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Female (mother)—postpartum perineal status, code N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termPerineal status
METeOR identifier:Help on this term269939
Registration status:Help on this termHealth, Superseded 07/02/2013
Definition:Help on this term

The state of the perineum following birth, as represented by a code.

Context:Help on this term

Perinatal

Data Element Concept:Female (mother)—postpartum perineal status

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN
Maximum character length:Help on this term1
Permissible values:Help on this term
ValueMeaning
1Intact
21st degree laceration/vaginal graze
32nd degree laceration
43rd degree laceration
5Episiotomy
6Combined laceration and episiotomy
74th degree laceration
8Other
Supplementary values:Help on this term
9Not stated

Collection and usage attributes

Guide for use:Help on this term

Vaginal tear is included in the same group as 1st degree laceration to be consistent with ICD-10-AM code. Other degrees of laceration are as defined in ICD-10-AM.

Comments:Help on this term

While 4th degree laceration is more severe than an episiotomy it has not been placed in order of clinical significance within the data domain. Instead it has been added to the data domain as a new code rather than modifying the existing order of data domain code values. This is because information gatherers are accustomed to the existing order of the codes. Modifying the existing order may result in miscoding of data. This approach is consistent with established practice in classifications wherein a new data domain identifier (or code number) is assigned to any new value meaning that occurs, rather than assigning this new value domain meaning to an existing data domain identifier.

Data element attributes

Collection and usage attributes

Comments:Help on this term

Perineal laceration (tear) may cause significant maternal morbidity in the postnatal period. Episiotomy is an indicator of management during labour and, to some extent, of intervention rates.

Relational attributes

Related metadata references:Help on this term

Has been superseded by Female (mother)—postpartum perineal status, code N[N] Health, Superseded 02/08/2017

Supersedes Perineal status, version 2, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (15.8 KB)

Implementation in Indicators:Help on this termUsed as numerator
National Core Maternity Indicators: PI 03-Episiotomy for women giving birth for the first time and giving birth vaginally (2013) Health, Superseded 02/02/2016
National Core Maternity Indicators: PI 03–Episiotomy for females giving birth for the first time and giving birth vaginally, 2018 Health, Superseded 19/06/2019
National Core Maternity Indicators: PI 03–Episiotomy for females giving birth for the first time and giving birth vaginally, 2019 Health, Standard 19/06/2019
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