NOAD data fields (2009)

2009 Data requested

GENERAL

• The number of deliveries (women not babies) in your obstetric unit per annum (including midwifery led deliveries)
• The number of women having spontaneous (unassisted) vaginal deliveries
• The number of women having assisted vaginal deliveries (forceps and ventouse)
• The number of women having Caesarean sections
• The number of women having category 4 (elective) Caesarean sections

REGIONAL ANALGESIA

• The number of women having regional analgesia (regional block for pain relief initially and NOT for Caesarean section initially)

INITIATION OF LABOUR ANALGESIA (not including TENS, pethidine, Entonox etc)

• The number of women whose analgesia was initiated with epidural analgesia
• The number of women whose analgesia was initiated with CSE
• The number of women whose analgesia was initiated with another method, e.g. spinal catheter, PCA

MAINTENANCE OF LABOUR ANALGESIA

• The number of women whose analgesia was maintained with intermittent top ups
• The number of women whose analgesia was maintained with a continuous infusion
• The number of women whose analgesia was maintained with PCEA (with background infusion)
• The number of women whose analgesia was maintained with PCEA (without background infusion)

TYPE OF ANAESTHESIA FOR CAESAREAN SECTION

• The number of women having Caesarean sections under general anaesthesia
• The number of women having Caesarean sections under de novo general anaesthesia (without previous regional anaesthesia)
• The number of women having Caesarean sections under single shot spinals
• The number of women having Caesarean sections under de novo epidurals
• The number of women having Caesarean sections under topped-up epidurals
• The number of women having Caesarean sections under de novo combined spinal epidurals (counting also the CSE in which the epidural catheter was not used)
• The number of women having Caesarean sections under topped-up CSE's (ie topped-up epidural catheters which were put in as part of a CSE for labour analgesia)

COMPLICATIONS

• The number of women with a recognised (at the time or retrospectively) accidental dural puncture with epidural needle or catheter
• The number of women requiring a blood patch for PDPH caused by epidural or spinal needle or epidural catheter
• Total Spinal Anaesthesia: the number of patients undergoing regional anaesthesia or analgesia having a high neuraxial Block resulting in loss of consciousness
• Failed intubation: The number of patients undergoing Anaesthesia for Caesarean section in which the trachea could not be intubated
• Failed intubation/ventilation: The number of patients in which the airway and ventilation could not be secured
• Local anaesthetic toxicty: The number of patients in which convulsions occurred or cardiac arrest occurred as a result of local anaesthetic
• Lipid rescue: The number of patients in which lipid rescue therapy was started
• Epidural hematoma: The number of patients in which the diagnosis was confirmed of an epidural hematoma following regional anesthesia
• Laminectomy: The number of patients in which surgical decompression for epidural hematoma was required
• The number of patients admitted to HDU
• The number of patients admitted to ICU