Was labor induced or not? How can I tell?

[Julius Seizure]

Hello all! In my job, I do a lot of chart review that includes H&P notes following delivery of a baby.  I see a LOT of charts that indicate that the baby was born by "SVD" or spontaneous lady partsl delivery....but then later will say that mother was induced for such and such reason.

So...which is it?  Were they induced or did the go into labor spontaneously?  How can I know?  I assume it is my lack of understanding rather than poor documentation because I see it ALL the time.

Thanks to anyway that can help me understand better!

[klone, MSN, RN]

Not bad!

G5P1122 = 5 pregnancies, 1 at term, 1 preterm, 2 abortions/miscarriages, and 2 living children

38w2d (LMP and TVUS) you got correct

FOC = father of child (aka baby daddy, husband, whatever)

IOL and TOLAC, correct. Induction of labor, trial of labor after a cesarean. If the trial of labor is successful, then it's known as a VBAC

PPROM = preterm, premature rupture of membranes. That is rupture of membranes prior to 37 weeks. PROM is just premature rupture of membranes, which is ROM before labor begins

Gestational hypertension (what used to be called PIH or pregnancy-induced hypertension). This is the high pressures without the accompanying lab work that indicates preeclampsia

A2GDM - gestational diabetes that is controlled with medication (as opposed to A1GDM which is diet controlled)

BBOW = bulging bag of waters

ROA you got correct

 

[Norubit15, ASN, BSN, CNA, LPN, RN]

Thank you.  I realized when reading your post that I left out FOC, "father of child." 

This was fun for me because I don't work in this area, but for many others that do, they may have thought it was easy peasy and quite boring.

A lot of facilities frown on the use of shorthand or acronyms so I was surprised to see so much in this charting. 

Thanks for reviewing it!?