Obstetric Safety Initiative Sample Documents

Quality assurance

• Sample Obstetric QA Indicators
• Sample Obstetric QA Form (PDF)

Instrumental delivery

• Documentation Checklist for Instrumental Deliveries

Shoulder dystocia

• Shoulder Dystocia Documentation Worksheet (PDF)
• Sample Delivery Note: Shoulder Dystocia
• Guidelines: Shoulder Dystocia Documentation
• Cervical Ripening, Labor Induction and Augmentation Procedure Policy
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Placenta

• Placenta - Surgical Pathology Policy
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• Pathologic Examination of the Placenta and Observed Practice (from greenjournal.org)