Australasian Clinical Indicator Report 2003 – 2010 Obstetrics ...
Australasian Clinical Indicator Report 2003 – 2010 Obstetrics ...
Australasian Clinical Indicator Report 2003 – 2010 Obstetrics ...
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3.3 Selected primipara - perineal tear and NO episiotomy (L)<br />
<strong>Obstetrics</strong>, v6<br />
Rationale<br />
Vaginal birth is the most common cause of anal sphincter injuries in women and as such<br />
obstetric anal sphincter injury is considered a major complication of vaginal birth <strong>–</strong> a<br />
complication that can have a significant impact on a woman’s quality of life.<br />
Numerator Total number of selected primipara sustaining a perineal tear and NO episiotomy.<br />
Denominator Total number of selected primipara delivering vaginally.<br />
Dimensions of care: Accessibility Appropriateness Continuity<br />
Effectiveness Efficiency Quality Improvement and Risk Safety<br />
Desirable level: Low High Not specified<br />
Type of <strong>Indicator</strong>: Process Outcome Structure<br />
No. Total Total<br />
Year HCOs numerator denominator Rate #<br />
Centile Stratum Outlier<br />
(20) (80) gains gains gains<br />
2008 128 11,175 24,402 45.8 36.9 51.1 2,177 1,193 494<br />
2009 137 14,087 30,566 46.1 39.8 50.7 1,916 1,178 448<br />
<strong>2010</strong> 147 15,339 32,551 47.1 38.9 50.5 2,672 1,529 810<br />
# per 100 selected primipara<br />
Rate #<br />
Rate #<br />
In <strong>2010</strong> there were 266 data submissions from 147 HCOs. The annual rate was 47.1 per 100<br />
selected primipara.<br />
<strong>Australasian</strong> <strong>Clinical</strong> <strong>Indicator</strong> <strong>Report</strong> <strong>2003</strong>-<strong>2010</strong> Page 20<br />
© ACHS. This work is copyright. Requests and inquiries concerning reproduction and rights should<br />
be addressed to pos@achs.org.au
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