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A Collaborative Interdisciplinary Approach to Electronic Fetal Monitoring: Report of a Statewide Initiative

Miller, Lisa A. CNM, JD; Miller, David A. MD

The Journal of Perinatal & Neonatal Nursing: April/June 2013 - Volume 27 - Issue 2 - p 126–133
doi: 10.1097/JPN.0b013e31828ee7fe
Feature Articles

Intrapartum electronic fetal monitoring (EFM) is one of the most common procedures in obstetrics. Current consensus statements provide clinicians with a common language for EFM as well as provide a basis for a simplified approach to interpretation and management. This article presents a summary of the content and implementation of a statewide initiative in interdisciplinary EFM education and training designed to give clinicians of all backgrounds a shared mental model in EFM. Challenges to implementation at individual institutions may include physician and nursing engagement as well as time and cost constraints.

Perinatal Risk Management and Education Services, Portland, Oregon (Ms Miller); and University of Southern California Keck School of Medicine, Maternal Fetal Medicine Children's Hospital Los Angeles, CHLA-USC Institute for Maternal Fetal Health, Los Angeles, California (Dr Miller).

Corresponding Author: Lisa A. Miller, CNM, JD, Perinatal Risk Management and Education Services, 2393 SW Park Place, Ste 310, Portland, OR 97205 (

Disclosure: The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Submitted for publication: January 28, 2013; accepted for publication: February 23, 2013.

Copyright © 2013 Wolters Kluwer Health, Inc. All rights reserved.