Section III – Childbirth and Related Procedures
This section presents information on selected diagnosis related groups (APR-DRGs) and procedures associated with childbirth. The tables for each APR-DRG include the number of discharges by hospital, average length of stay (LOS), median LOS, the average total charges, the median total charges, and comparative data for peer group hospitals. The tables for each procedure include the number of discharges by procedure and hospital, average length of stay (LOS), median LOS, the average total charges, and the median total charges. The top five principal diagnoses and procedures associated with each APR-DRG and the top five diagnoses associated with each selected procedure are also included. Median LOS and total charges are also reported and represent the 50% percentile, rather than the average, LOS and total charges. Median figures may be more appropriate to consider when the number of cases is small and the data are skewed.
The four APR-DRGs chosen are listed in the two tables below and include both the technical description and some examples of diseases or conditions that may be included in the APR-DRG.
| APR-DRG | Description of the APR-DRGs in this Section: |
370 |
Cesarean section. |
372 |
Vaginal delivery. |
374 |
Vaginal delivery with sterilization &/or D&C. |
678 |
Neonate, birth weight >2499 g. born here, normal newborn & newborn with other problems. |
| APR-DRG | Diseases or Conditions which may be included in the APR-DRG: |
370 |
Delivery of an infant by cesarean section. |
372 |
Normal childbirth. |
374 |
Delivery of an infant followed by tubal interruption &/or D&C because of complications. |
678 |
Normal birth weight newborn. |
The four procedures listed in the tables below were chosen to represent those that are commonly performed or of general interest.
| Procedure | Procedures in this Section: |
| 72.1 | Low forceps operation with episiotomy. |
| 72.71 | Vacuum extraction with episiotomy. |
| 73.59 | Other manually assisted delivery. |
| 74.1 | Low cervical cesarean section. |
| Procedure | Description of the Procedures: |
| 72.1 | Instrumental delivery of an infant by a low forceps procedure with a surgical incision to facilitate childbirth. |
| 72.71 | Instrumental delivery of an infant by a vacuum extraction procedure with a surgical incision to facilitate childbirth. |
| 73.59 | Manually assisted spontaneous delivery of an infant. |
| 74.1 | Delivery of an infant by cesarean section using a low approach. |
Table III-1. APR-DRG 370 - Cesarean Delivery
Table III-1A. The Top Five Principal Diagnoses and Procedures
Associated with APR-DRG 370
Table III-2. APR-DRG 372 - Vaginal Delivery
Table III-2A. The Top Five Principal Diagnoses and Procedures
Associated with APR-DRG 372
Table III-3. APR-DRG 374 - Vaginal Delivery with Sterilization
and/or D&C
Table III-3A. The Top Five Principal Diagnoses and Procedures
Associated with APR-DRG 374
Table III-4. APR-DRG 678 - "Normal Newborn"
Table III-4A. The Top Five Principal Diagnoses and Procedures
Associated with APR-DRG 678
Table III-5. Procedure 72.1 - Low Forceps Operation with
Episiotomy
Table III-5A The Top Five Principal Diagnoses Associated with
Procedure 72.1
Table III-6. Procedure 72.71 - Vacuum Extraction with
Episiotomy
Table III-6A. The Top Five Principal Diagnoses Associated with
Procedure 72.71
Table III-7. Procedure 73.59 - Other manually Assisted Delivery
Table III-7A. The Top Five Principal Diagnoses Associated with
Procedure 73.59
Table III-8. Procedure 74.1 - Low Cervical Cesarean Section
Table III-8A. The Top Five Principal Diagnoses Associated with
Procedure 74.1
Section I - Overviews
Section II - Heart Disease
Section IV - Selected APR-DRGs of Interest
Section V - Selected Procedures of Interest
Section VI - Summaries
Table of Contents