Product of birth—active resuscitation method, code N[N]

Identifying and definitional attributes

Metadata item type:Data Element
Short name:Active resuscitation of baby method
METeOR identifier:732883
Registration status:Health, Standard 03/12/2020
Definition:

Active measure taken immediately after birth to establish a baby's independent respiration and heartbeat, or to treat depressed respiratory effect and to correct metabolic disturbances, as represented by a code.

Context:

Perinatal

Data Element Concept:Product of birth—active resuscitation method

Value domain attributes

Representational attributes

Representation class:Code
Data type:Number
Format:N[N]
Maximum character length:2
Permissible values:
ValueMeaning
2Suction
3Oxygen therapy
7Intermittent positive pressure ventilation (IPPV)
8Continuous positive airway pressure (CPAP) ventilation
10Intubation
11External cardiac compressions
88Other
Supplementary values:
99Not stated/inadequately described

Collection and usage attributes

Guide for use:

CODE 7   Intermittent positive pressure ventilation (IPPV)

May include flow-driven pressure-limited device, such as Neopuff© (an infant T-piece resuscitator).

CODE 8   Continuous positive airway pressure (CPAP) ventilation

May include flow-driven pressure-limited device, such as Neopuff© (an infant T-piece resuscitator).

Comments:

Code 1 (None), Code 4 (Intermittent positive pressure respiration (IPPR) through bag and mask), Code 5 (Endotracheal intubation and IPPR), Code 6 (External cardiac massage and ventilation) and Code 9 (Not stated) have been omitted as these codes are no longer in use. For information about their meaning in previous data elements, see superseded versions.

Source and reference attributes

Submitting organisation:

National Perinatal Data Development Committee

Data element attributes

Collection and usage attributes

Guide for use:

This data element does not include any drug therapy.

All methods of active resuscitation used should be recorded. Therefore more than one permissible value may be recorded for this data element. Each method should be recorded once only.

The permissible value selected should reflect the method of resuscitation rather than the device used to deliver resuscitation. For example, if intermittent positive pressure ventilation (IPPV) is delivered via a continuous positive airway pressure (CPAP) device, without CPAP ventilation also being delivered, then IPPV only should be recorded.

Comments:

Required to analyse need for resuscitation after complications of labour and delivery, and to evaluate level of services needed for different birth settings.

IPPV is also known as intermittent positive pressure respiration (IPPR).

Intubation or laryngeal mask ventilation may be added at any stage of the resuscitation. The timing will often depend on the familiarity and skill of the clinician with the procedure. For a skilled and experienced clinician, intubation will normally occur earlier in the resuscitation.

The use of a size 1 laryngeal mask airway for the administration of IPPV is suitable for neonates of more than 34 weeks gestation or 2,000 grams (up to 5,000 grams) (ANZCOR 2016).

Source and reference attributes

Submitting organisation:

National Perinatal Data Development Committee

Reference documents:

ANZCOR (Australian Resuscitation Council and New Zealand Resuscitation Council) 2016. ANZCOR Guideline 13.5—Tracheal intubation and ventilation of the newly born infant. Viewed 18 September 2020, https://resus.org.au/guidelines/.

Relational attributes

Related metadata references:

See also Product of birth—active resuscitation indicator, yes/no/not stated/inadequately described code N Health, Standard 03/12/2020

Supersedes Product of birth—active resuscitation method, code N[N] Health, Superseded 03/12/2020

Implementation in Data Set Specifications:
All attributes +

Perinatal NMDS 2021–22 Health, Standard 03/12/2020

DSS specific attributes +

Perinatal NMDS 2022–23 Health, Standardisation pending 22/10/2021

DSS specific attributes +