidemia and electronic fetal heart rate patterns. Is there evidence of an association? J Matern Fetal Neonatal Med 2006;19:289-94. (Pubitemid 43879995)
21. Clark SL, Belfort MA, Byum SL, Meyers JA, Perlin JB. Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. Am J Obstet Gynecol 2008;199:105. e1-7.