Obstetrics – percentage of mothers staying longer than 4 nights following caesarean section
Metric
The proportion of deliveries where the mother stayed in hospital for more than 4 nights after delivery by caesarean section.
Numerator
Number of spells where the difference between discharge date and procedure date is greater than 4 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:
- R17 Elective caesarean delivery
- R18 Other caesarean delivery
Equivalent to caesarean procedure subgroups within the “Delivery” procedure group in the DFI tools
Data Source
SUS – CDS
Time frame
April 2010 – March 2011
Basis
Acute trust
Statistical methods used
Indirect standardisation adjusting for maternal age.
Notes
Analysis suggests that for caesarean deliveries only, nearly 90% of mothers are discharged by day 4 (LOS= 0-4 days).
Polonged hopsital stay after LSCS may be due to maternal disease (pregnancy related or otherwise) and also due to the gestation a which she is delivered. In many units mothers are able to saty for up to seven days if their infant is likley to be discharged from neonatal services in that period, following a slightly preterm (34+-36+ week delivery) or those where neonatal monitoring for substance withdrawal was required. It would be useful to stratify by gestation and co morbidities.