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

A03: Obstetric Trauma

Concept

Third- or fourth-degree perineal lacerations or other obstetric injuries to pelvic organs during a non-instrumented vaginal delivery identified during the delivery episode of care.

Notes

Refer to D03: Obstetric Trauma for obstetric trauma during an instrument-assisted vaginal delivery.

Selection criteria

 

O70.201*

O70.211

O70.221

O70.231

O70.281

O70.291

O70.301

O71.181

O71.301

O71.401

O71.501

O71.601

Identified as diagnosis type (M), (1), (2), (W), (X) or (Y) AND O10–O16, O21–O26, O28–O37, O40–O46, O48.–, O60–O75, O85–O92, O95.– or O98–O99 with a sixth digit of 1 or 2 or Z37.– on the same abstract

5.PC.80.JH

5.PC.80.JJ

5.PC.80.JR

5.PC.80.JQ

5.PC.80.JU

5.PC.80.JL

Identified as an intervention AND O10–O16, O21–O26, O28–O37, O40–O46, O48.–, O60–, O75, O85–O92, O95.– or O98–O99 with a sixth digit of 1 or 2 or Z37.– on the same abstract

 

* Before 2018–2019 data

† Starting with 2018–2019 data

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, 5MD.56.PJ or 5.MD.60.^^)
  2. Abstracts indicating a pregnancy with abortive outcome (O04. – OR 5.CA.20.^^, 5.CA.24.^^, 5.CA.88.^^, 5.CA.89.^^ or 5.CA.93.^^, not abandoned)

Codes

Code descriptions

O70.201

Third degree perineal laceration during delivery; delivered with or without mention of antepartum condition

O70.211

Third degree perineal laceration during delivery, type 3a, so described, delivered, with or without mention of antepartum condition

O70.221

Third degree perineal laceration during delivery, type 3b, so described, delivered, with or without mention of antepartum condition

O70.231

Third degree perineal laceration during delivery, type 3c, so described, delivered, with or without mention of antepartum condition

O70.281

Third degree perineal laceration during delivery, other specified type, delivered, with or without mention of antepartum condition

O70.291

Third degree perineal laceration during delivery, unspecified type, delivered, with or without mention of antepartum condition

O70.301

Fourth degree perineal laceration during delivery; delivered with or without mention of antepartum condition

O71.181

Other rupture of uterus during labour; delivered with or without mention of antepartum condition

O71.301

Obstetric laceration of cervix; delivered with or without mention of antepartum condition

O71.401

Obstetric high vaginal laceration; delivered with or without mention of antepartum condition

O71.501

Other obstetric injury to pelvic organs; delivered with or without mention of antepartum condition

O71.601

Obstetric damage to pelvic joints and ligaments; delivered with or without mention of antepartum condition

5.PC.80.JH

Surgical repair, postpartum of obstetric laceration of corpus uteri [body of uterus]

5.PC.80.JJ

Surgical repair, postpartum of current obstetric laceration of cervix occurring at vaginal delivery

5.PC.80.JR

Surgical repair, postpartum of current obstetric laceration of bladder and urethra

5.PC.80.JQ

Surgical repair, postpartum of current obstetric laceration of rectum and sphincter ani

5.PC.80.JU

Surgical repair, postpartum of current obstetric high vaginal laceration

5.PC.80.JL

Surgical repair, postpartum of current obstetric laceration of broad ligament(s) of uterus

Additional Codes:

Inclusions

O10–O16

O21–O26

O28–O37

O40–O46

O48.–

O60–O75

O85–O92

O95.–

O98–O99

Z37.–

Outcome of delivery (refer to Appendix A of the Hospital Harm Indicator General Methodology Notes)

Additional Codes:

Exclusions

O04.–

Medical abortion

5.CA.20.^^

Pharmacotherapy (in preparation for), termination of pregnancy

5.CA.24.^^

Preparation by dilating cervix (for), termination of pregnancy

5.CA.88.^^

Pharmacological termination of pregnancy

5.CA.89.^^

Surgical termination of pregnancy

5.CA.93.^^

Surgical removal of extrauterine pregnancy

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

 D03: Obstetric Trauma

Concept

Lacerations of third degree or greater severity, or other obstetric injury to pelvic organs during an instrument-assisted vaginal delivery.

Notes

  1. Refer to A03: Obstetric Trauma for obstetric trauma during a non-instrumented vaginal delivery.
  2. This clinical group does not include obstetric trauma during Caesarean section delivery.

 

Selection criteria

 

O70.201*

O70.211

O70.221

O70.231

O70.281

O80.291

O70.301

O71.181

O71.301

O71.401

O71.501

O71.601

Identified as diagnosis type (M), (1), (2), (W), (X) or (Y) AND O10–O16, O21–O26, O28–O37, O40–O46, O48.–, O60–O75, O85–O92, O95.– or O98–O99 with a sixth digit of 1 or 2 or Z37.– 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 or 5.MD.56.PJ on the same abstract

5.PC.80.JH

5.PC.80.JJ

5.PC.80.JR

5.PC.80.JQ

5.PC.80.JU

5.PC.80.JL

Identified as an intervention AND O10–O16, O21–O26, O28–O37, O40–O46, O48.–, O60–, O75, O85–O92, O95.– or O98–O99 with a sixth digit of 1 or 2 or Z37.– 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 or 5.MD.56.PJ on the same abstract

 

* Before 2018-2019 data

Starting with 2018-2019 data

Exclusions

  1. Abstracts with intervention codes for Caesarean section delivery (5.MD.60.^^)
  2. Abstracts indicating a pregnancy with abortive outcome (O04.– OR 5.CA.20.^^, 5.CA.24.^^, 5.CA.88.^^, 5.CA.89.^^ or 5.CA.93.^^, not abandoned)

Codes

Code descriptions

O70.201

Third degree perineal laceration during delivery; delivered with or without mention of antepartum condition

O70.211

Third degree perineal laceration during delivery, type 3a, so described, delivered, with or without mention of antepartum condition

O70.221

Third degree perineal laceration during delivery, type 3b, so described, delivered, with or without mention of antepartum condition

O70.231

Third degree perineal laceration during delivery, type 3c, so described, delivered, with or without mention of antepartum condition

O70.281

Third degree perineal laceration during delivery, other specified type, delivered, with or without mention of antepartum condition

O70.291

Third degree perineal laceration during delivery, unspecified type, delivered, with or without mention of antepartum condition

O70.301

Fourth degree perineal laceration during delivery; delivered with or without mention of antepartum condition

O71.181

Other rupture of uterus during labour; delivered with or without mention of antepartum condition

O71.301

Obstetric laceration of cervix; delivered with or without mention of antepartum condition

O71.401

Obstetric high vaginal laceration; delivered with or without mention of antepartum condition

O71.501

Other obstetric injury to pelvic organs; delivered with or without mention of antepartum condition

O71.601

Obstetric damage to pelvic joints and ligaments; delivered with or without mention of antepartum condition

5.PC.80.JH

Surgical repair, postpartum of obstetric laceration of corpus uteri [body of uterus]

5.PC.80.JJ

Surgical repair, postpartum of current obstetric laceration of cervix occurring at vaginal delivery

5.PC.80.JR

Surgical repair, postpartum of current obstetric laceration of bladder and urethra

5.PC.80.JQ

Surgical repair, postpartum of current obstetric laceration of rectum and sphincter ani

5.PC.80.JU

Surgical repair, postpartum of current obstetric high vaginal laceration

5.PC.80.JL

Surgical repair, postpartum of current obstetric laceration of broad ligament(s) of uterus

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

Additional Codes

Exclusions

5.MD.60.^^

Caesarean section delivery

O10–O16

O21–O26

O28–O37

O40–O46

O48.–

O60–O75

O85–O92

O95.–

O98–O99

Z37.–

Outcome of delivery (refer to Appendix A of the Hospital Harm Indicator General Methodology Notes)