Electronic fetal monitoring - Are we meeting documentation standards?

OBJECTIVE: To test whether fetal heart rate documentation requirements for high-risk pregnancies are too stringent to achieve compliance, especially d uring the second stage of labor. STUDY DESIGN: Random retrospective chart and monitor strip review of delive ries occurring one year earlier were reviewed. Thirty-four low-risk and 34 high-risk pregnancies were selected and assessed for compliance with nation ally accepted documentation guidelines. RESULTS: All monitor strips and charts were successfully retrieved from med ical records. Charted documentation of the strips met national requirements in the active phase of the first stage of labor in 97% of cases, as did do cumentation during the second stage. For high-risk pregnancies, compliance during the active phase of the first stage of labor was 65% as compared to 35% in the second stage. All infants had normal five-minute Apgar scores, a nd none had umbilical arterial acidemia. CONCLUSION: Given current resources, we cannot reliably meet established do cumentation standards for high-risk pregnancies. Such overly stringent docu mentation standards pose a significant risk in cases going to litigation. A standard should be developed that is based on outcome data.