reVITALize Obstetric Data Definitions

reVITALize

An Overview

The reVITALize Obstetric Data Definitions Conference in took place in August 2012 and 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. The full executive summary of the reVITALize Obstetric Data Definitions Conference can be read here.

Comments on the proposed revised definitions were collected during a period of open Public Comment from November 15, 2012 to January 15, 2013. All comments received during this time have been carefully reviewed and considered by reVITALize leadership. The final revised definitions are expected to be released in mid-2014. Below is a listing of the 42 data elements that have been revised and will have definitions released.

All of the revised definitions will be made available on this page as soon as they are final.

Delivery

  • Cesarean Birth
  • Primary Cesarean Birth
  • Repeat Cesarean Birth
  • Forceps Assistance
  • Vacuum Assistance
  • Vertex Presentation
  • Malpresentation
  • Perineal Lacerations
  • Placenta Accreta
  • Shoulder Dystocia
  • Spontaneous Vaginal Birth
  • Vaginal Birth After Cesarean (VBAC)

Gestational Age & Term

  • Preterm
  • Term
    • Early Term
    • Full Term
    • Late Term
    • Post Term
  • Estimated Due Date  
  • Gestational Age (calculation formula)

Labor

  • Labor
  • Time of the Onset of Labor
  • Augmentation of Labor
  • Induction of Labor
  • Number of Centimeters Dilated on Admission
  • Duration of Ruptured Membranes
  • Artificial Rupture of Membranes (AROM)
  • Spontaneous Rupture of Membranes (SROM)
  • Pre-Labor Rupture of Membranes
  • Labor After Cesarean (LAC)
  • Physiologic Childbirth
  • Spontaneous Labor and Birth
  • Spontaneous Onset of Labor

Maternal Indicators: Current Co-Morbidities and Complications

  • Abruption
  • Antenatal Steroids Initiated
  • Clinical Chorioamnionitis
  • Postpartum Hemorrhage

Maternal Indicators: Historical Diagnoses

  • Parity
  • Nulliparous
  • Plurality
  • Gravida
  • Pregestational Diabetes
  • Chronic Hypertension
  • Maternal Weight Gain During Pregnancy
  • Non-Cesarean Uterine Surgery/Surgical Scar
  • Positive GBS Risk Status

Thank you for your interest in reVITALize.
Please direct any questions to QI@acog.org.

Contact:

Pamela Scarrow
Director, Patient Safety and Quality Improvement
pscarrow@acog.org