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Sample OB QA Indicators

Items in italics require chart review.

  • Fetal demise in utero
  • Neonatal death
  • Birth weight <2500 grams
  • Umbilical arterial cord pH <7.0
  • Apgar <5 at 5 minutes
  • Operative vaginal deliveries (vacuum, forceps)
  • VBAC rate (attempt, success)
  • Cesarean delivery rate (primary, repeat)
  • Induction rate, type and indication
  • Maternal seizure
  • Obstetrical hemorrhage (>1000 cc, HgB<7.0)
  • Cord prolapse
  • Anesthetic complications
  • Shoulder dystocia
  • Cesarean hysterectomy
  • Obstetrical patients with return to OR
  • Cystotomy
  • 4th degree laceration
  • Rectovaginal fistulae/fecal incontinence
  • Neonatal trauma
  • Neonatal admissions at time of delivery
  • Provider practicing outside credentialed privileges
  • Obstetric readmissions within 15 days of discharge
  • Postpartum infection
  • Sentinel events
  • Unattended deliveries
  • Retained placenta
  • Prolonged second stage of labor > 3 hours
  • Protracted active phase of labor > 12 hours
  • Prolonged rupture of membranes > 12 hours

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