Decrease (-) Restore Default Increase (+)
Bookmark and Share
clear spacerNorton Healthcare Quality Report

Childbirth


These indicators summarize Cesarean-section (C-section) rates and other data associated with childbirth. Obstetric practices have changed considerably in recent years, so the applicability of these indicators and the accuracy of the national comparative data are unclear. At Norton Healthcare, only Norton Hospital and Norton Suburban Hospital deliver babies. The Norton Healthcare column combines the performance of the two hospitals.

Vaginal deliveries - percent of patients with
Number of instrument-assisted vaginal deliveries per 100 with a laceration (cut or tear). Instrument assistance, such as forceps or vacuum extractors, may be used when the last phase of labor is not progressing and mother and baby are becoming exhausted. Includes vaginal delivery discharges with a procedure code for instrument-assisted delivery. Laceration is defined as the presence of selected diagnosis or procedure codes.(NQF HC 31 / AHRQ PSI 18) injury/tear - delivery with instrument low     4 21   12   14
Number of vaginal deliveries without instrument assistance per 100 with a laceration (cut or tear). Includes vaginal delivery discharges. Excludes patients with a procedure code of instrument-assisted delivery. Laceration is defined as the presence of selected diagnosis or procedure codes.(NQF HC 31 / AHRQ PSI 19) injury/tear - delivery without instrument low     1.4 2.9   2.4   2.2
% of vaginal deliveries with episiotomy Denominator includes inpatient discharges assigned to a vaginal delivery DRG 767, 768, 774, or 775, excluding cases with shoulder dystocia defined by ICD-9 660.41 or 660.42. Numerator includes cases from the denominator with an episiotomy procedure defined by ICD-9 codes 72.1, 72.21, 72.31, 72.71, or 73.6.(NQF) incidence of episiotomy low     4.0 9.4   7.4    
Cesarean deliveries - percent of patients with
C-section rate for women having their first baby. Includes only women having their first baby. Excludes certain complex delivery situations, such as multiple births (twins, etc.), malpresentation (breech births, for example), and extremely premature babies (less than 37 weeks gestational age). Adjusted for maternal age. Not adjusted for maternal or fetal medical condition or for other risk factors that increase the chance of delivery by cesarean section. Important technical note: THE RATE WE REPORT HERE WILL BE CONSIDERABLY HIGHER THAN OTHER METHODS OF CALCULATING C-SECTION RATES, such as the indicator used in some government and consumer-oriented reports (may be referred to as AHRQ IQI 33). Our April 2013 - March 2014 C-section rate by this alternate (IQI 33) method is 20.8%.(TJC PC-02) C-section; first-time mothers low     36 28   30    
Additional deliveries - percent of patients with
Elective delivery more than one week before due date Babies electively delivered prior to 39 completed weeks gestation. Included in the numerator are elective deliveries >=37 and < 39 weeks completed gestation. The denominator includes all deliveries >=37 weeks, with specified exclusions.(NQF) elective delivery prior to 39 completed weeks gestation low     6.4 7.3   7.0 9.0 6.0
Percent of mothers with preterm delivery at 24-32 weeks gestation receiving antenatal steroids prior to delivering preterm newborns Beginning with 01/01/2013 discharges the requirement for full dose of antenatal steroid changed to initiation of antenatal therapy before delivery.(NQF) appropriate use of antenatal steroids with preterm delivery high     97 95   97   88
Newborns - percent of patients with
Number of newborns per 100 with a birth trauma. Birth trauma is a physical injury to the infant during delivery. Risk-adjusted for infant sex. Includes liveborn births. Excludes infants with a subdural or cerebral hemorrhage and any diagnosis of pre-term infant, and infants with injury to skeleton and any diagnosis of osteogenesis imperfecta.(AHRQ PSI 17) birth trauma or injury low     0.15 0.31   0.25   0.23
Infants born under 3 lb. 5 oz. whose first temperature was taken within one hour of admission to NICU very low birth weight, admit temp taken w/in 1 hr of NICU admit high       98 99 99    
Infants born under 3 lb. 5 oz. whose first temperature was below 36 degrees Celsius (96.8 degrees F). very low birth weight w/ NICU admit, first temp < 36 degrees low       1.7 2.3 2.2    
Infants born 11-18 weeks early who were treated with surfactant (a drug given to help prevent the collapse of air sacs in the lungs) within 2hrs of birth premature birth, given surfactant w/in 2hrs of birth high       75 78 77    
Newborns - percent of patients with
Infants who were given only breastmilk during their hospital stay Exclusive breast milk feeding during the newborn's entire hospitalization.(NQF) exclusive breastfeeding during hospitalization high     16 53 # 42   54
Infants who were given only breastmilk during their hospital stay per mother's choice Exclusive breast milk feeding during the newborn's entire hospitalization per mother's choice.(NQF) exclusive breastfeeding during hospitalization per mother's choice high     18 56 # 45   70
Immunization - percent of newborns with
Hepatitis B vaccines given to all newborns prior to discharge hepatitis B vaccine given prior to discharge high     94 100 77 95 77 61
Miscellaneous
Is this hospital a level III or equivalent NICU (infants under 1500g delivered at appropriate site)? Is hospital level III or equal NICU (babies <1500g delivered site appropriate)? high     yes yes yes yes    

The following set of indicators do not have a desired direction.

Vaginal birth after cesarean (VBAC) rates
Number of vaginal deliveries per 100 deliveries with a previous Cesarean delivery (C-section). C-sections are deliveries performed by making an incision (surgical cut) in the mother's abdomen and uterus. NQF considers this a neutral indicator, so it is unclear whether high or low numbers are better. Includes all deliveries with a diagnosis of previous C-section.(NQF HC 30 / AHRQ IQI 34) all VBAC deliveries ?     8.7 3.5   5.5   8.6
Number of vaginal deliveries per 100 uncomplicated deliveries among patients with a previous Cesarean delivery (C-section). C-sections are deliveries performed by making an incision (surgical cut) in the mother's abdomen and uterus. NQF considers this a neutral indicator, so it is unclear whether high or low numbers are better. Includes all uncomplicated deliveries with a diagnosis of previous C-section. Excludes patients with abnormal presentation, preterm delivery, fetal death, multiple gestation diagnosis codes, and breech procedure codes.(NQF HC 30 / AHRQ IQI 22) uncomplicated VBAC deliveries ?     8.1 3.0   4.9   8.7
Cesarean delivery rates
Number of deliveries per 100 that were Cesarean (C-section) deliveries. C-sections are deliveries performed by making an incision (surgical cut) in the mother's abdomen and uterus. This indicator includes repeat C-section deliveries. NQF considers repeat C-section rate a neutral indicator, so it is unclear whether high or low numbers are better. Excludes patients with abnormal presentation, preterm delivery, fetal death, multiple gestation diagnosis codes, and breech procedure codes.(NQF 33 / AHRQ IQI 21) primary and repeat cesarean deliveries ?     36 34   35   30

Medical Care

Cancer
Pregnancy & Prenatal Classes
Weight Loss
Orthopedics
Heart Disease
Neurology
Women's Health
More Medical Care

Locations

Hospitals
Immediate Care
Health Centers
Emergency Room
Doctors Offices
Specialists
Affiliate Hospitals

Patients and Visitors

MyChart
Pay Your Bill
Request an Appointment
Get Healthy
Support Groups
Fitness Groups
Mobile Applications
Clinical Trials
Online Nursery
Classes and Events
Send an eCard
Patient Stories
Places to Stay

About Us

Quality Report 
Careers
Ways to Help
Community Outreach
Contact Us
(502) 629-1234

Connect with us

© 2014 Norton Healthcare
Serving Kentucky and Southern Indiana