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Discharge Abstract Database (DAD) Codes included in this clinical category:


A02: Obstetric Hemorrhage

Concept

Hemorrhage from the pelvic area, genital tract or perineum following non-instrumented vaginal delivery that requires blood transfusion during the delivery episode of care.

Notes

  1. This clinical group includes hemorrhage due to episiotomy.
  2. This clinical group excludes obstetric Hemorrhage for hemorrhage associated with incorrect administration of medications (refer to A10: Medication Incidents)
  3. Refer to D02: Obstetric Hemorrhage for hemorrhage after an instrument-assisted delivery or Caesarean section delivery.
  4. The blood transfusion indicator is optional to code in British Columbia.

Selection criteria

O72.002

O72.102

O72.202

O90.202

Identified as diagnosis type (M), (1), (2), (W), (X) or (Y) AND documentation of blood transfusion (blood received indicator=1)

Exclusions

  1. Abstracts with intervention codes for instrument-assisted or Caesarean section delivery (5.MD.53.^^, 5.MD.54.^^, 5.MD.55.^^, 5.MD.56.NN, 5.MD.56.PC, 5.MD.56.NR, 5.MD.56.PF, 5.MD.56.NW, 5.MD.56.PJ or 5.MD.60.^^)
  2. Events selected from a diagnosis cluster that is also selected for A10: Medication Incidents.

Codes

Code descriptions

O72.002

Postpartum third-stage hemorrhage; delivered with mention of postpartum complication

O72.102

Other immediate postpartum hemorrhage; delivered with mention of postpartum complication

O72.202

Delayed and secondary postpartum hemorrhage; delivered with mention of postpartum complication.

O90.202

Hematoma of obstetric wound, delivered with mention of postpartum complication.

Additional codes

Exclusions

5.MD.53.^^

Forceps traction and rotation delivery

5.MD.54.^^

Vacuum traction delivery

5.MD.55.^^

Combination of vacuum and forceps delivery


5.MD.56.NN

Breech delivery without episiotomy, partial breech extraction (assisted breech delivery) with forceps to aftercoming head

5.MD.56.PC

Breech delivery with episiotomy, partial breech extraction (assisted breech delivery) with forceps to aftercoming head

5.MD.56.NR

Breech delivery without episiotomy, total breech extraction with forceps to aftercoming head

5.MD.56.PF

Breech delivery with episiotomy, total breech extraction with forceps to aftercoming head

5.MD.56.NW

Breech delivery without episiotomy, unspecified breech extraction with forceps to aftercoming head

5.MD.56.PJ

Breech delivery with episiotomy, unspecified breech extraction with forceps to aftercoming head

5.MD.60.^^

Caesarean section delivery


D02: Obstetric Hemorrhage

Concept

Hemorrhage from the pelvic area, genital tract, perineum or surgical incision after an instrument-assisted delivery or Caesarean section delivery that requires blood transfusion.

Notes

  1. This group includes hemorrhage due to episiotomy.
  2. Refer to A02: Obstetric Hemorrhage for hemorrhage following vaginal delivery without the assistance of instruments.
  3. The blood transfusion indicator is optional to code in British Columbia.

Selection criteria

O72.002

O72.102

O72.202

O90.202

Identified as diagnosis type (M), (1), (2), (W), (X) or (Y) AND intervention codes 5.MD.53.^^, 5.MD.54.^^, 5.MD.55.^^, 5.MD.56.NN, 5.MD.56.PC, 5.MD.56.NR, 5.MD.56.PF, 5.MD.56.NW, 5.MD.56.PJ or 5.MD.60.^^) AND documentation of blood transfusion (blood received indicator=1)

Codes

Code descriptions

O72.002

Postpartum third-stage hemorrhage; delivered with mention of postpartum complication

O72.102

Other immediate postpartum hemorrhage; delivered with mention of postpartum complication

O72.202

Delayed and secondary postpartum hemorrhage; delivered with mention of postpartum complication.

O90.202

Hematoma of obstetric wound, delivered with mention of postpartum complication.

Additional codes

Inclusions

5.MD.53.^^

Forceps traction and rotation delivery

5.MD.54.^^

Vacuum traction delivery

5.MD.55.^^

Combination of vacuum and forceps delivery

5.MD.56.NN

Breech delivery without episiotomy, partial breech extraction (assisted breech delivery) with forceps to aftercoming head

5.MD.56.PC

Breech delivery with episiotomy, partial breech extraction (assisted breech delivery) with forceps to aftercoming head

5.MD.56.NR

Breech delivery without episiotomy, total breech extraction with forceps to aftercoming head

5.MD.56.PF

Breech delivery with episiotomy, total breech extraction with forceps to aftercoming head

5.MD.56.NW

Breech delivery without episiotomy, unspecified breech extraction with forceps to aftercoming head

5.MD.56.PJ

Breech delivery with episiotomy, unspecified breech extraction with forceps to aftercoming head

5.MD.60.^^

Caesarean section delivery