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CHAPTER 8

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Question
Answer
Pregnancy - Delivered   Act of giving birth to a live or dead fetus, including the placenta, single or multiple infants.  
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Pregnancy - Not Delivered   Admitted and discharged without giving birth.  
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Partum   Childbirth.  
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Antepartum   Period before giving birth.  
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Postpartum   Period after giving birth.  
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Pregnancy - Termination   is the expulsion or extraction of a dead fetus or other products of conception from the mother or the birth of a liveborn infant or a stillborn infant.  
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Pregnancy - Induced Termination   Interruption of pregnancy.  
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Maternal/obstetrical death   Death of mother while pregnant or within(4wks)42 days of termination of pregnancy.  
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Direct maternal death   Related to pregnancy or delivery  
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Indirect maternal death   Not related to pregnancy or delivery.  
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Cesarean section rate   Deliveries performed by C-Section compared to vaginal deliveries.  
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Vaginal birth after cesarean section (VBAC) rate   Vaginal delivery with previous delivery via C-section.  
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VBAC   Total vaginal deliveries in those with previous C-section. Divided by total number of previously delivered via C-section.  
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Fetal Terms   Newborn-show signs of life at birth. Born in the hospital. Included in newborn/bassinet statistics.  
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Neonate   Liveborn up to 28 days of age.  
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Infant   Liveborn up to one year of age.  
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Perinatal   Period surrounding birth for both liveborn, stillborn, and neonates.  
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Postnatal   Period from 28 days of age to 1 year of age.  
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Hospital fetal death   No signs of life prior to complete expulsion/extraction. Not considered a hospital IP. Does not have a medical record. Not included in newborn statistics.  
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ACOG & ICD-9-CM Classifications   Early: 500 grams or less, before 22 wks. gestation. Intermediate: 501 - 1000 grams. Late: 1001 grams or more, after 22 wks gestation.  
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OB Mortality Rate   Ratio of deaths due to pregnancy during a specified period to the # of OB discharges. Rate is low, computed to three decimal places.  
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OB Mortality Rate Formula   Total Direct OB deaths for the period X 100 divided by total OB discharges for the period (including deaths).  
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NB Death Rate Formula   Numerator: total # of NB deaths for the period X 100. Denominator: Total # of NB discharges for the period ( including Deaths).  
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Infant Death Rate Formula (up to one year)   Numerator: Total # of infant deaths for the period X 100. Denominator: Total # of infant discharges for the period (including deaths).  
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Neonatal Death Rate Formula (up to 28 days of age)   Numerator: Total # of neonatal deaths for the period X 100. Denominator: Total # of neonatal discharges for the period (including deaths).  
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Fetal Death Rate Formula (includes intermediate and late fetal deaths. Exclude fetus (less than 20 wks gestation. 500 grams or less.   Numerator: Total # of intermediate and late fetal deaths for the period X 100. Denominator: Total # of births for the period (including live births intermediate and late fetal deaths.  
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