Description

The adverse outcome(s) sustained by the mother.

On-Screen Instructions

Field Type

Responses

• Bladder injury

• Bowel injury

• Chorioamnionitis

• Death

• Eclampsia

• Endometritis

• Hemorrhage requiring transfusion

• Hemorrhage requiring treatment other than transfusion

• Magnesium toxicity

• Ureter injury

• Uterine rupture

• 3rd or 4th degree perineal laceration

• None

• Other (please describe)

Guide for Use

If the injury was to the uterus but was not a rupture or if it was a perineal laceration that was less than third degree, select “Other.”

History