Midwifery Report 2014 Arizona Department of Health Services November - - PowerPoint PPT Presentation

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Midwifery Report 2014 Arizona Department of Health Services November - - PowerPoint PPT Presentation

Jan 28, 2024 211 likes •646 views

Midwifery Report 2014 Arizona Department of Health Services November 5 th , 2014 Health and Wellness for all Arizonans Midwife Submitted Reports Office of Vital Records (OVR Births) June 2013-September 2014 January 2013-September 2014 305

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SLIDE 1

Midwifery Report 2014

Arizona Department of Health Services November 5th, 2014

Health and Wellness for all Arizonans

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Missing MW Report or OVR record

Midwife Submitted Reports June 2013-September 2014 Office of Vital Records (OVR Births) January 2013-September 2014 MW OVR N = 1205

Matched

  • utside

timeframes N = 11 MW OVR

(Jul 2013 – Sept 2014)

N = 879 Missing MW Report N = 367 MW OVR N = 367 Matched to MW Reports N = 512 Total OVR Match N = 523 Total MW OVR N = 879

Matched to Licensed Midwife

402 Midwifery Births

July 2013 – September 2014 MW Reports N = 703

No Delivery N = 144

MW Reports N = 559 Duplicate Client Reports N = 3

Matched to OVR N = 523

*11 OVR matches outside timeframe *512 OVR matches to OVR sample

MW Reports N =36 Total MW Reports Matched N = 523 No match to OVR N = 35 Total MW Reports N = 702

305 entered manually

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Midwife Data

  • Midwife (MW) Reports Submitted
  • July 2013 – September 2014 Total : 703 Reports

 Previous survey versions: 305 Reports  New survey tool beginning February 2014 : 398 Reports  144 reports without matching birth report, indicating no delivery by midwife  523 of these match certified birth record  35 reports indicating delivery were unable to be matched to certified birth  3 duplicated reports for the same birth event

  • Office of Vital Records (OVR) Data
  • July 2013 – September 2014 Total : 879 MW attended certified births

 512 of these matched a MW report (July 2013 – Sept 2014)  367 birth records without matching MW report (July 2013 – Sept 2014)

  • Significant difficulty matching to certified birth reports due to

reporting/identification errors

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Midwife Reports Submitted

N= 702 Reports

Jun Jul Aug Sept Oct Nov Dec Jan Feb Apr Mar May Jun Jul Aug Sept 2013 2014

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Midwife Reports Submitted

N= 702 Reports

Jun Jul Aug Sept Oct Nov Dec Jan Feb Apr Mar May Jun Jul Aug Sept 2013 2014

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Midwife-associated Vital Records Births

N= 879 Reports

Jul Aug Sept Oct Nov Dec Jan Feb Apr Mar May Jun Jul Aug Sept 2013 2014 60% 55% 64% 74% 80% 60% 64% 56% 65% 66% 82% 66% 50% 25% 3%

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Midwife-associated Vital Records Births

N= 879 Reports

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Midwife End of Services Trend

N= 702 Reports

Feb Mar May Jun Jul Aug Sept Oct Nov Dec Jan Feb Apr Mar May Jun Jul Aug Sept 2013 2014

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Midwife End of Services Trend

N= 702 Reports

Feb Mar May Jun Jul Aug Sept Oct Nov Dec Jan Feb Apr Mar May Jun Jul Aug Sept 2013 2014

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Reporting Errors

Data found in a midwifery report that was incorrectly inputted or entered erroneously.

  • Midwife Identification
  • Name or License Number
  • Dates
  • Mother’s Date of Birth
  • LMP
  • End of Services
  • Client Date of Birth
  • Open fields and misplaced information
  • Discussed later
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Reporting Errors

N= 702 Reports

Jun Jul Aug Sept Oct Nov Dec Jan Feb Apr Mar May Jun Jul Aug Sept 2013 2014

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Reporting Errors

N= 71 Reports

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Reporting by Midwife

N= 702 Reports

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Client Information

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Mother’s Age

N= 702 Reports

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Mother’s Age (OVR Data)

N= 879 Reports

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OVR Births

MW Reports

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Mother’s Gravida and Para

N= 700 Reports

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VBAC/Breech History

N= 702 Reports

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Reported Conditions

N= 702 Reports

* * * * * *

* Possibly underreported category

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‘Other’ Conditions

Reported Condition Frequency Re-classifiable? Other Condition?

Breech 1 Yes Transfer of Care or Termination of Services 8

  • No

Failure to progress or prolonged labor 14 Yes Gross Fetal Anomalies 1 Yes Twins 1 Yes Retained Placenta 1 Yes Miscarriage 2

  • No

See delivery notes 1

  • No

FHR deceleration 1 Yes Other Conditions 7 No Yes Total 37 19 7

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Stillborn/Infant Demise

  • Stillborn includes any miscarriages after 20 weeks

gestation

1 2 Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun

Stillborn Infant Demise Mother Demise N= 702 Reports 2013 2014

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Infant Information

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Infant Gender

N= 547 Reports

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Estimated Gestational Age

N= 547 Reports

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Estimated Gestational Age (OVR Data)

N= 875 Reports

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OVR Births

MW Reports

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Infant Weight

N= 491 Reports

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Infant Weight (OVR Data)

N= 879 Reports

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Infant GA Designation

N= 547 Reports

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Weight by GA Designation

N= 491 Reports

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Infant Length

N= 487 Reports

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Infant Height by Length

N= 484 Reports

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Infant Head Circumference

N= 484 Reports

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Infant Apgar Scores

N= 546 Reports

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Infant Delivery Outcomes

N= 547 Reports

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Transfer Information

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Method and Destination

N= 146 Reports

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Emergency Action Plan

N= 146 Reports

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Medical Reason for Transfer

* Possibly underreported category

* *

N= 146 Reports

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‘Other’ Reason for Transfer

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‘Other’ Reason for Transfer

Medical Reason Classified as Other?

Abnormal Progression

  • f Labor

15 Prolonged ROM Difficult Delivery 3 Hemorrhage Retained Placenta Shock Shoulder Dystocia Other Reasons 88 Total 106

N= 146 Reports

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Thank You! 

Questions?

Health and Wellness for all Arizonans