Intrapartum fetal heart rate monitoring: using audit methodology to identify areas for research and practice improvement.
The purpose of the study was to explore the fetal heart rate monitoring practices of midwives and doctors to determine compliance with an evidence-based guideline for fetal heart rate monitoring endorsed by one New Zealand (NZ) District Health Board (DHB). A retrospective audit of 193 randomly selec...
| Publicado en: | New Zealand College of Midwives Journal no. 40; pp. 24 - 31 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
New Zealand College of Midwives
Apr2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | The purpose of the study was to explore the fetal heart rate monitoring practices of midwives and doctors to determine compliance with an evidence-based guideline for fetal heart rate monitoring endorsed by one New Zealand (NZ) District Health Board (DHB). A retrospective audit of 193 randomly selected medical records was undertaken over six months (July-December 2006). The audit revealed deficiencies in choice of fetal heart rate monitoring modality, monitoring technique, documentation, comunication and use of a standardised approach and language for interpreting cardiotocograph (CTG) traces especially the description and categorisation of the four main fetal heart rate features. Multidisciplinary education and a standardised template for reporting CTG's were key reconunendations. |
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