National Vital Statistics System

28. Maternal morbidity

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Category: Labor and Delivery

BC # 47

FDFWS # 24

FDR # 39

Definitions, Instructions, Sources, Keywords and Abbreviations
Definitions Serious complications experienced by the mother associated with labor and delivery.
Instructions

Check all boxes that apply.

If the mother has none of the complications, check “none of the above.”
Sources See below
Keywords and Abbreviations

See below
Maternal transfusion
Definitions Includes infusion of whole blood or packed red blood cells associated with labor and delivery
Instructions
Sources

1st Delivery record under –

  • Labor summary
  • Delivery summary

2nd Physician delivery notes or Operative notes

3rd Intake & output form
Keywords and Abbreviations

Transfused

Blood transfusion

  • Look for:
    PRBC – Packed red blood cells

Whole blood
Third or fourth degree perineal laceration
Definitions

3° laceration extends through the perineal skin, vaginal mucosa, perineal body, and partially or completely through the anal sphincter.

4° laceration is all of the above with extension through the rectal mucosa.
Instructions
Sources 1st  Delivery record under –
  • Episiotomy section
  • Lacerations section

2nd  Recovery room record under – Maternal data – Delivered
Keywords and Abbreviations

4th degree lac.

4° LAC degree

3rd degree lac.

3° LAC degree

3a

3b

3c
Ruptured uterus
Definitions

Tearing of the uterine wall. Uterine rupture is a full-thickness disruption of the uterine wall that also involves the overlying visceral peritoneum (uterine serosa).

Does not include uterine dehiscence (window), in which the fetus, placenta, and umbilical cord remain contained with the uterine cavity. Does not include a silent or incomplete rupture or an asymptomatic separation.
Instructions
Sources

1st  Delivery record under – Delivery summary note – Comments/ Complications

2nd  Operative note

3rd  Physician progress note
Keywords and Abbreviations
Unplanned hysterectomy
Definitions

Surgical removal of the uterus that was not planned before the admission.

Includes an anticipated, but not definitively planned, hysterectomy.
Instructions
Sources

1st  Delivery record under – Delivery summary note – Comments/ Complications

2nd  Operative note

3rd  Physician progress note
Keywords and Abbreviations

Hysterectomy

  • Look for:
    laparotomy
Admission to an intensive care unit
Definitions Any admission, planned or unplanned, of the mother to a facility or unit designated as providing intensive care.
Instructions
Sources

1st  Physician progress note

2nd  Transfer note
Keywords and Abbreviations

ICU – Intensive care unit

MICU – Medical intensive care unit

SICU – Surgical intensive care unit

L&D ECU – Labor and delivery emergency care unit

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