[WWW - 2023.07.31]

Data Element Detail

Birth event-type of pharmacological analgesia administered
Identifying and Definitional Attributes
QH 040751 v7
Data Element
Data Element
Draft
05-Jul-2022		Current
18-Jul-2023
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Jul-2022
The type of pharmacological analgesia administered to a female to relieve pain during a birth event.
Queensland Perinatal Data Collection (QPDC)
Pharmacological analgesia administered during labour/birth
Representational Attributes
Numeric Character
Code
N(2)
2
2
Permissible Values

Permissible_values

CodeDescription
02Nitrous oxide
04Epidural
05Spinal
07Caudal
08Systemic opioid (inc IM/IV narcotic)
10Combined spinal-epidural
19Other
Supplementary Values

Supplemenary_values

CodeDescription
99Not stated/unknown
Collection and Usage Attributes
When more than one type of pharmacological analgesia was used, record all types administered.

This data element should be used in conjunction with the data element: Birth event-pharmacological analgesia administered indicator to obtain information on if analgesia was administered to a female during the birth event.

Code 02 Nitrous oxide
Nitrous oxide was administered to a female for pain relief during the labour and/or birth. Nitrous oxide is a gas providing light anaesthesia delivered in various concentrations with oxygen.

Code 04 Epidural
An epidural block was administered to a female for pain relief during the labour and/or birth. An epidural block is an injection of a local anaesthetic into the epidural space of the spinal column.

Code 05 Spinal
A spinal block was administered to a female for pain relief during the labour and/or birth. A spinal block is an injection of an analgesic drug or anaesthetic drug into the subarachnoid space of the spinal cord, also called the Subarachnoid Block Anaesthesia.

Code 07 Caudal
A caudal block was administered to a female for pain relief during the labour and/or birth. A caudal block is an injection of a local anaesthetic agent into the caudal portion of the spinal canal through the sacrum.

Code 08 Systemic opioid (inc IM/IV narcotic)
A systemic opioid/s was administered to a female for pain relief during the labour and/or birth. A systemic opioid is an analgesic that acts on the patient's central nervous system. Includes drugs which have an agonist action at the opioid receptor on the cell. Includes intramuscular (IM) and intravenous (IV) opioids.

Code 10 Combined spinal-epidural
A combined spinal-epidural block was administered to a female for pain relief during the labour and/or birth. A combined spinal-epidural block is a needle-through-needle injection of an analgesic drug or anaesthetic drug into both the epidural space and the subarachnoid space of the spinal column. The spinal-epidural block combines the benefits of rapid action of a spinal block and the flexibility of an epidural block. An epidural catheter inserted during the technique enables the provision of long-lasting analgesia with the ability to titrate the dose for the desired effect.

Code 19 Other
A method of pharmacological pain relief not defined above was administered to a female during the labour and/or birth.

Code 99 Not stated/unknown
The method of pharmacological pain relief administered to a female during the labour and/or birth is not known.
Queensland Perinatal Data Collection (QPDC):
If Queensland Perinatal Data Collection (QPDC)-baby's code type = A (Pharmacological analgesia) then:
Validated against list of pharmacological analgesia codes.
Can be blank if Birth event-pharmacological analgesia administered indicator = 1 (No) or 9 (Not stated/unknown).
Must not be blank if Birth event-pharmacological analgesia administered indicator = 2 (Yes).
Code 10 cannot be recorded if code 04 and code 05 have already been recorded.

This item is to be recorded for first and second stage labour, but not for third stage labour, e.g. removal of placenta.

For national reporting of the Birth event-type of analgesia administered data element the following mapping occurs:
Code 02 Nitrous oxide is mapped to code 2 Nitrous oxide.
Code 04 Epidural is mapped to code 4 Epidural or caudal block.
Code 05 Spinal is mapped to code 5 Spinal block.
Code 07 Caudal is mapped to code 4 Epidural or caudal block.
Code 08 Systemic opioid (inc IM/IV narcotic) is mapped to code 6 Systemic opioids.
Code 10 Combined spinal-epidural is mapped to code 7 Combined spinal-epidural block.
Code 19 Other is mapped to code 88 Other analgesia.
Code 99 Not stated/unknown is mapped to code 99 Not stated/inadequately described.
Analgesia use may influence the duration of labour, may affect the health status of the baby at birth and is an indicator of obstetric intervention. Analgesia may also influence a female's satisfaction with her birth experience and is an indicator of access to anaesthesia services, i.e. epidural analgesia is not available for females in birth events where there are no anaesthetic services.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 4
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementBirth event-type of pharmacological analgesia administeredQH 040751 Version 6Superseded
Is qualified byData ElementData ElementBirth event-pharmacological analgesia administered indicatorQH 040382 Version 2Current
Is used in conjunction withData ElementData ElementQueensland Perinatal Data Collection (QPDC)-baby's code typeQH 042589 Version 1Draft
Relates toData ElementData Element ConceptBirth eventQH 041670 Version 2Draft
Implementation in Metadata Sets

Implemented

  • 1 - 1
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Perinatal Data Collection (QPDC)QH 020003 Version 2ConditionalCurrent01-Jul-2022
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data element: Birth event-type of analgesia administered, code N[N], identifier 749937, Health standard 17/12/2021 https://meteor.aihw.gov.au/content/749937?technical=True
Analgesia; Labour;