Outcome
Type |
Measure |
Description |
Time frame |
Safety issue |
Primary |
Number of Participants With Vaginal Delivery |
vaginal delivery at first induction |
at delivery |
|
Secondary |
Time to Delivery |
Time (in hours) from start of induction agent to delivery at first induction |
from start of induction agent to time of delivery |
|
Secondary |
Indication for Cesarean Delivery |
Among women delivered by cesarean, the indication for cesarean |
at delivery |
|
Secondary |
Dose of Oxytocin Given (mcg or mg) |
Total dose of oxytocin given for induction as calculated by volume infused, concentration of solution and rate of infusion |
at delivery |
|
Secondary |
Time With Foley Bulb in Place |
time (in hours) from insertion to removal or expulsion of foley bulb |
From time of documented insertion until the time of documented expulsion or removal, whichever came first, assessed up to 24 hours. |
|
Secondary |
Presence of Chorioamnionitis |
Intrapartum fever (temp equal or greater than 38C) with no other identified cause |
at delivery |
|
Secondary |
Use of Intravenous Analgesia During Labor |
Intravenous analgesia used between the start of induction and delivery |
at delivery |
|
Secondary |
Number of Participants Used Neuraxial Analgesia During Labor |
Regional or neuraxial analgesia (labor epidural or spinal) used between the start of induction and delivery |
from start of induction to delivery |
|
Secondary |
Number of Participants Used General Anesthesia for Delivery |
General anesthesia administered for delivery |
at delivery |
|
Secondary |
Number of Participants With Meconium-stained Amniotic Fluid |
Identification of any meconium (green tinge) in the amniotic fluid before or during delivery by a healthcare provider's assessment of gross fluid color. |
At the time of rupture of membranes and at delivery |
|
Secondary |
Terbutaline Use |
Administration of terbutaline, a tocolytic agent, for tetanic contractions with or without fetal heart rate decelerations |
at delivery |
|
Secondary |
Number of Participants With Tachysystole |
6 or more contractions in 10 minutes or tetanic contraction of 120 seconds or longer |
at delivery |
|
Secondary |
Number of Participants With Uterine Hyperstimulation Syndrome |
Tachysystole accompanied by fetal heart rate decelerations |
at delivery |
|
Secondary |
Number of Participants With Excess Blood Loss |
Maternal excess blood loss is defined as >500ml for vaginal and >1000ml for cesarean delivery |
at delivery |
|
Secondary |
Number of Participants With Blood Transfusion |
administration of blood products related to delivery blood loss |
at delivery |
|
Secondary |
Number of Participants With Uterine Rupture |
spontaneous separation of myometrium in a previously intact, unscarred uterus |
at delivery |
|
Secondary |
Number of Participants With Unplanned Hysterectomy |
unplanned removal of the uterus following delivery of the fetus |
at discharge from the hospital following delivery |
|
Secondary |
Number of Participants With Postpartum Fever |
Fever recorded in the time after delivery but prior to discharge from the hospital, with clinical assessment of endometritis |
Following delivery and prior to discharge |
|
Secondary |
Number of Participants With Umbilical Cord Blood pH <7.0 |
Arterial or venous cord blood pH defined as <7.0 |
at delivery |
|
Secondary |
Number of Participants With an 5-minute Apgar Score Less Than 4 |
Appearance, Pulse, Grimace, Activity, Respirations - scored from 0 to 2 for each component, added to make a total score and used as an assessment of initial response to newborn resuscitation, lower scores associated with poor outcomes. Here defined as Apgar less than 4 at 5 minutes. |
5 minutes after time of birth |
|
Secondary |
Number of Participants That Needed Mechanical Ventilation in Delivery Room (Yes/No) |
Intubation with mechanical support or control of neonatal breathing in delivery room |
at delivery |
|
Secondary |
Number of Participants Administered Neonatal Antibiotics and/or Neonatal Blood Cultures |
Administration of neonatal antibiotics and/or neonatal blood cultures |
From time of birth until the time of discharge or up to 7 days of life, whichever comes first. |
|
Secondary |
Number of Participants With Neonatal Sepsis |
Neonatal bacteremia as defined by bacterial growth in blood cultures |
From time of birth until the time of discharge or up to 7 days of life, whichever comes first. |
|
Secondary |
Number of Participants With NICU Admission Order |
Admission order to neonatal intensive care unit (NICU) placed between the time of delivery and infant discharge |
From time of birth until the time of discharge or up to 7 days of life, whichever comes first. |
|