Name Assisted Delivery Rate (Overall) Among Vaginal Deliveries Short/Other Names Not applicable Description Crude assisted delivery rate (overall) among vaginal deliveries Interpretation This indicator provides contextual information on obstetrical services across Canada. HSP Framework Dimension Health System Inputs and Characteristics: Adjustment to population health needs Areas of Need Not applicable Geographic Coverage All provinces/territories Reporting Level/Disaggregation National, Province/Territory, Region Indicator Results https://apps.cihi.ca/mstrapp/asp/Main.aspx?Server=apmstrextprd_i&project=Quick%20Stats&uid=pce_pub_en&pwd=&evt=2048001&visualizationMode=0&documentID=029DB170438205AEBCC75B8673CCE822
Identifying Information
 Name Assisted Delivery Rate (Overall) Among Vaginal Deliveries Short/Other Names Not applicable
Indicator Description and Calculation
 Description Crude assisted delivery rate (overall) among vaginal deliveries Calculation: Description Rate = (Number of vaginal deliveries assisted by means of forceps extraction, vacuum extraction or a combination of the two) ÷ (Number of vaginal deliveries) × 100 Unit of Analysis: Discharge from acute care facilities Calculation: Geographic Assignment Place of residence Calculation: Type of Measurement Rate - Rate per 100 Calculation: Adjustment Applied None Calculation: Method of Adjustment Not applicable Denominator Description: Number of vaginal deliveries Inclusions: ICD-10-CA delivery codes: a. Any one diagnosis code of O10 to O16, O21 to O29, O30 to O46, O48, O60 to O75, O85 to O92, O95 or O98 to O99, with a sixth digit of 1 or 2 coded in any position OR b. Z37 coded in any position Exclusions: 1. Stillbirth records or newborns 2. Cadaveric donors 3. Non-female records 4. An abortive procedure: CCI: a. Any one procedure code of 5.CA.20, 5.CA.24, 5.CA.88, 5.CA.89 or 5.CA.93 coded in any position that was not abandoned (Status Attribute = A) or done out of hospital (Out-of-Hospital = Y) OR b. An ICD-10-CA diagnosis code of O04 coded in any diagnosis field 5. Caesarean section: CCI Caesarean section delivery codes: a. A procedure code of 5.MD.60 coded in any position that was not abandoned (Status Attribute = A) or done out of hospital (Out-of-Hospital = Y) Numerator Description: Number of vaginal deliveries where a forceps extraction or a vacuum extraction or a combination of the two was applied Inclusions: CCI assisted delivery codes: a. Any one procedure code of 5.MD.53.KL, 5.MD.53.KK, 5.MD.53.KN, 5.MD.53.KM, 5.MD.53.KJ, 5.MD.53.KH, 5.MD.53.KS or 5.MD.53.KP coded in any position that was not abandoned (Status Attribute = A) or done out of hospital (Out-of-Hospital = Y) OR b. A procedure code of 5.MD.54 coded in any position that was not abandoned (Status Attribute = A) or done out of hospital (Out-of-Hospital = Y) OR c. A procedure code of 5.MD.55 coded in any position that was not abandoned (Status Attribute = A) or done out of hospital (Out-of-Hospital = Y) Exclusions: Same as denominator (numerator is a subset of the denominator)
Background, Interpretation and Benchmarks
 Rationale Assisted delivery rates among vaginal deliveries continue to vary among provinces and territories. Given this variability, this indicator can be used to inform government planners, policy-makers, health system decision-makers, health care providers, patients and the general public. It can help raise awareness and allow Canada to compare its rates with the rates of other countries. Interpretation This indicator provides contextual information on obstetrical services across Canada. HSP Framework Dimension Health System Inputs and Characteristics: Adjustment to population health needs Areas of Need Not applicable Targets/Benchmarks Not applicable References Not applicable
Availability of Data Sources and Results
 Data Sources DAD, HMDB, MED-ÉCHO Available Data Years Type of Year: Fiscal First Available Year: 2001 Last Available Year: 2018 Geographic Coverage All provinces/territories Reporting Level/Disaggregation National, Province/Territory, Region