TY - GEN N2 - Current obstetric practice lacks clear guidelines regarding the management of a prolonged second stage (PSS). Research suggests increased risks for poor perinatal outcomes with PSS. Finding the balance point between promoting a healthy vaginal delivery and minimizing adverse perinatal outcomes could be instrumental in guiding the management of the second stage. The aims of this project were to 1) examine PSS outcomes for patients cared for by midwives at an academic health center between 2012 and 2019 and 2) determine and act upon opportunities for improvement in clinical and systems approaches to best practice. DO - 10.6083/0g354g05x DO - DOI AB - Current obstetric practice lacks clear guidelines regarding the management of a prolonged second stage (PSS). Research suggests increased risks for poor perinatal outcomes with PSS. Finding the balance point between promoting a healthy vaginal delivery and minimizing adverse perinatal outcomes could be instrumental in guiding the management of the second stage. The aims of this project were to 1) examine PSS outcomes for patients cared for by midwives at an academic health center between 2012 and 2019 and 2) determine and act upon opportunities for improvement in clinical and systems approaches to best practice. AD - Oregon Health and Science University T1 - Standardizing documentation to improve prolonged second stage evaluation & provider communication: a quality improvement project DA - 2022 AU - Wharton, Mariah L1 - https://digitalcollections.ohsu.edu/record/9492/files/Wharton.Mariah.2022.pdf PB - Oregon Health and Science University PY - 2022 ID - 9492 L4 - https://digitalcollections.ohsu.edu/record/9492/files/Wharton.Mariah.2022.pdf KW - Quality Improvement KW - Midwifery KW - Pregnancy KW - Labor Stage, Second KW - second stage progress note KW - standardized documentation KW - prolonged pushing phase TI - Standardizing documentation to improve prolonged second stage evaluation & provider communication: a quality improvement project Y1 - 2022 L2 - https://digitalcollections.ohsu.edu/record/9492/files/Wharton.Mariah.2022.pdf LK - https://digitalcollections.ohsu.edu/record/9492/files/Wharton.Mariah.2022.pdf UR - https://digitalcollections.ohsu.edu/record/9492/files/Wharton.Mariah.2022.pdf ER -