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Article: Chart documentation of informed consent for operative vaginal delivery: is it adequate?(Original Article)
- Article from:
- Southern Medical Journal
- Article date:
- December 1, 2006
- Author:
CopyrightCOPYRIGHT 2006 Southern Medical Association. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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Objectives: To determine the documentation frequency of informed consent for women undergoing a trial of nonemergent instrumental delivery.
Study Design: A retrospective chart review of instrumented vaginal deliveries from 1992 to 2005 was performed. Cases were identified from a Labor and Delivery database and hospital records were reviewed for documentation of associated risks, general consent for the procedure, indication, and option of cesarean delivery (CD).
Results: Three hundred forty six charts were reviewed: 246 were excluded for an emergency delivery (19%), misclassification (25%), or lost notes (27%). In the remaining 100 cases, 61% had a ...