c - Third or fourth degree 1st Delivery Record under 3rd degree lac. perineal laceration Episiotomy section 3° LAC degree Lacerations section 4th degree lac. 4° LAC degree 3° laceration extends 2nd Recovery Room Record completely through the under - Maternal Data perineal skin, vaginal – Delivered mucosa, perineal body, and anal sphincter. 4° laceration is all of the above with extension through the rectal mucosa. 1st Delivery Record under d- Ruptured uterus Broad ligament hematoma — Delivery Summary Note – Tearing of the uterine wall. Comments/Complications Look for: Dehiscence of uterine scar 2nd Operative Note Window oma 3rd Physician Progress Note Same as ruptured uterus above Hysterectomy e - Unplanned hysterectomy C-Hyst (Cesarean+Hysterectomy) Surgical removal of the uterus that Laparotomy was not planned before the admission. Includes an anticipated, but not definitively planned, hysterectomy.
c - Third or fourth degree perineal laceration 3° laceration extends completely through the perineal skin, vaginal mucosa, perineal body, and anal sphincter. 4° laceration is all of the above with extension through the rectal mucosa. 1st Delivery Record under Episiotomy section Lacerations section 2nd Recovery Room Record under - Maternal Data – Delivered 3rd degree lac. 3° LAC degree 4th degree lac. 4° LAC degree d- Ruptured uterus Tearing of the uterine wall. 1st Delivery Record under — Delivery Summary Note – Comments/Complications 2nd Operative Note 3rd Physician Progress Note Broad ligament hematoma Look for: Dehiscence of uterine scar Window oma e - Unplanned hysterectomy Surgical removal of the uterus that was not planned before the admission. Includes an anticipated, but not definitively planned, hysterectomy. Same as ruptured uterus above Hysterectomy C-Hyst (Cesarean+Hysterectomy) Laparotomy
Guide_MPM_BC_Facility_Worksheet_Guidelines.10.14.docx