Obstetrics – percentage of mothers staying longer than 2 nights following normal or instrumental delivery

Metric

The proportion of normal or instrumental deliveries where the mother stayed in hospital for more than 2 nights.

Numerator

Number of spells where the difference between discharge date and procedure date is greater than 2 days. Where the procedure rate is not known, use admission date instead.

Denominator

Any spell with a primary procedure of one of the following OPCS codes:

  • R19 Breech extration delivery
  • R20 Other breech delivery
  • R21 Forceps cephalic delivery
  • R22 Vacuum delivery
  • R23 Cephalic vaginal delivery with abnormal presentation of head at delivery without instrument
  • R24 Normal delivery

Data Source

SUS – CDS

Time frame

April 2010 – March 2011

Basis

Acute trust

Statistical methods used

Indirect standardisation adjusting for maternal age.

Notes

Analysis of national data suggests that nearly 90% of all normal or instrumental deliveries are discharged by day 2 (LOS 0-2 days).

3 Responses to Obstetrics – percentage of mothers staying longer than 2 nights following normal or instrumental delivery

  1. Lucy Kean says:

    This data will be skewed by gestation. Therefore those units taking more premature babies and sick babies will have higher rates of long term stays. It would be very useful to compare this indicator for babies born at 37 weeks or more only.

  2. Adrienne Price says:

    Is this stay of two or more nights for postnatal care only – and excludes time in labour or time spent inducing labour ?

  3. Carol Axon says:

    This will also be skewed by the number of babies requiring ‘withdrawal’ observations for 72 hours. Also women with high risk pregnancies who have normal births i.e. pregnancy induced hypertension.