An Overview
The reVITALize Obstetric Data Definitions Conference brought together over 80 national leaders in women’s health care with the common goal of standardizing clinical obstetric data definitions for use in registries, electronic medical record systems, and vital statistics. Over the course of the two-day in-person meeting and the months that followed, more than 60 obstetrical definitions were reviewed, discussed, and refined. Data elements included: induction of labor, gestational age and term, parity, TOLAC, and more. The full executive summary of the reVITALize Obstetric Data Definitions Conference can be read here.
The Public Comment Period is currently closed
Comments on the proposed revised definitions were collected from November 15, 2012 to January 15, 2013. All comments received during this time are currently being reviewed and logged for consideration by reVITALize leadership. The leadership teams are comprised of both clinical and operational members.
Comments will be responded to accordingly and will help to form the basis for any additional changes that need to be made to the refined definitions prior to final approval. Should comments require further clarification, the individual submitting the comment may be contacted to obtain any clarifying information needed to make an informed and appropriate decision regarding a potential revision.
Thank you for your help in making this initiative a success! Any questions or concerns should be directed to QI@acog.org
Although comments are no longer being accepted at this time, you can still review the revised definitions by category below. The data elements within each category are listed first. Follow the links to view a full summary of the definitions and rationale for change.
Delivery
- Cesarean Delivery
- Date of Delivery
- Forceps Assistance
- Malpresentation
- Perineal Lacerations
- Placenta Accreta
- Primary Cesarean Delivery
- Repeat Cesarean Delivery
- Shoulder Dystocia
- Spontaneous Vaginal Delivery
- Vacuum Assistance
- Vaginal Birth After Cesarean
- Vertex Presentation
The refined definitions, identified issues, and rationale for the language presented in the refined definitions for the Delivery category can be found here.
Gestational Age & Term
- Preterm
- Early Term
- Full Term
- Late Term
- Post Term
- Estimated Date of Delivery
- Gestational Age (calculation formula)
The refined definitions, identified issues, and rationale for the language presented in the refined definitions for the Gestational Age & Term category can be found here.
Labor
- Artificial Rupture of Membranes
- Augmentation of Labor
- Duration of Ruptured Membranes
- Induction of Labor
- Labor
- Labor After Cesarean
- Non-Medically Indicated Induction of Labor or Cesarean Delivery
- Number of Centimeters Dilated on Admission
- Onset of Labor
- Pharmacologic Induction of Labor
- Physiologic Childbirth
- Pre-Labor Rupture of Membranes
- Spontaneous Labor and Birth
- Spontaneous Onset of Labor
- Spontaneous Rupture of Membranes
The refined definitions, identified issues, and rationale for the language presented in the refined definitions for the Labor category can be found here.
Maternal Indicators: Current Co-Morbidities and Complications
- Abruption
- Antenatal Small for Gestational Age
- Any Antenatal Steroids
- Clinical Chorioamnionitis
- Depression
- Early Postpartum Hemorrhage
- Oligohydramnios – HOLD; Pending Further Revision
- Polyhydramnios – HOLD: Pending Further Revision
The refined definitions, identified issues, and rationale for the language presented in the refined definitions for the Maternal Indicators: Current Co-Morbidities and Complications category can be found here.
Maternal Indicators: Historical Diagnoses
- Chronic Hypertension
- Gravida
- Maternal Weight Gain During Pregnancy
- Non-Cesarean Uterine Surgery
- Nulliparous
- Parity
- Plurality
- Positive GBS Risk Status
- Pre-Gestational Diabetes
The refined definitions, identified issues, and rationale for the language presented in the refined definitions for the Maternal Indicators: Historical Diagnoses category can be found here.