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Third and Fourth Degree Perineal Tears Clinical Care Standard: 3b-Proportion of women who had an instrumental vaginal birth using forceps

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this term3b-Proportion of women who had an instrumental vaginal birth using forceps
METeOR identifier:Help on this term728363
Registration status:Help on this termAustralian Commission on Safety and Quality in Health Care, Standard 20/04/2021
Description:Help on this term

The proportion of women who had an instrumental vaginal birth using forceps.

Indicator set:Help on this termClinical care standard indicators: Third and Fourth Degree Perineal Tears Australian Commission on Safety and Quality in Health Care, Standard 20/04/2021

Collection and usage attributes

Population group age from:Help on this term

18 yrs or older

Computation description:Help on this term

The proportion of women who had an instrumental vaginal birth using forceps.

Presented as a percentage.

Computation:Help on this term

(Numerator ÷ Denominator) x 100​

Numerator:Help on this term

Number of women who had an instrumental vaginal birth using forceps.

10th Edition ACHI codes

Code Description
90468-00 Low forceps delivery
90468-01  Mid-cavity forceps delivery
90468-02  High forceps delivery
90468-03  Forceps rotation of fetal head
90468-04  Forceps rotation of fetal head with forceps delivery
90468-05  Failed forceps delivery
90468-06  Forceps delivery, unspecified
90470-02  Assisted breech delivery with forceps to after-coming head
90470-04  Breech extraction with forceps to after-coming head

 

Numerator data elements:Help on this term
Data Element / Data SetEpisode of admitted patient care—procedure, code (ACHI 10th edn) NNNNN-NN
Denominator:Help on this term

Number of women who had a vaginal birth.

Include separations where an outcome of delivery was recorded using the ICD codes in Table A, and a caesarean delivery was not recorded (Table B).

Table A: ICD-10-AM codes for delivery outcome

Code Description

Z37.0   

Single live birth
Z37.1 Single stillbirth
Z37.2 Twins, both liveborn
Z37.3 Twins, one liveborn and one stillborn
Z37.4 Twins, both stillborn
Z37.5 Other multiple births, all liveborn
Z37.6 Other multiple births, some liveborn
Z37.7  Other multiple births, all stillborn
Z37.9   Outcome of delivery, unspecified

Table B: ACHI codes for caesarean section

Code Description
16520-00

Elective classical caesarean section

16520-01 Emergency classical caesarean section
16520-02 Elective lower segment caesarean section
16520-03 Emergency lower segment caesarean section
16520-04 Elective caesarean section, not elsewhere classified
16520-05 Emergency caesarean section, not elsewhere classified

 

Denominator data elements:Help on this term
Data Element / Data SetEpisode of admitted patient care—procedure, code (ACHI 10th edn) NNNNN-NN
Data Element / Data SetEpisode of care—additional diagnosis, code (ICD-10-AM 10th edn) ANN{.N[N]}
Data Element / Data SetEpisode of care—principal diagnosis, code (ICD-10-AM 10th edn) ANN{.N[N]}
Data Element / Data Set

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termPerson
Format:Help on this term

N[NN]

Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

Reference documents:Help on this term

Australian Commission on Safety and Quality in Health Care 2017. National Safety and Quality Health Service Standards. 2nd ed. Australian Commission on Safety and Quality in Health Care, Sydney. 

Australian Commission on Safety and Quality in Health Care 2021. Third and Fourth Degree Perineal Tears clinical care standard. Australian Commission on Safety and Quality in Health Care, Sydney.

 

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