Interpreting fetal heart rate tracings. Is there a difference between labor and delivery nurses and obstetricians?
OBJECTIVE
To analyze the influence of increasing education and clinical experience on fetal heart rate interpretation by health care providers in labor and delivery areas.


METHODS
Eleven tracings representing a variety of fetal heart rate patterns and neonatal outcomes were selected. Respondents were asked to interpret the tracing strips on a 1-5 scale and predict Apgar scores and cord blood gases.


RESULTS
Seventy nurses and physicians participated. Experience with labor and delivery and provider classification correlated significantly with correct interpretation. Certified nurse midwives differed significantly in number of correct interpretations from both first-year residents and low-risk nurses. Providers did not differ on ability to predict Apgar scores or cord gases.


CONCLUSIONS
Length of clinical experience correlated positively with the interpretation of fetal heart rate tracings but not with the prediction of Apgar scores or cord blood gas measurements. These data will be useful in designing educational and orientation programs for physicians and nurses in the labor and delivery setting.
Beckmann
C A
CA
Department of Obstetrics and Gynecology, University of Wisconsin-Madison, USA.
Van Mullem
C
C
Beckmann
C R
CR
Broekhuizen
F F
FF
D001034:Apgar Score; D004522:Educational Status; D005260:Female; D006340:Heart Rate, Fetal; D006801:Humans; D006863:Hydrogen-Ion Concentration; D009726:Nurses; D009774:Obstetrics; D010820:Physicians; D011247:Pregnancy; D011256:Pregnancy Outcome; D014470:Umbilical Cord