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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...

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Published in:New Zealand College of Midwives Journal no. 40; pp. 24 - 31
Main Authors: Maude R, Foureur M
Format: research tables/charts Journal Article
Published: New Zealand College of Midwives Apr2009
Online Access:View this record in EBSCOhost
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      dt: Apr2009
      iid: 40
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      pub: New Zealand College of Midwives
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        atl: Intrapartum fetal heart rate monitoring: using audit methodology to identify areas for research and practice improvement.
      aug:
        au:
          Maude R
          Foureur M
      sug:
        subj:
          Fetal Monitoring, Electronic Utilization
          Intrapartum Care Evaluation
          Midwives
          Organizational Compliance Evaluation
          Physicians
          Audit
          Auscultation
          Cardiotocography
          Charting
          Descriptive Statistics
          Heart Rate, Fetal
          Interrater Reliability
          Maternal Health Services
          New Zealand
          Professional Practice, Evidence-Based
          Record Review
          Retrospective Design
          Sample Size
          Staff Development
          Human
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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