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None
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Resolution: Unresolved
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Moderate
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Tammy Owens
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940-626-3856
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Wise Health System
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Time spent abstracting and retro review for failures is the largest issue with this measure.
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PC-02 Cesarean Birth
The measure has very limited exclusions.
There should be more maternal exclusions such as Hx of stroke, AMI, uncontrolled diabetes, prolonged ROM, and other dx that may make a clinician or patient feel unsafe to labor
Long laboring periods and failure to descend is not addressed
Maternal exhaustion from long labors and long hours of pushing is complicating this measure.
Fetal exclusions: more anomalies should be allowed.