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HIT 65
CHAPTER 8
Question | Answer |
---|---|
Pregnancy - Delivered | Act of giving birth to a live or dead fetus, including the placenta, single or multiple infants. |
Pregnancy - Not Delivered | Admitted and discharged without giving birth. |
Partum | Childbirth. |
Antepartum | Period before giving birth. |
Postpartum | Period after giving birth. |
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. |
Pregnancy - Induced Termination | Interruption of pregnancy. |
Maternal/obstetrical death | Death of mother while pregnant or within(4wks)42 days of termination of pregnancy. |
Direct maternal death | Related to pregnancy or delivery |
Indirect maternal death | Not related to pregnancy or delivery. |
Cesarean section rate | Deliveries performed by C-Section compared to vaginal deliveries. |
Vaginal birth after cesarean section (VBAC) rate | Vaginal delivery with previous delivery via C-section. |
VBAC | Total vaginal deliveries in those with previous C-section. Divided by total number of previously delivered via C-section. |
Fetal Terms | Newborn-show signs of life at birth. Born in the hospital. Included in newborn/bassinet statistics. |
Neonate | Liveborn up to 28 days of age. |
Infant | Liveborn up to one year of age. |
Perinatal | Period surrounding birth for both liveborn, stillborn, and neonates. |
Postnatal | Period from 28 days of age to 1 year of age. |
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. |
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. |
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. |
OB Mortality Rate Formula | Total Direct OB deaths for the period X 100 divided by total OB discharges for the period (including deaths). |
NB Death Rate Formula | Numerator: total # of NB deaths for the period X 100. Denominator: Total # of NB discharges for the period ( including Deaths). |
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). |
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). |
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. |