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. Data elements discussed included: induction of labor, term, labor, parity, and more. The full executive summary of the reVITALize Obstetric Data Definitions Conference can be read here.
The definitions are currently in the final stage of the revision process following a period of open Public Comment and review by reVITALize leadership
Comments on the proposed revised definitions were collected from November 15, 2012 to January 15, 2013. All comments received during this time have been carefully reviewed and logged for consideration by reVITALize leadership. The leadership teams are comprised of both clinical and operational members. We expect the final revised definitions to be released in the summer of 2013. Please continue to check back for updates.
Thank you for your help in making this initiative a success! Any questions or concerns should be directed to QI@acog.org
Below are the data elements that have been revised and are expected to have definitions released:
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