24. Characteristics of labor and delivery Definitions Instructions Sources Key words/Abbreviations 1st Delivery Record under LLP left lateral position i - Fetal intolerance of labor was – such that one or more of the Maternal OB/labor O2 oxygen IV fluids – following actions was taken: summary Amnioinfusion Nitroglycerin Labor summary record Acoustic stimulation In-utero resuscitative measures Vibroacoustic stimulation 2nd Newborn Admission H&P such that one of the following Scalp pH sampling actions was taken: in-utero Fetal oxygen saturation resuscitative measures, further 3rd Physician Progress Note monitoring fetal assessment, or operative Terbutaline delivery. Low forcep delivery 4th Physician Order Sheet or - Vacuum extraction Nursing Notes Includes any of the following: C/S --Cesarean delivery Maternal position change • Oxygen administration to the • mother Amnioinfusion • Support of maternal blood • pressure including medications and I.V. fluids Administration of uterine • relaxing agents Further fetal assessment including any of the following: scalp pH, scalp stimulation, acoustic stimulation. Operative delivery to shorten time to delivery of the fetus such as forceps, vacuum, or cesarean delivery.
24. Characteristics of labor and delivery Definitions Instructions Sources Key words/Abbreviations i - Fetal intolerance of labor was such that one or more of the following actions was taken: In-utero resuscitative measures such that one of the following actions was taken: in-utero resuscitative measures, further fetal assessment, or operative delivery. Includes any of the following: • Maternal position change • Oxygen administration to the mother • Amnioinfusion • Support of maternal blood pressure including medications and I.V. fluids • Administration of uterine relaxing agents Further fetal assessment including any of the following: scalp pH, scalp stimulation, acoustic stimulation. Operative delivery to shorten time to delivery of the fetus such as forceps, vacuum, or cesarean delivery. 1st Delivery Record under Maternal OB/labor summary Labor summary record 2nd Newborn Admission H&P 3rd Physician Progress Note 4th Physician Order Sheet or - Nursing Notes LLP – left lateral position O2 – oxygen IV fluids Amnioinfusion Nitroglycerin Acoustic stimulation Vibroacoustic stimulation Scalp pH sampling Fetal oxygen saturation monitoring Terbutaline Low forcep delivery Vacuum extraction C/S --Cesarean delivery
Guide_MPM_BC_Facility_Worksheet_Guidelines.10.14.docx