Indicator Metadata
- Summary View
- Detailed View
Name |
Epidural Rate for Vaginal Deliveries |
Short/Other Names |
Not applicable |
Description |
Crude epidural rate for 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 |
Name |
Epidural Rate for Vaginal Deliveries |
Short/Other Names |
Not applicable |
Description |
Crude epidural rate for vaginal deliveries |
Calculation: Description |
Rate = (Number of vaginal deliveries where an epidural anesthetic was used) ÷ (Number of vaginal deliveries) × 100 Unit of Analysis: Discharges from acute care facilities |
Calculation: Geographic Assignment |
Place of residence |
Calculation: Type of Measurement |
Rate - Per 100 |
Calculation: Adjustment Applied |
None |
Calculation: Method of Adjustment |
Not applicable |
Denominator |
Description: Inclusions:
Exclusions:
|
Numerator |
Description: CCI epidural codes:
Exclusions: |
Rationale |
Epidural rates for all deliveries continue to vary among provinces/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 |
Data Sources |
DAD, HMDB, MED-ÉCHO |
Available Data Years |
Type of Year: |
Geographic Coverage |
All provinces/territories |
Reporting Level/Disaggregation |
National, Province/Territory, Region |
Update Frequency |
Every year |
Indicator Results |
Web Tool: |
Updates |
As of 2015–2016, the national results include non-residents of Canada. |
Caveats and Limitations |
In order to provide a more stable rate estimate, only data from regions with a population of at least 75,000 (from 2001–2002 to 2005–2006) or 50,000 (from 2006–2007 to 2014–2015) was reported. Additional indications for suppression were rate instability and under-reporting. As of 2015–2016, regions are not suppressed based on population; instead, the following suppression methodology is used:
|
Trending Issues |
Data for this indicator was restricted to those provinces and territories that had fully implemented the ICD-10-CA and CCI coding classification system. The exception is Quebec, which maintained the ICD-9 and CCP coding classification system up to 2005–2006. As of 2006–2007, Quebec began to submit in the ICD-10-CA and CCI coding classification system. As such, Quebec data prior to 2006–2007 may not be comparable with data from 2006–2007 onward. As of 2006–2007, all provinces and territories were submitting in the ICD-10-CA and CCI coding classification system; for this reason, Canadian rates are provided only from 2006–2007 onward. Results are presented for a patient's region of residence rather than the location of the facility where hospitalization occurred. For P.E.I. and the territories, the entire province/territory is included as a region. Health regions in Nova Scotia and Alberta have changed over time. The Postal Code Conversion File (PCCF/PCCF+) was used to assign patients to their region of residence. As of 2015–2016, the national results include non-residents of Canada. Nunavut did not submit data to CIHI in 2002–2003. Data from Region 6 in New Brunswick in 2004–2005 was suppressed due to incomplete data submission. Data from this region was excluded from the provincial rate. Data from Peace Country in Alberta in 2006–2007 and 2008–2009 was also suppressed due to incomplete data submission. Data from 2005–2006 in Alberta and data from 2006–2007 in Newfoundland and Labrador was suppressed due to under-reporting of epidural use. Data from Chinook region in Alberta between 2001–2002 and 2005–2006 was also suppressed for this reason. 2016–2017 data for Nunavut is incomplete; indicator results have therefore been suppressed. |
Comments |
Not applicable |