WSHA Safe Deliveries Roadmap Overview of and Shoulder Dystocia Measures

Preferred Short Name (same if Roadmap Measure blank) Denominator Statement Numerator Statement ICD-9 ICD-9 Description ICD-10 ICD-10 Description Newborn's Codes:

Newborn affected by 762.7 P02.7 Newborn suspected to be affected by chorioamnionitis (applies to amnionitis, membranitis, placentitis) chorioamnionitis

Mother's Codes: 658.41 Infection of amnion O41.1010 Infection of and membranes, unspecified, first trimester, not applicable or unspec O41.1011 Infection of amniotic sac and membranes, unspecified, first trimester, 1 O41.1012 Infection of amniotic sac and membranes, unspecified, first trimester, fetus 2 O41.1013 Infection of amniotic sac and membranes, unspecified, first trimester, fetus 3 O41.1014 Infection of amniotic sac and membranes, unspecified, first trimester, fetus 4 O41.1015 Infection of amniotic sac and membranes, unspecified, first trimester, fetus 5 O41.1019 Infection of amniotic sac and membranes, unspecified, first trimester, other fetus O41.1020 Infection of amniotic sac and membranes, unspecified, second trimester, not applicable or unspe O41.1021 Infection of amniotic sac and membranes, unspecified, second trimester, fetus 1 O41.1022 Infection of amniotic sac and membranes, unspecified, second trimester, fetus 2 O41.1023 Infection of amniotic sac and membranes, unspecified, second trimester, fetus 3 O41.1024 Infection of amniotic sac and membranes, unspecified, second trimester, fetus 4 O41.1025 Infection of amniotic sac and membranes, unspecified, second trimester, fetus 5 O41.1029 Infection of amniotic sac and membranes, unspecified, second trimester, other fetus Inborn newborns linked to O41.1030 Infection of amniotic sac and membranes, unspecified, third trimester, not applicable or unspec 1) Maternal chorioamnionitis or delivering women (two From among the O41.1031 Infection of amniotic sac and membranes, unspecified, third trimester, fetus 1 newborns affected by subgroups): A) Primary TSV denominator mother with O41.1032 Infection of amniotic sac and membranes, unspecified, third trimester, fetus 2 chorioamnionitis among Inborn delivering women; and B) chorioamnionitis and/or O41.1033 Infection of amniotic sac and membranes, unspecified, third trimester, fetus 3 Newborns linked to A) Primary Chorioamnionitis Non-Primary TSV delivering Newborn suspected to be O41.1034 Infection of amniotic sac and membranes, unspecified, third trimester, fetus 4 TSV delivering women; and B) women (would include affected by chorioamnionitis O41.1035 Infection of amniotic sac and membranes, unspecified, third trimester, fetus 5 Non-Primary TSV delivering Preterm, Multiples, Non- (linked records) women Vertex, and women with O41.1039 Infection of amniotic sac and membranes, unspecified, third trimester, other fetus prior history of cesarean) O41.1210 Chorioamnionitis, first trimester, not applicable or unspecified O41.1211 Chorioamnionitis, first trimester, fetus 1 O41.1212 Chorioamnionitis, first trimester, fetus 2 O41.1213 Chorioamnionitis, first trimester, fetus 3 O41.1214 Chorioamnionitis, first trimester, fetus 4 O41.1215 Chorioamnionitis, first trimester, fetus 5 O41.1219 Chorioamnionitis, first trimester, other fetus O41.1220 Chorioamnionitis, second trimester, not applicable or unspecified O41.1221 Chorioamnionitis, second trimester, fetus 1 O41.1222 Chorioamnionitis, second trimester, fetus 2 O41.1223 Chorioamnionitis, second trimester, fetus 3 O41.1224 Chorioamnionitis, second trimester, fetus 4 O41.1225 Chorioamnionitis, second trimester, fetus 5 O41.1229 Chorioamnionitis, second trimester, other fetus O41.1230 Chorioamnionitis, third trimester, not applicable or unspecified O41.1231 Chorioamnionitis, third trimester, fetus 1 O41.1232 Chorioamnionitis, third trimester, fetus 2 O41.1233 Chorioamnionitis, third trimester, fetus 3 O41.1234 Chorioamnionitis, third trimester, fetus 4 O41.1235 Chorioamnionitis, third trimester, fetus 5 O41.1239 Chorioamnionitis, third trimester, other fetus

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Preferred Short Name (same if Roadmap Measure blank) Denominator Statement Numerator Statement ICD-9 ICD-9 Description ICD-10 ICD-10 Description 2) Newborn with severe Term inborn newborns Newborn's Codes from among term linked to delivering women From among the inborn newborns linked to with shoulder dystocia denominator, newborns with delivering women with shoulder diagnosis (>=37 wks GA or severe complication, low 5" dystocia newborn BW >=2000g) Apgar <= 3, or Newborn discharge status = expired or transferred (numerator definition aligns with Severe Unexpected Newborn Complications)

Newborn Discharge Status = Expired or Transferred

Newborn 5" APGAR score <= 3

Newborn Severe Complication Codes: SEE SEVERE COMPLICATIONS NUMERATOR DEFINITION FROM UNEXPECTED NEWBORN COMPLICATIONS APPENDIX ON WSHA WEBSITE

Mother's Codes:

Maternal shoulder dystocia Shoulder (girdle) dystocia, Shoulder Dystocia Codes 660.41 or delivered, with or without codes O66.0 Obstructed labor due to shoulder dystocia 660.42 mention of antepartum condition

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