Rates of Laceration (vaginal birth only) per 1,000 delivery hospitalizations
Third and fourth degree perineal lacerations are tears that occur in the vagina and skin and may involve the muscles and tissues between the vagina and anus. These tears can be deep, frequently require surgical repair and may result in short or long-term discomfort. High vaginal trauma is a laceration of the vaginal wall (internal) without involvement of external tissues (perineum). Repair may be needed and as with perineal lacerations, may result in on-going discomfort.
Rates of Severe Maternal Morbidity with Transfusion per 1,000 delivery hospitalizations
Severe maternal morbidity (SMM)- includes unexpected outcomes of labor and delivery that resultin significant short- or long-term consequences to a woman’s health (CDC).
Rates of Post-admission Infections per 1,000 delivery hospitalizations
Post-admission infections are bacterial infections of the female reproductive or urinary tract or surgical wounds. These infections occur following childbirth, commonly after the first 24 hours to 10 days post-delivery.
Rates of Postpartum Hemorrhage per 1,000 delivery hospitalizations
Postpartum Hemorrhage*- An estimated blood loss more than 500 ml after a vaginal birth or a loss of greater than 1,000 ml after a cesarean birth.*ACOG Traditional definition which was recently revised is used for the 2016 report. In 2016, providers adopted the traditional definition.