Maternity Morbidity & Mortality Forum
SW Victoria
2010 STATS
(Your Service Name and Brand here)
e.g Timboon District Healthcare Service
15 minutes to present STATS & case presentation
5 minute group comment
Data source reference (VAED data) Pregnancy childbirth & the puerperium
Information to give HIM at your when requesting / collating your data
(Omit this slide when you have completed your presentation)
O09.4 26 – 33 Completed weeks and O09.5 34 – 36 Completed weeks
Early onset of labour (O60 preterm labour and delivery)
Total numbers of cases and
 Fetal death in utero (O36.4)
 Premature rupture of membranes (042) < 37 weeks completed gestation
 Premature labour (O47.0). False labour < 37 weeks
 O60.0 Preterm labour without delivery
 O60.1 Preterm spontaneous labour with delivery
Failed Induction of labour (O61)
 O61.0 Failed medical induction (oxytocin / Prostin)
 O61.1 Failed instrumental induction of labour (mechanical surgical)
 O61.8 Other failed induction of labour
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Service Capability
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Level of service aligned with Department of Health
Capability framework
http://docs.health.vic.gov.au/docs/doc/Capabilityframework-for-Victorian-maternity-and-newborn-services
Level = (1 – 6)
Variance to Capability (no of episodes / cases)
over past 12 months =
Reasons (Workforce / equipment)
General Service Stats
Number of women giving birth in State Public
Hospitals
 Total Number of Births =
 Primigravida =
 Multigravida =
 Preterm birth < 33/40 =
 Preterm birth < 37 completed weeks =
 Total Number of babies Born =
Mode of birth
Your Service
 Normal birth %
 Forceps %
 Ventouse %
 EL LUSCS %
 EM LUSCS %
 Vaginal Breech %
 VBAC %
State STATS
Normal Birth %
Forceps %
Ventouse %
EL LUSCS %
EM LUSCS %
Mat indicator (1b)rate of C/S in standard Primip
Vaginal Breech %
VBAC %
Mat Indicator 4 –
VB after primary C/S)
Maternity STATS
Your Service
 IOL Primips %
Gestation @ induction =
Mode of birth =
IOL Multi’s %
Gestation @ Induction =
 PPH =
 MROP =
 Stillbirths =
 Neonatal Deaths =
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State STATS
IOL Primips %
Mat Indicator (1a) rate of
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inductions' in standard Primip
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PPH =
MROP =
Stillbirths =
Neonatal deaths =
Analgesia / Anaesthesia
Labour & Birth
Your Service
 Nil %
 Inhalational %
 Narcotic %
 Epidural %
 Spinal %
 GA %
 Other %
State STATS
 Nil %
 Inhalational %
 Narcotic %
 Epidural %
 Spinal %
 GA %
 Other %
Maternal transfers out to a service / clinician
providing higher level of care
(brief reason for transfer)
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Number of Antenatal Transfers =
 fFN
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deciding factor (TPL) Yes / No
Number of Intrapartum Transfers =
Number of Postnatal Transfers =
Tertiary level transfer Yes / No
Transfers back to referring service < 24hrs
(if > 24hrs provide comment)
Neonatal Transfers out
Regional transfer to
SWHC =
Transfer to tertiary
centre =
(e.g. IUGR/ Prematurity < 37
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weeks
Prematurity < 32 weeks)
Other
Time of decision to
transfer to departure
from hospital
State STATS –
NETS retrievals 2010 =
(Mat Indicator 2 – Term
infants without birth
defects who require
additional care).
Case presentation guide
(omit this slide when you have selected your case)
e.g. IOL CTG reduced variability / reactivity- baseline FHR 100
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method of induction
Labour History
Birth History (type of birth, NVB, Assisted, LUSCS)
Apgar Scores
Neonatal management (resuscitation)
Transfer details
Investigations
Outcome
Discharge
Post discharge follow up
Case presentation selected by
service
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Age, Primip / Multi
Intended place of birth, actual place of birth - ? Transfer
Description of condition / diagnosis
Past Obstetric History
Past Medical History relevant to clinical situation
Tests & Investigations this pregnancy?
Clinical Picture; pregnancy / birth post partum
Sequence of events
Treatment
Outcome
Implications for ongoing practice
Evidence Base
Group Discussion
Expert Comments
Analyse the circumstances
 Recommendations for future practice
 Initiate appropriate action for process
improvement
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