000009492 001__ 9492
000009492 005__ 20240507133239.0
000009492 0247_ $$2DOI$$a10.6083/0g354g05x
000009492 037__ $$aETD
000009492 245__ $$aStandardizing documentation to improve prolonged second stage evaluation & provider communication: a quality improvement project
000009492 260__ $$bOregon Health and Science University
000009492 269__ $$a2022
000009492 336__ $$aFinal project
000009492 502__ $$bD.N.P.
000009492 520__ $$aCurrent obstetric practice lacks clear guidelines regarding the management of a prolonged second stage (PSS). Research suggests increased risks for poor perinatal outcomes with PSS. Finding the balance point between promoting a healthy vaginal delivery and minimizing adverse perinatal outcomes could be instrumental in guiding the management of the second stage. The aims of this project were to 1) examine PSS outcomes for patients cared for by midwives at an academic health center between 2012 and 2019 and 2) determine and act upon opportunities for improvement in clinical and systems approaches to best practice.
000009492 542__ $$fIn copyright - single owner
000009492 650__ $$aQuality Improvement$$039456
000009492 650__ $$aMidwifery$$022307
000009492 650__ $$aPregnancy$$024523
000009492 650__ $$aLabor Stage, Second$$021258
000009492 6531_ $$asecond stage progress note
000009492 6531_ $$astandardized documentation
000009492 6531_ $$aprolonged pushing phase
000009492 691__ $$aSchool of Nursing$$041370
000009492 7001_ $$aWharton, Mariah$$uOregon Health and Science University$$041354
000009492 8564_ $$9791c1088-1929-4c4f-9e1e-7873929e1bd0$$s1155532$$uhttps://digitalcollections.ohsu.edu/record/9492/files/Wharton.Mariah.2022.pdf
000009492 905__ $$a/rest/prod/0g/35/4g/05/0g354g05x
000009492 909CO $$ooai:digitalcollections.ohsu.edu:9492$$pstudent-work
000009492 980__ $$aTheses and Dissertations