Postpartum Mother (PPM)

Data Definition: Comment to capture details not identified in other data elements.

Data Definition: Indicate the location where intrapartum care took place immediately before this admission/midwifery visit. If no care was provided directly before this encounter, select “No Transfer”.

Data Definition: Indicates the location where intrapartum care took place immediately before this admission. If no care was provided directly before this encounter, select “No Transfer”.

Data Definition: Indicates the hospital that the birthing person was transferred to.

Data Definition: Outcome of the pregnancy/birth, including live birth, stillbirth, termination, and loss. BORN encourages all hospitals to complete a Labour Birth encounter for all pregnancy losses.

Data Definition: Length of stay in hospital (in hours) calculated from Maternal admission date/time to Maternal discharge date/time.

Data Definition: Maternal Length of Stay in Postpartum (Days)

Data Definition: The date of maternal admission to hospital that results in the birth of her baby. Most often admission is inpatient but birth and transfer may occur without inpatient admission-may use ambulatory care admit time or ER triage time.

Data Definition: When entering Type of Birth in the maternal encounters in the event of multiple births, enter the highest intervention. On the child encounters, enter the actual Type of Birth for each infant.

Data Definition: The time (24 hour clock) of Maternal discharge from hospital or transfer from the unit or hospital.

Data Definition: The day/month/year of Maternal discharge from hospital or the day/month/year of Maternal discharge from midwifery care.

Data Definition: Indicate Maternal medical complications occurring in the post partum period

Data Definition: Indication that Emergency Medical Services were called to home during pregnancy, intrapartum or immediate post-partum period.

Data Definition: Indicate where care was provided to mother from time of birth to one hour post-birth (Labour-Birth Mother encounter) or one hour post-birth to time of discharge or transfer (Postpartum Mother encounter).

Data Definition: Indicates if the pregnant individual has received an injection of Rh(D) Immunoglobulin after the birth of the baby for this current pregnancy.

Data Definition: Indicates the specific date and time that the Rh(D) Immunoglobulin dose was given to the birthing individual after delivery.

Data Definition: Indicates vaginal or cesarean birth.

Data Definition: The provider number of the midwifery care coordinator. This can be the same or a different provider number as that selected as the billing midwife.

Data Definition: The provider number of the Primary Attending Midwife at the birth. Leave blank if no Midwife attended the labour, birth or immediate postpartum.

Data Definition: The provider number of the Second Midwife at the labour, birth or immediate postpartum. Leave blank if no Second Midwife attended. This number must be different than the provider number of the Primary Attending Midwife.

Data Definition: If no Second Midwife, indication of type of second attendant at birth.

Data Definition: Indication of whether a midwife attended the birth.

Data Definition: Birth order of each baby (Twin A= first born, Twin B=second born), irrespective of live birth or stillbirth.

Data Definition: Indicates that care was provided to this client by another Ontario Midwifery Practice Group.

Data Definition: MW - Postpartum Consult

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Data Definition: For each listed postpartum maternal condition or complication, indication whether there was a transfer from midwifery care in the postpartum period.

Data Definition: Client OHIP coverage.

Data Definition: List of postpartum maternal conditions or complications resulting in consultation with physician and/or transfer of care and/or use of hospital services.

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Data Definition: MW - Postpartum Period Transfer of Care Returned

Data Definition: Total number of midwives providing care, determined at time of discharge from midwifery care.

Data Definition: The total number of postpartum visits (appointments) with the Primary Midwife.

Data Definition: The total number of postpartum visits (appointments) with the Second Midwife.

Data Definition: The total number of postpartum visits (appointments) with midwifery students.

Data Definition: The number of postpartum visits (appointments) that took place at home.

Data Definition: The number of postpartum visits (appointments) that took place at the hospital.

Data Definition: The number of postpartum visits (appointments) that took place during at the midwifery clinic.

Data Definition: Select 'Virtual' for online/telephone visits

Data Definition: Select 'Other' location for visits that took place at a location other than clinic, home or hospital.

Data Definition: The calendar date of the last midwife visit provided to the client prior to discharge from midwifery care.

Data Definition: Indicates if there were there any consults, transfers of care, or use of hospital/outpatient/emergency services during that period.

Data Definition: Other maternal condition or complication

Data Definition: Comments about the reason for the consult, transfer of care or the use of hospital/outpatient/emergency services.

Data Definition: Indicates if client was transported to hospital in postpartum period, defined as approximately 1 hour post-birth to discharge from midwifery care.

Data Definition: Clinical indication(s) for transport to hospital.

Data Definition: Primary reason for transport to hospital, chosen from the list of reason(s) for transport.

Data Definition: Indicates if Emergency Medical Services (EMS) was required for transport to hospital.

Data Definition: Any barrier to transport by Emergency Medical Services (EMS).

Data Definition: Indicates if client was admitted to hospital (Emergency and/or Obstetrics/Postpartum Unit) for a postpartum complication in the postpartum period, defined as approximately 1 hour post-birth to discharge from midwifery care

Data Definition: There are multiple reasons why a midwife may choose to transfer care, including midwifery judgement, scope of practice limitations as defined by the midwifery regulatory body, and hospital/physician protocol. Was this consultation/transfer of care ONLY because of hospital/physician protocol?

Data Definition: There are multiple reasons why a midwife may choose to consult, including midwifery judgement, scope of practice limitations as defined by the midwifery regulatory body, and hospital/physician protocol. Was this consultation/transfer of care ONLY because of hospital/physician protocol?

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Data Definition: Infant date of birth (day/month/year).

Data Definition: Location where the birth occurred (hospital, home, other, etc.).

Data Definition: Time when infant is born (24 hour clock).

Data Definition: For hospital births, indication of whether newborn was discharged with mother.

Data Definition: Indicates whether breastfeeding education and/or support was provided from the time of birth to discharge from hospital OR for midwifery clients, from time of birth to discharge from midwifery care.”. *Note: for NICU encounter this applies only to the duration of the NICU admission. For the PPM encounter this applies only to the duration from birth to discharge from care.

Data Definition: Most women need information and/or support to establish breastfeeding after birth and prior to discharge from hospital OR for midwifery clients, from time of birth to discharge from midwifery care. Select the type(s) of support provided.

Data Definition: Select reason why breastfeeding education and support was not provided from the time of birth and prior to discharge from the hospital

Data Definition: The midwife's billing number for this course of care.

Data Definition: Name of Hospital Site.

Data Definition: MPG Name

Data Definition: Was the patient admitted to this organization for Postpartum Care only? (The birth did not occur at the admitting hospital). Select Yes - if the mother was admitted for postpartum care only after delivery at another Ontario birthing facility or at home under midwifery care. Enter the new fields that become visible. Note: A Labour encounter and/or Birth Mother encounter is needed for births that occurred outside of a birthing facility or at home without midwifery attendance.

Data Definition: Indicates the primary Reason for maternal transfer (From)

Data Definition: Indicates the primary Reason for maternal transfer (To)

Data Definition: The name of the hospital where the birth occurred if Birth Location =hospital. Includes all Ontario hospitals with and without birthing units and some out of province and out of country hospitals.