Jan 2021 – Jul 2021
Type of Evaluation
Formative, Research Translation
The Evaluation Center partnered with Dr. Raghuraman from Department of Obstetrics and Gynecology at Washington University School of Medicine in St. Louis to design, administer, and analyze survey data to better understand BJC HealthCare Labor and Delivery providers’ current approaches to intrauterine resuscitation, factors that influence approach selection, and barriers and facilitators to utilizing evidence-based intrauterine resuscitation strategies. Survey findings will be used by Dr. Raghuraman and her team to develop a standardized intrauterine resuscitation protocol that can be used across BJC Labor and Delivery units.
When electronic fetal monitoring (EFM) detects fetal distress from hypoxia during labor, labor and delivery (L&D) providers may begin intrauterine resuscitation measures to improve fetal oxygenation. There are six intrauterine resuscitation measures available: maternal repositioning, intravenous fluid bolus, maternal oxygen administration, amnioinfusion, and administering a uterine relaxation agent. There are currently no national or BJC Healthcare guidelines for which intrauterine measures to administer and in what order. This leads to inconsistent use of intrauterine resuscitation measures across BJC L&D providers, and reduces the likelihood of using of available evidence to inform best practice, namely discontinuing the use of maternal oxygen administration.
Evaluation Center Activities
- Conducted a survey of labor and delivery providers’ current approaches to intrauterine resuscitation, factors that influence approach selection, and barriers and facilitators to utilizing evidence-based intrauterine resuscitation strategies.
- Collected, managed and analyzed qualitative data from the survey.
- Qualitative findings report
Washington University in St. Louis Department of Obstetrics and Gynecology