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Provider documentation and elective induction of labor: a 6-month experience at a university medical center

  • Lloyd D. Holm
    Correspondence
    Reprints: Lloyd D. Holm, DO, Department of Obstetrics and Gynecology, University of Nebraska Medical Center, 983255 Nebraska Medical Center, Omaha, NE 68198-3255
    Affiliations
    Department of Obstetrics and Gynecology, University of Nebraska Medical Center, Omaha, NE
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      Objective

      This retrospective study investigated the documentation of clinical history that assured fetal lung maturity, presentation part, and gestational age by 3 provider groups (university obstetricians, family practice, and private obstetricians) before the elective induction of labor.

      Study Design

      This study was conducted at a large university-based medical center. All labor/delivery admissions (n = 1297) and all elective inductions of labor (n = 268) were reviewed. The variables that were compared included provider group vs delivery percentages, induction rates, and cesarean deliveries.

      Results

      Nine percent of elective inductions occurred before 39 weeks of gestation; 12.7% of the inductions lacked documentation of the presenting part; 17.6% of the inductions failed to meet any commonly accepted screening criteria that assured fetal lung maturity. Rates of elective inductions varied between 16% and 31% when the 3 groups of providers were compared (P < .0001).

      Conclusion

      Adequate documentation is lacking in electively induced patients. A statistically significant relation exists between provider group and clinical behavior as they relate to the elective induction of labor.

      Key words

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