Table 1

Obstetric risk factors. Hierarchical classification of indications for caesarean

Category Description ICD-9-CM
BreechBreech presentation652.2
DystociaMaterno-fetal disproportion653
Obstructed birth660
Abnormal uterine contractions661 (except 661.3)
Prolonged labour662
Abnormal presentation652 (except 652.1, 652.5)
Failure in induction of labour659.0/659.1
Fetal distressFetal distress656.3
Prolapsed cord663.0
OtherAntepartum haemorrhage, abruptio placenta and previa placenta641
Insufficient or excessive fetal growth656.5/656.6
Genital herpes647.6/54
Diabetes mellitus/abnormal glucose tolerance648.0/648.8
Arterial hypertension642
Oligohydramnios658.0
Infection of amniotic cavity658.4
Malformation of fetal SNC655.0
Congenital/acquired abnormality of cervix or vagina654.6/654.7
Iso-immunisation with Rh antigen656.1
Cerebral occlusion-haemorrhage430,431,432,433,434
Remainder abnormal birthsRemainder of births not coded under code 650 (completely normal birth) or coded under V27.0  (newborns), 670 to 676 (complications during puerperium) or 654.2 (previous caesarean)