Clark algorithm for the evaluation of NTSV cesarean deliveries for the indication of NRFHT

Category II tracings, the second most common cause of cesarean delivery, are indeterminate resulting in significant variation how these tracings managed. Use category tracing algorithms such as those created by Clark et Al, (2013) have potential to aid decision making and thus decrease section for indication abnormal/indeterminate/non reassuring fetal tracing. WellSpan York Hospital is a tertiary-care regional referral center, serving population base over 800,000. In October 2021 review board was developed look at NTSV c-sections. Slicer dicer used create report NRFHT c-sections provider level data produced charts heart rate were reviewed. Data then complied individual providers. 2021, Algorithm provided all providers on labor delivery. After compliance algorithm generated. also obtained poor outcomes, including APGARs < 5 1 minute episiotomies. The median number performed 243. 81 54.3% indicated per Algorithm. Quarter (January 2022 March 2022), with improved 75% episiotomy rates showed no difference. first quarter collection caesarean delivery January, February, 22.9%, 21%, 30% respectively. This quality improvement study that there opportunity improve adherence which may turn influence around need among patients tracings. Also improving had effect outcomes.