Collaborative Conversations around Fetal Heart Tracings

On March 3, 2020 RPC teams gathered face to face for the day to collaborate and brainstorm on how to continue making great strides toward our goal of an overall statewide NTSV cesarean rate of 20% by January 2021.  Since the focus over the past year has largely been on following ACOG criteria for failed induction and labor dystocia, the content of the learning session centered on the clinical indication of fetal concern and the impact fetal heart rate (FHR) interpretation has on the decision to perform a surgical birth.  Presenters discussed unique educational sessions created for both providers and nurses focused on fetal heart rate interpretation.  The sessions were successful in large part due to the short duration of the class to easily fit the busy schedule of obstetricians.  Additionally, the unique perspective from a legal nurse expert was part of the discussion as she shared how to minimize risk as a labor nurse when documenting and responding to electronic fetal heart rate tracings.  Lastly, large group discussions ensued at the end of the day as actual fetal heart rate strips were shared and interpreted along with resuscitative actions that should follow.

Presentations here