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Data Element Detail

Birth event-presentation at birth
Identifying and Definitional Attributes
QH 040046 v2
Data Element
Data Element
Draft
25-Sep-2012		Current
25-Jan-2013
Standard
01-Nov-2012
That part of the fetus which lies in the lower segment of the uterus, over the cervical os, at birth.
Queensland Perinatal Data Collection (QPDC)
Presentation of baby at birth
Representational Attributes
Numeric
Code
N
1
1
Permissible Values

Permissible_values

CodeDescription
1Vertex
2Breech
4Face
5Brow
6Other cephalic
7Transverse/shoulder
8Other
Supplementary Values

Supplemenary_values

CodeDescription
9Not stated/unknown
Collection and Usage Attributes
Code 1 Vertex
Presentation at birth is the upper back part of the fetal head. That is, the occiput is the point of reference.

Code 2 Breech
Presentation at birth is the buttocks or legs. Includes breech with extended legs, breech with flexed legs, footling and knee presentations.

Code 4 Face
Presentation at birth is the face. That is, the fetal head is hyper-extended and the area of the head below the root of the nose and the orbital ridge is at the cervical os.

Code 5 Brow
Presentation at birth is the brow. That is, the fetal head is partly extended and the area of the head between the anterior fontanelle and the root of the nose is at the cervical os.

Code 6 Other cephalic
Presentation at birth is the head, other than vertex, face or brow. That is, the fetus is in a longitudinal lie with the head entering the pelvis first. For example, deflexed occipito posterior.

Code 7 Transverse/shoulder
Presentation at birth is either transverse or the shoulder.
Transverse: the long axis of the fetal body is across the long axis of the mother's body.
Shoulder: the fetal head is in the iliac fossa and the shoulder is at the cervical os.

Code 8 Other
Presentation at birth is none of the above. For example, compound presentation.

Code 9 Not stated/unknown
Presentation at birth is not stated or unknown. For example, fetus papyraceus, or macerated fetus.
Queensland Perinatal Data Collection (QPDC):
Must not be blank.
Validated against list of presentation codes.
In the case of multiple births, presentation should be recorded for each birth.

For national reporting of the Birth event-birth presentation data element the following mapping occurs:
Code 1 Vertex is mapped to code 1 Vertex.
Code 2 Breech is mapped to code 2 Breech.
Code 4 Face is mapped to code 3 Face.
Code 5 Brow is mapped to code 4 Brow.
Code 6 Other cephalic is mapped to code 8 Other.
Code 7 Transverse/shoulder is mapped to code 8 Other.
Code 8 Other is mapped to code 8 Other.
Code 9 Not stated/unknown is mapped to code 9 Not stated/inadequately described.
Presentation types other than vertex are associated with higher rates of caesarean section, instrumental birth, perinatal mortality and neonatal morbidity.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 3
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementPresentation of babyQH 040046 Version 1Superseded
Relates toData ElementData Element ConceptBirth eventQH 041670 Version 2Draft
Relates toData ElementData Element ConceptBirth eventQH 041670 Version 1Current
Implementation in Metadata Sets

Implemented

  • 1 - 7
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Perinatal Data Collection (QPDC)QH 020003 Version 2MandatoryCurrent01-Jul-2019
Information AssetData CollectionQueensland Perinatal Data Collection (QPDC)QH 020003 Version 1MandatorySuperseded01-Oct-201230-Jun-2019
Data Supply RequirementHHS Service AgreementQueensland Perinatal Data Collection (QPDC) Baby Data Supply Requirement (DSR) 2016-2017QH 020355 Version 1MandatorySuperseded01-Jul-201630-Jun-2017
Data Supply RequirementHHS Service AgreementQueensland Perinatal Data Collection (QPDC) Baby Data Supply Requirement (DSR) 2017-2018QH 020358 Version 1MandatorySuperseded01-Jul-201730-Jun-2018
Data Supply RequirementHHS Service AgreementQueensland Perinatal Data Collection (QPDC) Baby Data Supply Requirement (DSR) 2018-2019QH 020449 Version 1MandatorySuperseded01-Jul-201830-Jun-2019
Data Supply RequirementHHS Service AgreementQueensland Perinatal Data Collection (QPDC) Baby Data Supply Requirement (DSR) 2019-2020QH 020570 Version 1MandatorySuperseded01-Jul-201930-Jun-2020
Data Supply RequirementHHS Service AgreementQueensland Perinatal Data Collection (QPDC) Baby Data Supply Requirement (DSR) 2020-2021QH 020700 Version 1MandatorySuperseded01-Jul-202030-Jun-2021
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data elements:
Birth event-birth presentation, code N, identifier 299992, health standard 06/09/2006 https://meteor.aihw.gov.au/content/index.phtml/itemId/299992/meteorItemView/long
Birth event-birth presentation, code N, identifier 673120, health standard 02/08/2017 https://meteor.aihw.gov.au/content/index.phtml/itemId/673120/meteorItemView/long
Birth event-birth presentation, code N, identifier 695418, health standard 12/12/2018 https://meteor.aihw.gov.au/content/index.phtml/itemId/695418/meteorItemView/long
Birth event-birth presentation, code N, Identifier 749924, Health standard 17/12/2021 https://meteor.aihw.gov.au/content/749924?technical=True
CRDI; CRDI QPDC; Presentation (at birth);