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DATA QUALITY IMPROVEMENT NEWSLETTER
OFFICE OF VITAL STATISTICS
QUALITY IMPROVEMENT UNIT
ISSUE #2 JANUARY 2010 www.nyc.gov/vitalstats
Page 1
Pregnancy History Data Items in the Electronic Birth Registration System (EBRS)
In this issue, you will find information on poor
data quality regarding Pregnancy History items
and ways to improve the reporting of these data
in EBRS.
Table of Contents
I. Importance of Pregnancy History Data
II. 2008 Pregnancy History Data Quality Issues
Attachments:
• Pregnancy History Quicksheet
• Quiz Yourself!
This newsletter will cover the following data items:
• Total Number of Previous Live Births
• Number Born Alive and Now Living
• Number Born Alive and Now Dead
• Date of First Live Birth
• Date of Last Live Birth
• Number of Previous Preterm
• Number of Previous Low Birth Weight
• Total Number of Other Pregnancy Outcomes
• Date of Last Other Pregnancy Outcome
• Number of Spontaneous Terminations <20 weeks
• Number of Spontaneous Terminations ≥20 weeks
• Number of Induced Terminations
The Quality Improvement Unit of the Office of Vital Statistics is dedicated to improving the quality of vital event data by providing
education and training to data providers. This newsletter is the second in a series of quality improvement newsletters that will be
distributed to all birthing institutions and Regional Perinatal Coordinators to help improve the entry and quality of birth data.
DATA QUALITY IMPROVEMENT NEWSLETTER
OFFICE OF VITAL STATISTICS
QUALITY IMPROVEMENT UNIT
ISSUE #2 JANUARY 2010 www.nyc.gov/vitalstats
Page 2
I. IMPORTANCE OF PREGNANCY HISTORY DATA
Pregnancy history is an important indicator of women’s and infants’ health. It is therefore critical to obtain
accurate and reliable reporting of mothers’ previous pregnancies, including the number and dates of previous live
births and terminations. These data help to inform research, public health programs and policies aimed at
improving maternal and infant health.
How are pregnancy history data used?
• Previous live birth data can be used to:
o Determine the relationship of birth order to infant and perinatal mortality
o Study health problems associated with birth order (e.g., first births to older women)
o Study trends in childbearing and child spacing.
• The dates of last live birth and other terminations can be used to:
o Compute the interval between pregnancies (interpregnancy interval)
o Measure known risk factors associated with the mother’s previous pregnancies such as prior fetal
loss, short interpregnancy interval, and high parity.
Previous live birth data are presented each year in the Annual Summary produced by the Bureau of Vital Statistics
(available online at www.nyc.gov/vitalstats). Pregnancy history data are used by the NYC Department of Health
and Mental Hygiene’s (DOHMH) Bureau of Maternal, Infant and Reproductive Health as well as by other
governmental agencies, hospitals, and community based organizations for public health programs, policy planning
and research. This year, due to inaccurate data entry by facilities and resulting poor data quality, the usual
previous live birth data items will not be reported in the 2008 Annual Summary. The Bureau of Vital Statistics
anticipates similar problems with the 2009 data and therefore may request corrections to some of these data
items in early 2010.
Hospital-specific data quality will be audited on a periodic basis and the Bureau of Vital Statistics will continue to
make requests for data completion, clarification, or verification when necessary. Please note that effective
January 1, 2010 the revised New York City Health Code Law §201 requires that you provide missing, additional,
or corrected certificate data within five business days upon request.
To provide the required data accurately, please review the following data quality issues and incorporate the
“Pregnancy History Quicksheet” into your daily reporting practices. Without improvement, poor reporting and
data entry practices will continue to affect the ability of the DOHMH, your hospital, and other organizations to
analyze and report birth data.
Questions? Contact Us! If you need assistance or have questions regarding birth data quality, please contact Lauren Abercrombie in the
Quality Improvement Unit at 212-788-5289. If you have questions regarding EBRS, please contact the EVERS Help
Desk at 212-788-4575.
All Data Quality Improvement Newsletters as well as resources for data item completion and data entry can be
found online at http://www.nyc.gov/html/doh/html/vr/vr-evers.shtml.
DA
TA
QU
ALIT
Y I
MP
RO
VEM
EN
T N
EW
SLETTER
OFFIC
E O
F V
ITA
L S
TA
TIS
TIC
S
QU
ALIT
Y I
MPR
OV
EM
EN
T U
NIT
ISSU
E #
2
JAN
UA
RY
20
10
ww
w.n
yc.g
ov/v
itals
tats
Pag
e 3
II.
2008 P
REG
NA
NC
Y H
ISTO
RY
DA
TA
QU
ALIT
Y I
SSU
ES
Th
e D
OH
MH
Offic
e o
f V
ital Sta
tist
ics
co
ntin
ues
to c
on
du
ct its
an
nu
al b
irth
data
cle
an
ing fo
r th
e 2
00
8 filin
g y
ear.
T
hro
ugh
ou
t th
is p
rocess
, m
an
y
inst
an
ces
of p
oor
pre
gnancy h
isto
ry d
ata
en
try a
nd
qu
ality
have b
een
id
en
tifi
ed
. T
hese
iss
ues
are
ou
tlin
ed
belo
w.
DA
TA
IT
EM
(S)
ISSU
E(S
)
HO
W T
O I
MP
RO
VE R
EP
OR
TIN
G
Fo
r all
data
ite
ms,
care
ful
revie
w o
f th
e m
oth
er’
s m
ed
ical
an
d p
ren
ata
l care
reco
rds
is n
ecess
ary
. T
his
is
a r
eq
uir
em
en
t fo
r accu
rate
data
en
try.
To
tal N
um
ber
of
Pre
vio
us
Liv
e B
irth
s
Nu
mb
er
Bo
rn A
live a
nd
No
w L
ivin
g
Nu
mb
er
Bo
rn A
live a
nd
No
w D
ead
Am
on
g r
eco
rds
with
report
ed
pre
vio
us
live b
irth
s, th
ere
were
1,7
28
fo
r w
hic
h th
e T
ota
l N
um
ber
of
Pre
vio
us
Liv
e B
irth
s d
id n
ot eq
ual
the s
um
of its
part
s (N
um
ber
Born
Alive N
ow
Liv
ing +
Nu
mb
er
Born
Alive N
ow
Dead
).
Am
on
g liv
e-b
orn
mu
ltip
le b
irth
s,
65
6 r
eco
rds
ind
icate
d a
bir
th o
rder
of ≥
2 b
ut th
e T
ota
l N
um
ber
of
Pre
vio
us
Liv
e B
irth
s en
tere
d w
as
0.
Th
e p
revio
us
live b
irth
fie
lds
are
co
mpo
sed
of th
ree r
ela
ted
part
s:
•
Th
e T
ota
l N
um
ber
of P
revio
us
Liv
e B
irth
s M
UST
equ
al th
e s
um
of
the N
um
ber
Bo
rn A
live, N
ow
Liv
ing a
nd
th
e N
um
ber
Bo
rn A
live,
No
w D
ead
.
•
If a
ny tw
o p
art
s o
f th
e th
ree a
re k
no
wn
, th
en
th
e t
hir
d c
an
be
calc
ula
ted
; fo
r exam
ple
, if
yo
u k
no
w th
e T
ota
l=3
an
d N
ow
Liv
ing=
2, yo
u c
an
co
nclu
de th
at N
ow
Dead
=1
.
If y
ou
are
en
teri
ng a
record
fo
r a s
eco
nd
, th
ird
, o
r su
bse
qu
en
t live-b
orn
ch
ild
of a m
ult
iple
set, y
ou
mu
st in
clu
de th
e p
rece
din
g liv
e-b
orn
mem
bers
of th
e s
et in
th
e c
ou
nt o
f p
revio
us
live b
irth
s. Fo
r exam
ple
, if a
mo
ther’
s firs
t p
regn
ancy is
trip
lets
, all b
orn
alive, th
e c
orr
ect en
try in
th
e
seco
nd
tri
ple
t’s
record
fo
r T
ota
l N
um
ber
of P
revio
us
Liv
e B
irth
s is
“1
”.
Th
e c
orr
ect en
try in
th
e th
ird
tri
ple
t’s
record
fo
r T
ota
l N
um
ber
of
Pre
vio
us
Liv
e B
irth
s is
“2
”.
Date
of
Fir
st L
ive B
irth
Date
of
Last
Liv
e B
irth
Am
on
g r
eco
rds
with
report
ed
To
tal
Nu
mb
er
of Pre
vio
us
Liv
e B
irth
s =
1,
there
were
6,3
04
fo
r w
hic
h th
e D
ate
of Last
Liv
e B
irth
did
no
t m
atc
h th
e
Date
of Fir
st L
ive B
irth
.
If th
ere
is
on
e p
revio
us
live b
irth
, th
e D
ate
of Last
Liv
e B
irth
an
d D
ate
of
Fir
st L
ive B
irth
sh
ou
ld b
e th
e s
am
e.
DA
TA
QU
ALIT
Y I
MP
RO
VEM
EN
T N
EW
SLETTER
OFFIC
E O
F V
ITA
L S
TA
TIS
TIC
S
QU
ALIT
Y I
MPR
OV
EM
EN
T U
NIT
ISSU
E #
2
JAN
UA
RY
20
10
ww
w.n
yc.g
ov/v
itals
tats
Pag
e 4
DA
TA
IT
EM
(S)
ISSU
E(S
)
HO
W T
O I
MP
RO
VE R
EP
OR
TIN
G
Fo
r all
data
ite
ms,
care
ful
revie
w o
f th
e m
oth
er’
s m
ed
ical
an
d p
ren
ata
l care
reco
rds
is n
ecess
ary
. T
his
is
a r
eq
uir
em
en
t fo
r accu
rate
data
en
try.
To
tal N
um
ber
of
Oth
er
Pre
gnan
cy
Ou
tco
mes
Nu
mb
er
of
Sp
on
tan
eo
us
Term
inati
ons
<20
wks
Nu
mb
er
of
Sp
on
tan
eo
us
Term
inati
ons
≥ 2
0 w
ks
Nu
mb
er
of
Ind
uced
Term
inati
ons
Am
on
g r
eco
rds
with
report
ed
oth
er
pre
gn
an
cy o
utc
om
es,
th
ere
were
3,4
23
fo
r w
hic
h th
e T
ota
l N
um
ber
of
Oth
er
Pre
gn
ancy O
utc
om
es
did
no
t
eq
ual th
e s
um
of its
part
s (N
um
ber
of
Sp
on
taneo
us
Term
inatio
ns
<2
0 w
ks
+ N
um
ber
of Sp
on
taneo
us
Term
inatio
ns
≥2
0 w
ks
+ N
um
ber
of In
du
ced
Term
inatio
ns)
.
Th
e p
revio
us
oth
er
pre
gnan
cy o
utc
om
e fie
lds
are
co
mp
ose
d o
f fo
ur
rela
ted
part
s:
•
Th
e T
ota
l N
um
ber
of O
ther
Pre
gn
ancy O
utc
om
es
MU
ST
eq
ual th
e
sum
of th
e N
um
ber
of Spo
nta
neo
us
Term
inatio
ns
<2
0 w
ks,
th
e
Nu
mb
er
of Spo
nta
neo
us
Term
inatio
ns
≥2
0 w
ks
(in
clu
des
stillb
irth
s), an
d th
e N
um
ber
of In
du
ced
Term
inatio
ns.
•
If a
ny th
ree p
art
s o
f th
e fo
ur
are
kn
ow
n, th
en
th
e t
hir
d c
an
be
calc
ula
ted
; fo
r exam
ple
, if
yo
u k
no
w th
e T
ota
l=2
,
Sp
on
taneo
us<
20
=1
, an
d In
du
ced
=1
, yo
u c
an
conclu
de t
hat
Sp
on
taneo
us≥
20
is
0.
Date
of
Last
Oth
er
Pre
gnan
cy
Ou
tco
me
Am
on
g r
eco
rds
with
report
ed
pre
vio
us
oth
er
pre
gn
an
cy o
utc
om
es,
6,4
06
reco
rds
were
mis
sin
g th
e D
ate
of Last
Oth
er
Pre
gn
an
cy O
utc
om
e.
Th
e D
ate
of Last
Oth
er
Pre
gn
an
cy O
utc
om
e m
ust
be r
ep
ort
ed
when
there
are
pre
vio
us
oth
er
pre
gn
an
cy o
utc
om
es
(spo
nta
neo
us
and
in
du
ced
term
inatio
ns)
. If
the D
ate
of Last
Oth
er
Pre
gn
an
cy O
utc
om
e is
un
kn
ow
n, en
ter
99
-99
-999
9.
PR
EG
NA
NC
Y H
IST
OR
Y Q
UIC
KS
HE
ET
P
age
1
PR
EG
NA
NC
Y H
ISTO
RY
QU
ICK
SH
EET
Use
th
is g
uid
e fo
r re
po
rtin
g th
e m
oth
er’
s pre
gn
an
cy h
isto
ry in
form
atio
n o
n th
e b
irth
cert
ific
ate
. W
hen
pre
par
ing b
irth
cert
ific
ate
s fo
r a m
ultip
le d
elivery
set, th
e p
regn
an
cy h
isto
ry in
form
atio
n o
n th
e c
ert
ific
ate
of th
e fir
st-b
orn
of th
e s
et sh
ou
ld n
ot in
clu
de a
ny o
f th
e s
ub
seq
uen
t b
irth
s fr
om
th
at se
t. O
n th
e
cert
ific
ate
of th
e s
eco
nd
-bo
rn in
a m
ultip
le d
elivery
set, ite
ms
sho
uld
in
clu
de in
form
atio
n a
bo
ut th
e f
irst
-bo
rn o
f th
e s
et. Sim
ilarl
y, fo
r th
e th
ird
-bo
rn,
these
ite
ms
sho
uld
in
clu
de in
form
atio
n a
bo
ut th
e fir
st- an
d s
eco
nd
-born
of th
e s
et, a
nd
so
on
.
En
try o
f cert
ain
ite
ms
for
ch
ild
ren
fro
m a
mu
ltip
le d
elivery
is
mo
re c
hallengin
g th
an
th
at fo
r a s
ingle
ton
delivery
. T
he inst
ruction
s in
th
e tab
le a
re b
roken
do
wn
in
to tw
o c
ate
go
ries:
(1
) T
his
ch
ild
is
a s
ingle
ton
or
the fir
st o
f a m
ultip
le s
et, a
nd
(2
) T
his
ch
ild
is
the s
eco
nd
, th
ird
, o
r la
ter
of a m
ultip
le s
et.
Fo
llo
w th
e in
stru
ctio
ns
in th
e c
olu
mn
th
at d
esc
rib
es
the p
lura
lity
of th
e c
hild
fo
r w
ho
m y
ou
are
pre
pari
ng th
e b
irth
cert
ific
ate
(re
ferr
ed
to
as
“th
is c
hild
”).
Regard
less
of
the p
lura
lity
of
the c
hild
, th
is c
hil
d s
ho
uld
NEV
ER
be in
clu
ded
in
th
e c
oun
ts o
r d
ate
s fo
r p
regnan
cy h
isto
ry.
Foll
ow
these
dir
ecti
ons
firs
t…
…th
en r
ead t
he a
ppli
cable
colu
mn h
ere
for
addit
ional
inst
ructi
ons.
ST
EP
1
ST
EP
2
DA
TA
IT
EM
(fo
r an
y p
lura
lity
) If
th
is c
hild
is
a S
ING
LETO
N
or
the F
IRST
of
a m
ult
iple
set:
If t
his
ch
ild
is
the S
EC
ON
D, T
HIR
D, etc
.
of
a m
ult
iple
set:
To
tal N
um
ber
of
Pre
vio
us
Liv
e
Bir
ths
En
ter
the n
um
ber
of
pri
or
ch
ild
ren
bo
rn
ali
ve t
o t
his
mo
ther,
regard
less
of
wh
eth
er
they a
re n
ow
ali
ve o
r d
ead
Th
is n
um
ber
mu
st e
qu
al
the s
um
of
the
next
two
fie
lds:
Nu
mb
er
Bo
rn A
live a
nd
No
w L
ivin
g +
Nu
mb
er
Bo
rn A
live a
nd
No
w D
ead
If t
his
ch
ild
is
the m
oth
er’
s fi
rst
live b
irth
, en
ter
“No
ne”
INC
LU
DE t
he n
um
ber
of
all
pre
ced
ing l
ive-b
orn
ch
ild
ren
of
this
set,
regard
less
of
wh
eth
er
they a
re n
ow
ali
ve o
r d
ead
En
ter
“No
ne”
on
ly i
f th
is i
s th
e m
oth
er’
s fi
rst
pre
gn
an
cy r
esu
ltin
g
in l
ive b
irth
(s)
AN
D n
on
e o
f th
e p
reced
ing c
hil
dre
n o
f th
e s
et
were
bo
rn a
live
Nu
mb
er
Bo
rn
Alive a
nd
No
w
Liv
ing
En
ter
the n
um
ber
of
pri
or
ch
ild
ren
bo
rn
ali
ve t
o t
his
mo
ther
wh
o a
re s
till
liv
ing a
t
the t
ime o
f th
is b
irth
If t
his
ch
ild
is
the m
oth
er’
s fi
rst
live b
irth
or
if a
ll p
revio
us
live-
bo
rn c
hil
dre
n a
re d
ead
, en
ter
“No
ne”
INC
LU
DE t
he n
um
ber
of
pre
ced
ing l
ive-b
orn
ch
ild
ren
of
this
set
wh
o a
re s
till
liv
ing
En
ter
“No
ne”
on
ly i
f A
LL p
reced
ing l
ive-b
orn
ch
ild
ren
(fr
om
pre
vio
us
pre
gn
an
cie
s an
d t
his
set)
are
dead
Nu
mb
er
Bo
rn
Alive a
nd
No
w
Dead
En
ter
the n
um
ber
of
pri
or
ch
ild
ren
bo
rn
ali
ve t
o t
his
mo
ther
wh
o a
re d
ead
at
the
tim
e o
f th
is b
irth
If t
his
ch
ild
is
the m
oth
er’
s fi
rst
live b
irth
or
if a
ll p
revio
us
ch
ild
ren
are
sti
ll l
ivin
g,
en
ter
“No
ne”
INC
LU
DE t
he n
um
ber
of
pre
ced
ing l
ive-b
orn
ch
ild
ren
of
this
set
wh
o a
re n
ow
dead
En
ter
“No
ne”
on
ly i
f A
LL p
reced
ing l
ive-b
orn
ch
ild
ren
(fr
om
pre
vio
us
pre
gn
an
cie
s an
d t
his
set)
are
liv
ing
Qu
icksh
eet
is c
on
tin
ued
on
th
e n
ext
page…
PR
EG
NA
NC
Y H
IST
OR
Y Q
UIC
KS
HE
ET
P
age
2
Foll
ow
these
dir
ecti
ons
firs
t…
…th
en r
ead t
he a
ppli
cable
colu
mn h
ere
for
addit
ional
inst
ructi
ons.
ST
EP
1
ST
EP
2
DA
TA
IT
EM
(f
or
any p
lura
lity
) If
th
is c
hild
is
a S
ING
LETO
N
or
the F
IRST
of
a m
ult
iple
set:
If t
his
ch
ild
is
the S
EC
ON
D, T
HIR
D, etc
.
of
a m
ult
iple
set:
Date
of
Fir
st L
ive
Bir
th
En
ter
the m
on
th a
nd
year
of
bir
th o
f th
e
firs
t li
ve-b
orn
ch
ild
to
th
is m
oth
er
If t
his
ch
ild
is
the m
oth
er’
s fi
rst
live b
irth
, le
ave t
his
ite
m b
lan
k
If a
pre
ced
ing c
hil
d o
f th
is m
ult
iple
set
was
the f
irst
liv
e-b
orn
ch
ild
to
th
is m
oth
er,
en
ter
the m
on
th a
nd
year
of
the p
reced
ing
ch
ild
’s b
irth
(th
is i
s u
suall
y t
he s
am
e d
ate
as
this
ch
ild
)
Leave t
his
ite
m b
lan
k o
nly
if
this
is
the m
oth
er’
s fi
rst
pre
gn
an
cy
resu
ltin
g i
n l
ive b
irth
(s)
AN
D n
on
e o
f th
e p
reced
ing c
hil
dre
n o
f
the s
et
were
bo
rn a
live
Date
of
Last
Liv
e
Bir
th
En
ter
the m
on
th a
nd
year
of
bir
th o
f th
e
last
liv
e-b
orn
ch
ild
to
th
is m
oth
er
If t
he m
oth
er
has
on
ly h
ad
on
e p
revio
us
live b
irth
, th
is d
ate
is
the s
am
e a
s th
e
Date
of
Fir
st L
ive B
irth
If t
his
ch
ild
is
the m
oth
er’
s fi
rst
live b
irth
, le
ave t
his
ite
m b
lan
k
If p
reced
ing c
hil
dre
n o
f th
e s
et
were
bo
rn a
live,
en
ter
the m
on
th
an
d y
ear
of
bir
th o
f th
e l
ive-b
orn
ch
ild
im
med
iate
ly p
reced
ing
this
ch
ild
(th
is i
s u
suall
y t
he s
am
e d
ate
as
this
ch
ild
)
If n
on
e o
f th
e p
reced
ing c
hil
dre
n o
f th
e s
et
were
bo
rn a
live,
en
ter
the m
on
th a
nd
year
of
bir
th o
f th
e l
ast
liv
e-b
orn
ch
ild
fro
m
a p
revio
us
pre
gn
an
cy
Leave t
his
ite
m b
lan
k o
nly
if
no
ne o
f th
e p
reced
ing c
hil
dre
n o
f
the s
et
were
bo
rn a
live A
ND
th
e m
oth
er
has
no
t h
ad
an
y
pre
vio
us
live b
irth
s b
efo
re t
his
mu
ltip
le p
regn
an
cy
Nu
mb
er
Pre
term
En
ter
the n
um
ber
of
live b
irth
s fr
om
pre
vio
us
pre
gn
an
cie
s w
here
th
e
gest
ati
on
al
age o
f th
e c
hil
d w
as
less
th
an
37
weeks
If n
on
e o
f th
e p
revio
us
live b
irth
s
to t
his
mo
ther
were
pre
term
, en
ter
“No
ne”
Do
no
t in
clu
de a
ny p
reced
ing c
hil
dre
n f
rom
th
is s
et
(th
is d
ata
item
is
fro
m p
revio
us
pre
gn
an
cie
s o
nly
)
En
ter
“No
ne”
if n
on
e o
f th
e p
revio
us
live b
irth
s to
th
is m
oth
er
were
pre
term
Nu
mb
er
Lo
w
Bir
th W
eig
ht
En
ter
the n
um
ber
of
live b
irth
s fr
om
pre
vio
us
pre
gn
an
cie
s w
here
th
e b
irth
weig
ht
of
the c
hil
d w
as
less
th
an
25
00
gra
ms
or
5 p
ou
nd
s, 8
ou
nces
If n
on
e o
f th
e p
revio
us
live b
irth
s
to t
his
mo
ther
were
lo
w b
irth
weig
ht,
en
ter
“No
ne”
Do
no
t in
clu
de a
ny p
reced
ing c
hil
dre
n f
rom
th
is s
et
(th
is d
ata
item
is
fro
m p
revio
us
pre
gn
an
cie
s o
nly
)
En
ter
“No
ne”
if n
on
e o
f th
e p
revio
us
live b
irth
s to
th
is m
oth
er
were
lo
w b
irth
weig
ht Qu
icksh
eet
is c
on
tin
ued
on
th
e n
ext
page…
PR
EG
NA
NC
Y H
IST
OR
Y Q
UIC
KS
HE
ET
P
age
3
Foll
ow
these
dir
ecti
ons
firs
t…
…th
en r
ead t
he a
ppli
cable
colu
mn h
ere
for
addit
ional
inst
ructi
ons.
ST
EP
1
ST
EP
2
DA
TA
IT
EM
(f
or
any p
lura
lity
) If
th
is c
hild
is
a S
ING
LETO
N
or
the F
IRST
of
a m
ult
iple
set:
If t
his
ch
ild
is
the S
EC
ON
D, T
HIR
D, etc
.
of
a m
ult
iple
set:
To
tal N
um
ber
of
Oth
er
Pre
gnan
cy
Ou
tco
mes*
En
ter
the t
ota
l n
um
ber
of
pri
or
term
inate
d f
etu
ses
Inclu
de s
po
nta
neo
us†
an
d i
nd
uced
term
inati
on
s§ (
term
inati
on
s o
f an
y
gest
ati
on
al
age s
ho
uld
be c
ou
nte
d)
Th
is n
um
ber
mu
st e
qu
al
the s
um
of:
Nu
mb
er
of
Sp
on
tan
eo
us
Term
inati
on
s
of
Pre
gn
an
cy <
20
wks
+ N
um
ber
of
Sp
on
tan
eo
us
Term
inati
on
s o
f P
regn
an
cy ≥
20
wks
+ N
um
ber
of
Ind
uced
Term
inati
on
s o
f
Pre
gn
an
cy
If t
his
ch
ild
was
the m
oth
er’
s fi
rst
pre
gn
an
cy o
r if
all
pre
vio
us
pre
gn
an
cie
s re
sult
ed
in
liv
e b
irth
s,
en
ter
“No
ne”
INC
LU
DE a
ny p
reced
ing f
etu
ses
of
the s
et
wh
o w
ere
term
inate
d
earl
ier
in t
he p
regn
an
cy (
or
were
sti
llb
orn
at
deli
very
)
En
ter
“No
ne”
on
ly i
f all
pre
vio
us
pre
gn
an
cie
s re
sult
ed
in
liv
e
bir
ths
AN
D a
ll o
f th
e p
reced
ing c
hil
dre
n o
f th
e s
et
were
bo
rn
ali
ve
Date
of
Last
Oth
er
Pre
gnan
cy
Ou
tco
me*
En
ter
the m
on
th a
nd
year
of
the l
ast
spo
nta
neo
us†
or
ind
uced
term
inati
on
§ t
o
this
mo
ther
If t
his
is
the m
oth
er’
s fi
rst
pre
gn
an
cy o
r th
e m
oth
er
has
no
t
had
an
y p
revio
us
term
inati
on
s,
leave t
his
ite
m b
lan
k
If a
ny p
reced
ing f
etu
ses
of
the s
et
were
term
inate
d e
arl
ier
in t
he
pre
gn
an
cy (
or
were
sti
llb
orn
at
deli
very
), e
nte
r th
e m
on
th a
nd
year
of
deli
very
of
the l
ast
term
inate
d f
etu
s o
f th
e s
et
Oth
erw
ise,
if a
ll o
f th
e p
reced
ing c
hil
dre
n o
f th
e s
et
were
bo
rn
ali
ve,
en
ter
the m
on
th a
nd
year
of
the l
ast
term
inati
on
fro
m a
pre
vio
us
pre
gn
an
cy t
o t
his
mo
ther
Leave t
his
ite
m b
lan
k o
nly
if
all
of
the p
reced
ing c
hil
dre
n o
f th
e
set
were
bo
rn a
live A
ND
th
e m
oth
er
has
no
t h
ad
an
y p
revio
us
term
inati
on
s
*T
hese
in
clu
de s
po
nta
neo
us
an
d i
nd
uced
term
inati
on
s.
†A
sp
on
tan
eo
us
term
inati
on
can
als
o b
e c
all
ed
a m
iscarr
iage, m
isse
d a
bo
rtio
n,
spo
nta
neo
us
ab
ort
ion
, st
illb
irth
, o
r fe
tal
death
, an
d s
ho
uld
als
o i
nclu
de a
ny r
eco
gn
ized
spo
nta
neo
us
loss
of
a p
rod
uct
of
co
ncep
tio
n o
r ecto
pic
pre
gn
an
cy.
§A
n i
nd
uced
term
inati
on
can
als
o b
e c
all
ed
an
in
du
ced
ab
ort
ion
or
vo
lun
tary
ab
ort
ion
. F
eta
l re
du
cti
on
s p
erf
orm
ed
fo
r m
ult
iple
pre
gn
an
cie
s are
cla
ssif
ied
as
ind
uced
term
inati
on
s.
Qu
icksh
eet
is c
on
tin
ued
on
th
e n
ext
page…
PR
EG
NA
NC
Y H
IST
OR
Y Q
UIC
KS
HE
ET
P
age
4
Foll
ow
these
dir
ecti
ons
firs
t…
…th
en r
ead t
he a
ppli
cable
colu
mn h
ere
for
addit
ional
inst
ructi
ons.
ST
EP
1
ST
EP
2
DA
TA
IT
EM
(f
or
any p
lura
lity
) If
th
is c
hild
is
a S
ING
LETO
N
or
the F
IRST
of
a m
ult
iple
set:
If t
his
ch
ild
is
the S
EC
ON
D, T
HIR
D, etc
.
of
a m
ult
iple
set:
Nu
mb
er
of
Sp
onta
neo
us
Term
inati
ons
of
Pre
gn
an
cy
† L
ess
Th
an
20
Weeks
En
ter
the t
ota
l n
um
ber
of
pri
or
fetu
ses
spo
nta
neo
usl
y t
erm
inate
d† b
efo
re 2
0
weeks
gest
ati
on
If t
his
ch
ild
was
the m
oth
er’
s fi
rst
pre
gn
an
cy o
r if
all
pre
vio
us
pre
gn
an
cie
s re
sult
ed
in
liv
e b
irth
s,
spo
nta
neo
us
term
inati
on
s o
f 2
0
weeks
or
mo
re g
est
ati
on
, o
r
ind
uced
term
inati
on
s, e
nte
r
“No
ne”
INC
LU
DE a
ny p
reced
ing f
etu
ses
of
the s
et
wh
o w
ere
spo
nta
neo
usl
y t
erm
inate
d b
efo
re 2
0 w
eeks
gest
ati
on
En
ter
“No
ne”
on
ly i
f th
is w
as
the m
oth
er’
s fi
rst
pre
gn
an
cy A
ND
all
of
the p
reced
ing c
hil
dre
n o
f th
e s
et
were
bo
rn a
live,
spo
nta
neo
usl
y t
erm
inate
d a
t o
r aft
er
20
weeks
gest
ati
on
, o
r
term
inate
d b
y a
n i
nd
uced
pro
ced
ure
; O
R a
ll p
revio
us
pre
gn
an
cie
s A
ND
all
of
the p
reced
ing c
hil
dre
n o
f th
e s
et
were
bo
rn a
live,
spo
nta
neo
usl
y t
erm
inate
d a
t o
r aft
er
20
weeks
gest
ati
on
, o
r te
rmin
ate
d b
y a
n i
nd
uced
pro
ced
ure
Nu
mb
er
of
Sp
onta
neo
us
Term
inati
ons
of
Pre
gn
an
cy
† 2
0
Weeks
or
Mo
re
En
ter
the t
ota
l n
um
ber
of
pri
or
fetu
ses
spo
nta
neo
usl
y t
erm
inate
d† a
t o
r aft
er
20
weeks
gest
ati
on
If t
his
ch
ild
was
the m
oth
er’
s fi
rst
pre
gn
an
cy o
r if
all
pre
vio
us
pre
gn
an
cie
s re
sult
ed
in
liv
e b
irth
s,
spo
nta
neo
us
term
inati
on
s o
f le
ss
than
20
weeks
gest
ati
on
, o
r
ind
uced
term
inati
on
s, e
nte
r
“No
ne”
INC
LU
DE a
ny p
reced
ing f
etu
ses
of
the s
et
wh
o w
ere
spo
nta
neo
usl
y t
erm
inate
d a
t o
r aft
er
20
weeks
gest
ati
on
En
ter
“No
ne”
on
ly i
f th
is w
as
the m
oth
er’
s fi
rst
pre
gn
an
cy A
ND
all
of
the p
reced
ing c
hil
dre
n o
f th
e s
et
were
bo
rn a
live,
spo
nta
neo
usl
y t
erm
inate
d b
efo
re 2
0 w
eeks
gest
ati
on
, o
r
term
inate
d b
y a
n i
nd
uced
pro
ced
ure
; O
R a
ll p
revio
us
pre
gn
an
cie
s A
ND
all
of
the p
reced
ing c
hil
dre
n o
f th
e s
et
were
bo
rn a
live,
spo
nta
neo
usl
y t
erm
inate
d b
efo
re 2
0 w
eeks
gest
ati
on
,
or
term
inate
d b
y a
n i
nd
uced
pro
ced
ure
Nu
mb
er
of
Ind
uced
Term
inati
ons
of
Pre
gn
an
cy
§
En
ter
the t
ota
l n
um
ber
of
pri
or
ind
uced
term
inati
on
s§ o
r fe
tal
red
ucti
on
s
Ind
uced
term
inati
on
s at
an
y g
est
ati
on
al
age s
ho
uld
be c
ou
nte
d
If t
his
ch
ild
was
the m
oth
er’
s fi
rst
pre
gn
an
cy o
r if
all
pre
vio
us
pre
gn
an
cie
s re
sult
ed
in
liv
e b
irth
s
or
spo
nta
neo
us
term
inati
on
s, e
nte
r
“No
ne”
INC
LU
DE a
ny i
nd
uced
term
inati
on
s o
r fe
tal
red
ucti
on
to
fetu
ses
of
the s
et
En
ter
“No
ne”
on
ly i
f th
is w
as
the m
oth
er’
s fi
rst
pre
gn
an
cy A
ND
all
of
the p
reced
ing c
hil
dre
n o
f th
e s
et
were
bo
rn a
live o
r
spo
nta
neo
usl
y t
erm
inate
d;
OR
all
pre
vio
us
pre
gn
an
cie
s A
ND
all
of
the p
reced
ing c
hil
dre
n o
f th
e s
et
were
bo
rn a
live o
r
spo
nta
neo
usl
y t
erm
inate
d
†A
sp
on
tan
eo
us
term
inati
on
can
als
o b
e c
all
ed
a m
iscarr
iage, m
isse
d a
bo
rtio
n,
spo
nta
neo
us
ab
ort
ion
, st
illb
irth
, o
r fe
tal
death
, an
d s
ho
uld
als
o i
nclu
de a
ny r
eco
gn
ized
spo
nta
neo
us
loss
of
a p
rod
uct
of
co
ncep
tio
n o
r ecto
pic
pre
gn
an
cy.
§A
n i
nd
uced
term
inati
on
can
als
o b
e c
all
ed
an
in
du
ced
ab
ort
ion
or
vo
lun
tary
ab
ort
ion
. F
eta
l re
du
cti
on
s p
erf
orm
ed
fo
r m
ult
iple
pre
gn
an
cie
s are
cla
ssif
ied
as
ind
uced
term
inati
on
s.
Quiz Yourself! Page 1
QUIZ YOURSELF!
Answers can be found on pages 4-7.
SECTION A: How would you fill in the pregnancy history data fields
for each of the following scenarios?
Scenario 1
This child is a singleton and the mother’s first live birth. She had an abortion in May 1997
and a miscarriage at ten weeks gestation in October 2007.
Scenario 2
This child is a singleton born at 35 weeks gestation. The mother has three other children: a
singleton born January 2000 and twins born April 2003. All were full-term and are still
living. The mother had spontaneous termination at nine weeks gestation in February 2007.
Scenario 3
This child is a singleton. The mother had one other pregnancy, a set of twins delivered at
36 weeks gestation in October 2004. Twin A was 2547 grams and Twin B was stillborn at
2138 grams. Twin A is still living.
Scenario 4
You are entering a set of records for triplets born alive on December 2, 2009 at 36 weeks
gestation. The birth weights for Triplets A, B, and C, respectively, are 2471 grams, 2701
grams, and 2312 grams. The mother has one other child, born full-term in May 2002, who
is still living. She had an ectopic pregnancy identified and treated at five weeks gestation
in July 2006.
Quiz Yourself! Page 2
SECTION B: Identify what, if anything, is wrong with each of the following entries.
Hint: Pay attention to the plurality of the child as well as the pregnancy history entries.
Entry 1
Entry 2
Quiz Yourself! Page 3
Entry 3
Entry 4
Background: The DOB for this child is 12/6/09. Mother has a two year old at home.
Quiz Yourself! Answers Page 4
SECTION A: How would you fill in the pregnancy history data fields
for each of the following scenarios?
Scenario 1
This child is a singleton and the mother’s first live birth. She had an abortion in May 1997
and a miscarriage at ten weeks gestation in October 2007.
Scenario 2
This child is a singleton born at 35 weeks gestation. The mother has three other children: a
singleton born January 2000 and twins born April 2003. All were full-term and are still
living. The mother had spontaneous termination at nine weeks gestation in February 2007.
ANSWERS
Quiz Yourself! Answers Page 5
Scenario 3
This child is a singleton. The mother had one other pregnancy, a set of twins delivered at
36 weeks gestation in October 2004. Twin A was 2547 grams and Twin B was stillborn at
2138 grams. Twin A is still living.
Scenario 4
You are entering a set of records for triplets born alive on December 2, 2009 at 36 weeks
gestation. The birth weights for Triplets A, B, and C, respectively, are 2471 grams, 2701
grams, and 2312 grams. The mother has one other child, born full-term in May 2002, who
is still living. She had an ectopic pregnancy identified and treated at five weeks gestation
in July 2006.
Triplet A:
Notice that
here you only
count the
previous twin
born alive
(Twin A).
Notice that
here you
account for
the previous
stillborn
twin
(Twin B).
The ectopic
pregnancy is
counted as a
spontaneous
termination
at less than
20 weeks.
This section
reports the
child born in
May 2002.
Quiz Yourself! Answers Page 6
Triplet B:
Triplet C:
Now this section
reports the child
born in May 2002
AND Triplet A.
Notice Triplet A is NOT counted
here (though preterm and low birth
weight) because these two fields are
only previous pregnancies.
Now this section
reports the child
born in May 2002
AND Triplets A
and B.
Quiz Yourself! Answers Page 7
SECTION B: Identify what, if anything, is wrong with each of the following entries.
Entry 1
• This is a second live-born twin, but the Total Number of Previous Live Births=0.
• The information on the first twin is missing.
Entry 2
• There is only one previous live birth but the Date of First Live Birth and the Date of
Last Live Birth do not match.
• The Total Number of Other Pregnancy Outcomes is not equal to the sum of its
parts.
Entry 3
• All dates for previous pregnancies are missing.
• The Number Preterm is greater than the Total Number of Previous Live Births.
• If the Total Number of Other Pregnancy Outcomes=1 and it is known that the
mother had no spontaneous terminations, then the Number of Induced
Terminations should=1.
Entry 4
Nothing is wrong with this entry! All is correct:
• The mother’s previous child is correctly accounted for in the previous live birth
fields.
• Since you can see that this is the second twin but the only one born alive, you must
record the first twin as a previous other pregnancy outcome.
