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OB Guideline 18: Augmentation of Labor

Your institution is responsible for maintaining and making available enough controlled infusion devices for the administration of oxytocin to meet the needs of the patient population.

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OB Guideline 4: Consultation

All clinicians are encouraged to seek additional medical advice whenever they have concern about a diagnosis or course of treatment.

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OB Guideline 7: Pregnancy Dating/Estimated Date of Delivery

Accurate assessment of gestational age is of paramount importance for management of pregnancy, interpretation of test results, and timing of interventions.

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OB Guideline 6: Preconception Care

When feasible, the clinician should discuss pregnancy and preconception issues with a woman who is anticipating pregnancy.

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OB Guidelines Appendix B: Sample Documentation of Operative Vaginal Delivery

This is a sample form for capturing the documentation from an operative vaginal delivery.

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OB Guideline 2: Informed Consent

Informed consent is a process employing oral and written communication to convey to the patient the risks, benefits, and alternatives of medical treatments. The consent form should be considered the documentation of the discussion(s), and both the discussion with the patient and the completed consent forms are necessary to ensure and verify that the patient is informed about her and her baby’s care.

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OB Guidelines Appendix G: Primary Cesarean Delivery on Maternal Request

Occasionally, a woman will request a primary (first time) cesarean delivery without a medical indication. This information summarizes the issues and also serves as your consent.

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OB Guideline 1: Documentation for Patient Safety

The medical record is a sequential record of patient care, a storage place for diagnostic test results, a communication tool for clinicians, and a legal document.

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OB Guideline 26: Patients with Previous Cesarean Delivery

When you have a complete obstetrical history from a patient who previously delivered via a cesarean, you can discuss the risks and benefits of repeating that delivery method or trying a vaginal birth.

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OB Guideline 23: Prolonged Pregnancy

Post-term pregnancies are at risk for adverse outcomes that include an increased incidence of perinatal and neonatal morbidity and mortality, uteroplacental insufficiency, meconium aspiration, and intrauterine infection.

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