Birth event—additional indication for caesarean section, code N[N]

Identifying and definitional attributes

• Health, Superseded 02/08/2017

Data element concept attributes

Identifying and definitional attributes

• Health, Superseded 02/08/2017

Value domain attributes

Identifying and definitional attributes

• Health, Superseded 02/08/2017

Representational attributes

Collection and usage attributes

CODE 1   Fetal compromise

This includes suspected or actual fetal compromise and intra uterine growth restriction (IUGR).

CODE 10   Lack of progress; less than or equal to 3 cm cervical dilatation

Lack of progress includes slow or no progress.

This code may be appropriate for cases of unsuccessful induction.

CODE 11   Lack of progress in the first stage; greater than 3 cm to less than 10 cm cervical dilatation

Lack of progress includes slow or no progress.

CODE 12   Lack of progress in the second stage

Lack of progress includes slow or no progress.

CODE 13   Placenta praevia

Record placenta praevia as the indication for caesarean section if there is ultrasound or clinical evidence that the edge of the placenta covers the internal cervical os, or encroaches into the lower segment less than 2 cm away from the internal cervical os.

CODE 14   Placental abruption

Record placental abruption as the indication for caesarean section if there is ultrasound or clinical evidence antenatally of abruption of the placenta prior to onset or during labour.

CODE 15   Vasa praevia

Record vasa praevia as the indication for caesarean section if there is ultrasound or visual evidence of exposed fetal blood vessels running across the fetal membrane below or at the level of the fetal presenting part in the lower segment of the uterus. This code is to be used when the caesarean section is planned or in the case of an emergency when the vessels may have ruptured.

CODE 16   Antepartum/intrapartum haemorrhage

Record antepartum/intrapartum haemorrhage as the indication for caesarean section if there has been any antenatal or intrapartum vaginal bleeding that leads to the immediate delivery of the baby by caesarean section. This code should only be used as a main indication if a more specific cause of the antepartum/intrapartum haemorrhage is not known.

Where there is a vasa praevia and an antepartum/intrapartum haemorrhage, Code 15 is to be recorded as the main indication and Code 16 as an additional indication.

CODE 22   Previous severe perineal trauma

Includes previous 4^th degree tears and other perineal damage or injury where a woman is symptomatic and the clinician determines the caesarean section is justified. 

CODE 29   Other obstetric, medical, surgical, psychological indications

Where a woman has a psychopathological indication for caesarean section, e.g. extreme fear of natural childbirth, this code should be used. It is not to be used for psychosocial indications which should be coded under Code 30.

CODE 30   Maternal choice in the absence of any obstetric, medical, surgical, psychological indications

This includes psychosocial indications.

Source and reference attributes

Data element attributes

Collection and usage attributes

Additional indications for caesarean section are conditional on there being more than one reason for which a caesarean was performed. Additional indications for caesarean section are completed after the Birth event—main indication for caesarean section, code N[N] has been identified. Multiple codes can be selected. Up to two additional indications can be recorded as contributing to the need for a caesarean section. However Code 30 should not be used in conjunction with any other code.

Source and reference attributes

National Perinatal Data Development Committee

Relational attributes