Ask the Expert

Some of the most common perinatal documentation questions as well as fetal monitoring terminology, interpretation, and management are addressed by industry expert, Lisa Miller, C.N.M., J.D.

What parameters should be assessed in the evaluation of uterine activity?

If the FHR has a normal baseline and moderate variability, can I continue to increase Pitocin when contractions are greater than 5 in 10 minutes, but mild in intensity?  

About Lisa Miller, C.N.M., J.D. - President of Perinatal Risk Management and Education Services (PRMES), Ms. Miller is a certified nurse midwife with over 30 years of experience in a variety of clinical settings. Also an attorney, she has a unique understanding of the impact of law on medicine and nursing. Ms. Miller served as an Assistant Professor in Obstetrics and Gynecology at Northwestern University Medical School, and is published in the areas of electronic fetal monitoring, obstetrics, and patient safety. Committed to improving the quality of perinatal healthcare, she lectures nationally and internationally on many topics pertaining to obstetrics, perinatal safety and risk management, with a current focus on the effects of cognitive bias during healthcare decision-making. To learn more about Lisa Miller and her classes, visit