ÈÕ±¾ÎÞÂë

Concept

Third- or fourth-degree perineal lacerations or other obstetric injuries to pelvic organs during a non-instrumented vaginal delivery identified during the delivery episode of care.

Notes

Refer to D03: Obstetric Trauma for obstetric trauma during an instrument-assisted vaginalÌýdelivery.

Selection criteria

O70.201*
O70.211^†
O70.221^†
O70.231^†
O70.281^†
O70.291^†
O70.301
O71.181
O71.301
O71.401
O71.501
O71.601

Identified as diagnosis type (M), (1), (2), (W), (X) or (Y)ÌýANDÌý°¿10–O16, °¿21–O26, °¿28–O37, °¿40–O46, °¿48.–, °¿60–O75, °¿85–O92, °¿95.– or °¿98–O99 with a sixth digit of 1 or 2Ìýor ´Ü37.–Ìýon the same abstract

5.PC.80.JH
5.PC.80.JJ
5.PC.80.JR
5.PC.80.JQ
5.PC.80.JU
5.PC.80.JL

Identified as an interventionÌýANDÌý°¿10–O16, °¿21–O26, °¿28–O37, °¿40–O46, °¿48.–, O60–, O75, °¿85–O92, °¿95.– or °¿98–O99 with a sixth digit of 1 or 2 or ´Ü37.–Ìýon the same abstract

* Before 2018–2019 data
† Starting with 2018–2019 data

Exclusions

1. Abstracts withÌýintervention codes for instrument-assisted or Caesarean section delivery (5.MD.53.^^, 5.MD.54.^^, 5.MD.55.^^, 5.MD.56.NN, 5.MD.56.PC, 5.MD.56.NR, 5.MD.56.PF, 5.MD.56.NW, 5MD.56.PJ or 5.MD.60.^^)
2. Abstracts indicating a pregnancy with abortive outcome (O04. –ÌýORÌý5.CA.20.^^, 5.CA.24.^^, 5.CA.88.^^, 5.CA.89.^^ or 5.CA.93.^^, not abandoned)

Codes

Code descriptions

O70.201

Third degree perineal laceration during delivery; delivered with or without mention of antepartumÌýcondition

O70.211

Third degree perineal laceration during delivery, type 3a, so described, delivered, with or without mention of antepartum condition

O70.221

Third degree perineal laceration during delivery, type 3b, so described, delivered, with or without mention of antepartum condition

O70.231

Third degree perineal laceration during delivery, type 3c, so described, delivered, with or without mention of antepartum condition

O70.281

Third degree perineal laceration during delivery, other specified type, delivered, with or without mention of antepartum condition

O70.291

Third degree perineal laceration during delivery, unspecified type, delivered, with or without mention of antepartum condition

O70.301

Fourth degree perineal laceration during delivery; delivered with or without mention of antepartumÌýcondition

O71.181

Other rupture of uterus during labour; delivered with or without mention of antepartumÌýcondition

O71.301

Obstetric laceration of cervix; delivered with or without mention of antepartum condition

O71.401

Obstetric high vaginal laceration; delivered with or without mention of antepartumÌýcondition

O71.501

Other obstetric injury to pelvic organs; delivered with or without mention of antepartumÌýcondition

O71.601

Obstetric damage to pelvic joints and ligaments; delivered with or without mention of antepartumÌýcondition

5.PC.80.JH

Surgical repair, postpartum of obstetric laceration of corpus uteri [body of uterus]

5.PC.80.JJ

Surgical repair, postpartum of current obstetric laceration of cervix occurring at vaginalÌýdelivery

5.PC.80.JR

Surgical repair, postpartum of current obstetric laceration of bladder and urethra

5.PC.80.JQ

Surgical repair, postpartum of current obstetric laceration of rectum and sphincter ani

5.PC.80.JU

Surgical repair, postpartum of current obstetric high vaginal laceration

5.PC.80.JL

Surgical repair, postpartum of current obstetric laceration of broad ligament(s) of uterus

Additional Codes:

Inclusions

°¿10–O16
°¿21–O26
°¿28–O37
°¿40–O46
°¿48.–
°¿60–O75
°¿85–O92
°¿95.–
°¿98–O99
´Ü37.–

Outcome of delivery (refer toÌýÌýof theÌý)

Additional Codes:

Exclusions

°¿04.–

Medical abortion

5.CA.20.^^

Pharmacotherapy (in preparation for), termination of pregnancy

5.CA.24.^^

Preparation by dilating cervix (for), termination of pregnancy

5.CA.88.^^

Pharmacological termination of pregnancy

5.CA.89.^^

Surgical termination of pregnancy

5.CA.93.^^

Surgical removal of extrauterine pregnancy

5.MD.53.^^

Forceps traction and rotation delivery

5.MD.54.^^

Vacuum traction delivery

5.MD.55.^^

Combination of vacuum and forceps delivery

5.MD.56.NN

Breech delivery without episiotomy, partial breech extraction [assisted breech delivery] with forceps to aftercoming head

5.MD.56.PC

Breech delivery with episiotomy, partial breech extraction [assisted breech delivery] with forceps to aftercoming head

5.MD.56.NR

Breech delivery without episiotomy, total breech extraction with forceps to aftercoming head

5.MD.56.PF

Breech delivery with episiotomy, total breech extraction with forceps to aftercoming head

5.MD.56.NW

Breech delivery without episiotomy, unspecified breech extraction with forceps to aftercomingÌýhead

5.MD.56.PJ

Breech delivery with episiotomy, unspecified breech extraction with forceps to aftercomingÌýhead

5.MD.60.^^

Caesarean section delivery

Concept

Lacerations of third degree or greater severity, or other obstetric injury to pelvic organs during an instrument-assisted vaginal delivery.

Notes

1. Refer to A03: Obstetric Trauma for obstetric trauma during a non-instrumented vaginalÌýdelivery.
2. This clinical group does not include obstetric trauma during Caesarean section delivery.

Selection criteria

Ìý

O70.201*
O70.211^Ìý†
O70.221^Ìý†
O70.231^Ìý†
O70.281^Ìý†
O80.291^Ìý†
O70.301
O71.181
O71.301
O71.401
O71.501
O71.601

Identified as diagnosis type (M), (1), (2), (W), (X) or (Y)ÌýANDÌý°¿10–O16, °¿21–O26, °¿28–O37, °¿40–O46, °¿48.–, °¿60–O75, °¿85–O92, °¿95.– or °¿98–O99 with a sixth digit of 1 or 2 or ´Ü37.–ÌýANDÌýintervention codes 5.MD.53.^^, 5.MD.54.^^, 5.MD.55.^^, 5.MD.56.NN, 5.MD.56.PC, 5.MD.56.NR, 5.MD.56.PF, 5.MD.56.NW or 5.MD.56.PJÌýon the same abstract

5.PC.80.JH
5.PC.80.JJ
5.PC.80.JR
5.PC.80.JQ
5.PC.80.JU
5.PC.80.JL

Identified as an interventionÌýANDÌý°¿10–O16, °¿21–O26, °¿28–O37, °¿40–O46, °¿48.–, O60–, O75, °¿85–O92, °¿95.– or °¿98–O99 with a sixth digit of 1 or 2 or ´Ü37.–ÌýANDÌýintervention codes 5.MD.53.^^, 5.MD.54.^^, 5.MD.55.^^, 5.MD.56.NN, 5.MD.56.PC, 5.MD.56.NR, 5.MD.56.PF, 5.MD.56.NW or 5.MD.56.PJÌýon the same abstract

* Before 2018-2019 data
^†ÌýStarting with 2018-2019 data

Exclusions

1. Abstracts withÌýintervention codes for Caesarean section delivery (5.MD.60.^^)
2. Abstracts indicating a pregnancy with abortive outcome (°¿04.–ÌýORÌý5.CA.20.^^, 5.CA.24.^^, 5.CA.88.^^, 5.CA.89.^^ or 5.CA.93.^^, not abandoned)

Codes

Code descriptions

O70.201

Third degree perineal laceration during delivery; delivered with or without mention of antepartumÌýcondition

O70.211

Third degree perineal laceration during delivery, type 3a, so described, delivered, with or without mention of antepartum condition

O70.221

Third degree perineal laceration during delivery, type 3b, so described, delivered, with or without mention of antepartum condition

O70.231

Third degree perineal laceration during delivery, type 3c, so described, delivered, with or without mention of antepartum condition

O70.281

Third degree perineal laceration during delivery, other specified type, delivered, with or without mention of antepartum condition

O70.291

Third degree perineal laceration during delivery, unspecified type, delivered, with or without mention of antepartum condition

O70.301

Fourth degree perineal laceration during delivery; delivered with or without mention of antepartumÌýcondition

O71.181

Other rupture of uterus during labour; delivered with or without mention of antepartumÌýcondition

O71.301

Obstetric laceration of cervix; delivered with or without mention of antepartum condition

O71.401

Obstetric high vaginal laceration; delivered with or without mention of antepartumÌýcondition

O71.501

Other obstetric injury to pelvic organs; delivered with or without mention of antepartumÌýcondition

O71.601

Obstetric damage to pelvic joints and ligaments; delivered with or without mention of antepartumÌýcondition

5.PC.80.JH

Surgical repair, postpartum of obstetric laceration of corpus uteri [body of uterus]

5.PC.80.JJ

Surgical repair, postpartum of current obstetric laceration of cervix occurring at vaginalÌýdelivery

5.PC.80.JR

Surgical repair, postpartum of current obstetric laceration of bladder and urethra

5.PC.80.JQ

Surgical repair, postpartum of current obstetric laceration of rectum and sphincter ani

5.PC.80.JU

Surgical repair, postpartum of current obstetric high vaginal laceration

5.PC.80.JL

Surgical repair, postpartum of current obstetric laceration of broad ligament(s) of uterus

Additional Codes

Inclusions

5.MD.53.^^

Forceps traction and rotation delivery

5.MD.54.^^

Vacuum traction delivery

5.MD.55.^^

Combination of vacuum and forceps delivery

5.MD.56.NN

Breech delivery without episiotomy, partial breech extraction [assisted breech delivery] with forceps to aftercoming head

Additional Codes

Exclusions

5.MD.60.^^

Caesarean section delivery

°¿10–O16
°¿21–O26
°¿28–O37
°¿40–O46
°¿48.–
°¿60–O75
°¿85–O92
°¿95.–
°¿98–O99
´Ü37.–

Outcome of deliveryÌý(refer toÌýÌýof theÌý)