Strip Reviews – Strategies and Best Practices

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Presented By:  Martin November, M.D., MBA, FACOG
November 2009

There is a wide variation in the way obstetricians interpret and respond to EFM tracings.

In a recent study, four obstetricians examined 50 tracings.

  • They agreed in only 22 percent of the cases.
  • Two months later, they reviewed the same 50 tracings and interpreted 21 percent of the tracings differently than they did the first time.

In another study, five obstetricians independently interpreted 150 tracings.

  • They similarly only agreed on only 29 percent of the tracings.

What would you do?

fetal monitoring strip What should be done?

  • 2 hrs later, she is at 6 cm, 90% effaced, 1+ station

What should be done?

  • 4 hrs later, she is at 8 cm, 100% effaced, +2 station

What should be done?

  • 34 year-old G2P1 at 38 wks EGA in active labor, cervix 4 cm, 80%, 0 station


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