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