Schedule 2—Pregnancy outcome data and statistics
Part 1—Pregnancy outcome information
The information required for the purposes of regulation 27 is as follows:
Subject |
Details required | |
---|---|---|
1 |
The baby's birth |
Family name (if different from the birth mother's family name) Name of baby (if known) |
| |
Place of birth (a) if
the baby was born in a hospital—the name and address of the hospital (b) if
the baby was born in some other place—the name, or a description of,
that place (eg birthing unit/centre, at home etc) |
| |
Case record number of the baby |
| |
Date and time of birth |
| |
Sex of the baby |
| |
If the baby's birth was a multiple birth— (a) the
number of babies born (b) the
baby's birth order |
| |
Birth weight |
| |
Gestation at birth |
| |
Apgar scores (1 minute and 5 minutes) |
| |
The time taken to establish regular breathing |
| |
If resuscitation was required at delivery, the type of resuscitation used |
|
Details of any condition occurring during the birth | |
| |
Details of any congenital abnormality apparent in the baby [
Note—diagnosis of a congenital abnormality must be notified to the
Minister in accordance with regulation 28 ] |
| |
Details of medical treatments provided to the baby after birth |
| |
Details of nursery care required and, if the baby was transferred to intensive
care, whether this was for a congenital abnormality |
| |
Details of the outcome of the baby |
| |
If the baby was transferred from 1 hospital to another, details of the date
this occurred and the baby's destination |
| |
Date of final discharge (or death) of the baby |
2 |
The baby's birth mother |
Name |
| |
Address |
| |
Case record number |
| |
Date of birth |
| |
Indigenous Australian status, race and ethnicity |
| |
Country of birth |
| |
Type of patient (ie hospital/public patient or private patient) |
| |
Marital status |
| |
Occupation |
| |
Details of the outcomes of any previous pregnancies |
| |
Details of the pregnancy previous to the pregnancy resulting in the baby's
birth, including— (a) the
outcome (b) the
date of delivery or termination (whether by miscarriage or otherwise) |
| |
Details of the method of delivery of the baby born (if any) immediately
previous to this baby's birth |
| |
Number of caesarean sections (if any) the mother has undergone |
3 |
The pregnancy resulting in the baby's birth |
Date of last menstrual period |
| |
Intended place of birth |
| |
Details of any antenatal care received including— (a) type
of care (b)
number of visits (c)
gestation, height and weight at first antenatal visit |
| |
Details of the mother's tobacco smoking during pregnancy and, if relevant,
details of any cessation advice given |
| |
Details of any medical conditions of the mother present in this pregnancy |
| |
Details of any obstetric complications of the mother |
| |
Details of medical and surgical procedures performed during the pregnancy |
| |
Date of admission to hospital prior to delivery |
| |
Date of— (a)
discharge (b)
transfer to another hospital (c)
death |
4 |
The labour, delivery of the baby and puerperium |
Details of the onset of labour |
Details of any induction or augmentation of labour (including the reason for
the induction) | ||
| |
Details of the presentation of the baby prior to delivery |
| |
Details of the method of delivery of the baby |
| |
If the baby was delivered by caesarean section, the reason for so doing |
|
|
Details of any complications of the labour, delivery and puerperium |
| |
Details of any cardiotocograph (CTG) or fetal scalp pH taken during labour |
Details of the perineal status after delivery | ||
| |
Details of any analgesia given for the labour |
| |
Details of any anaesthesia given for the delivery |
5 |
The baby's birth father |
Occupation |
Part 2—Information relating to congenital abnormalities
The information required for the purposes of regulation 28 is as follows:
Matter |
Details required | |
---|---|---|
1 |
The child |
Name and address |
| |
Place of birth (a) if
the child was born in a hospital—the name of the hospital and (if
available) the child's case record number (b) if
the child was born in some other place—the name, or a description of,
that place (eg birthing unit/centre, at home etc) |
| |
Date of birth |
| |
If the child is receiving treatment in a hospital—the case record number
from the hospital |
| |
If the child was not born in South Australia, the place where the child was
born |
| |
Sex of the child |
| |
If the child's birth was a multiple birth— (a) the
number of babies born (b) the
child's birth order |
| |
The name, address and contact telephone number of any medical practitioner
caring for the child |
| |
If the child is deceased, the date of death and details of any autopsy
performed |
2 |
The child's mother |
Name (including any previous names) Date of birth Indigenous Australian status, race and ethnicity |
3 |
The diagnosis |
Each congenital abnormality diagnosed Family history of any congenital abnormalities present in the baby's parents,
siblings or other specified relatives Address of the mother during the first 16 weeks of pregnancy Exposure of the baby's parents to possible teratogens Whether any prenatal or postnatal diagnostic tests were carried out and (if
so) the results of those tests Name and address of the obstetrician and midwife |
4 |
If the diagnosis was not made in a hospital—the medical practitioner who
made the diagnosis |
Name |
| |
Address of medical practice |
| |
Date of diagnosis Signature Date |
5 |
If the diagnosis was made in a hospital—the person responsible for the
management of the hospital |
Name Designation Address of hospital |
| |
Signature Date |