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Female (mother)—postpartum perineal status, code N[N]

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termPostpartum perineal status
METeOR identifier:Help on this term630080
Registration status:Help on this termHealth, Superseded 12/12/2018
ACT Health, Final 14/08/2018
Definition:Help on this term

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

Context:Help on this term

Perinatal statistics

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[N]
Maximum character length:Help on this term2
Permissible values:Help on this term
ValueMeaning
1Intact
21st degree laceration/vaginal graze
32nd degree laceration
43rd degree laceration
5Episiotomy
74th degree laceration
88Other perineal laceration, rupture or tear
Supplementary values:Help on this term
99Not stated/inadequately described

Collection and usage attributes

Guide for use:Help on this term

CODE 2   1st degree laceration/vaginal graze

Graze, laceration, rupture or tear of the perineal skin during delivery that may be considered to be slight or that involves one or more of the following structures:

  • fourchette
  • labia
  • periurethral tissue (excluding involvement of urethra)
  • vagina, low
  • vulva.

CODE 3   2nd degree laceration

Perineal laceration, rupture or tear as in Code 2 occurring during delivery, also involving:

  • pelvic floor
  • perineal muscles
  • vaginal muscles.

Excludes laceration involving the anal sphincter.

CODE 4   3rd degree laceration

Perineal laceration, rupture or tear as in Code 3 occurring during delivery, also involving:

  • anal sphincter (excluding involvement of anal or rectal mucosa)
  • rectovaginal septum
  • sphincter not otherwise specified (NOS).

Excludes laceration involving the anal or rectal mucosa.

CODE 7   4th degree laceration

Perineal laceration, rupture or tear as in Code 4 occurring during delivery, also involving:

  • anal mucosa
  • rectal mucosa.

CODE 88   Other perineal laceration, rupture or tear

May include haematoma or unspecified perineal tear.

Comments:Help on this term

If a laceration occurred during delivery and an episiotomy was performed, both the degree of laceration and the episiotomy should be recorded. If an episiotomy is performed, the perineum cannot be intact.

Code 6 has been omitted as it is no longer in use. For information about its meaning in previous data elements, see superseded versions.

While 4th degree laceration is more severe than an episiotomy, this category has not been placed in order of clinical significance within the value domain.

Source and reference attributes

Submitting organisation:Help on this term

Australian Institute of Health and Welfare

Origin:Help on this term

Australian Consortium for Classification Development (ACCD) 2017. The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM), Tenth edn. Tabular list of diseases and Alphabetic index of diseases. Sydney: ACCD, University of Sydney.

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

Multiple entries of permissible values are allowed.

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 obstetric intervention.

Relational attributes

Related metadata references:Help on this term

Supersedes Female (mother)—postpartum perineal status, code N[N] Health, Superseded 02/08/2017

Has been superseded by Female—postpartum perineal status, code N[N] Health, Standard 12/12/2018

Implementation in Data Set Specifications:Help on this term

Perinatal NMDS 2018-19 Health, Superseded 12/12/2018
ACT Health, Final 14/08/2018

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