Presentation Date
19-10-2021 12:00 AM
Description
OBJECTIVE: We aim to identify if physicians are documenting operative vaginal deliveries according to Society for Maternal Fetal Medicine (SMFM) guidelines and to identify the frequency with which each criterion is being documented. BACKGROUND: An operative vaginal delivery is a delivery in which the provider uses forceps, a vacuum, or another device to aid in the extraction of the fetus from the vagina. In some cases, operative vaginal delivery can serve as an alternative to cesarean section when spontaneous vaginal delivery is not possible. Operative vaginal deliveries have a higher mortality than spontaneous vaginal deliveries1; operative vaginal deliveries also have a high rate of malpractice suits as a result. One strategy to reduce litigation associated with operative vaginal deliveries is detailed documentation of the procedure.1 The Society for Maternal Fetal Medicine (SMFM) released guidelines for documentation of operative vaginal deliveries2 in May 2020. One of the long-term goals of this study is to develop ways to improve documentation and education for physicians on proper documentation of operative vaginal deliveries. METHODS: We will acquire a list of all operative vaginal deliveries attempted and performed at Touro between January 1, 2015, and the present. We expect there to be about 500 operative vaginal deliveries during this time period. For each patient, we will fill out a REDCap survey of questions including the date of procedure, type of physician (i.e., resident, attending), and the presence or absence (i.e., yes/no) of different charting criteria. STATUS UPDATE: Currently, this project has received approval from Touro to use their charts and only awaiting final IRB approval from LSUHSC. The REDCap survey has already been created, and we have met with the statistician to get his feedback on the survey. FUTURE DIRECTIONS: A potential next step in this study would be evaluating what circumstances or tools worked to enhance or deter proper documentation of operative vaginal deliveries.
Recommended Citation
Carey, Margaret and Scheib, Stacey, "Documentation of Operative Vaginal Deliveries" (2021). Medical Research Day. 16.
https://digitalscholar.lsuhsc.edu/sommrd/2021MRD/Posters/16
Included in
Documentation of Operative Vaginal Deliveries
OBJECTIVE: We aim to identify if physicians are documenting operative vaginal deliveries according to Society for Maternal Fetal Medicine (SMFM) guidelines and to identify the frequency with which each criterion is being documented. BACKGROUND: An operative vaginal delivery is a delivery in which the provider uses forceps, a vacuum, or another device to aid in the extraction of the fetus from the vagina. In some cases, operative vaginal delivery can serve as an alternative to cesarean section when spontaneous vaginal delivery is not possible. Operative vaginal deliveries have a higher mortality than spontaneous vaginal deliveries1; operative vaginal deliveries also have a high rate of malpractice suits as a result. One strategy to reduce litigation associated with operative vaginal deliveries is detailed documentation of the procedure.1 The Society for Maternal Fetal Medicine (SMFM) released guidelines for documentation of operative vaginal deliveries2 in May 2020. One of the long-term goals of this study is to develop ways to improve documentation and education for physicians on proper documentation of operative vaginal deliveries. METHODS: We will acquire a list of all operative vaginal deliveries attempted and performed at Touro between January 1, 2015, and the present. We expect there to be about 500 operative vaginal deliveries during this time period. For each patient, we will fill out a REDCap survey of questions including the date of procedure, type of physician (i.e., resident, attending), and the presence or absence (i.e., yes/no) of different charting criteria. STATUS UPDATE: Currently, this project has received approval from Touro to use their charts and only awaiting final IRB approval from LSUHSC. The REDCap survey has already been created, and we have met with the statistician to get his feedback on the survey. FUTURE DIRECTIONS: A potential next step in this study would be evaluating what circumstances or tools worked to enhance or deter proper documentation of operative vaginal deliveries.