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Australasian Clinical Indicator Report 2003 – 2010 Obstetrics ...

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1.3 Selected primipara - instrumental vaginal birth (L)<br />

<strong>Obstetrics</strong>, v6<br />

Rationale<br />

The selected primipara represents an uncomplicated pregnancy whereby intervention and<br />

complication rates should be low and consistent across hospitals. Use of the selected<br />

primipara (rather than all women giving birth) controls for differences in case mix and<br />

increases the validity of inter-hospital comparisons of maternity care.<br />

Numerator The number of selected primipara who undergo an instrumental vaginal birth.<br />

Denominator Total number of selected primipara who give birth.<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 134 8,964 36,968 24.2 18.3 29.1 2,190 1,227 374<br />

2009 151 11,275 46,901 24.0 18.4 28.0 2,634 2,285 495<br />

<strong>2010</strong> 161 12,420 51,143 24.3 19.2 27.8 2,588 1,098 437<br />

# per 100 selected primipara<br />

Rate #<br />

Rate #<br />

In <strong>2010</strong> there were 295 data submissions from 161 HCOs. The annual rate was 24.3 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 8<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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