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Dear Jonathan Fagg

The Oxford University Hospitals NHS Foundation Trust is writing to respond
to your request, F22-8530, sent 20/01/2023.

Please see below your request and the Trust’s response below.

For the purposes of coding, Miscarriage is defined as the spontaneous loss
of pregnancy, by the expulsion or extraction of all or any part of a
non-continuing pregnancy, including placental tissue, membranes, gestation
sac and fetus, before the 24th completed week of pregnancy (i.e. up to and
including 23 weeks and 6 days of gestation). Miscarriage includes all
pregnancy losses from the time of conception until 24 weeks of gestation.

I have put all the relevant information into pivot tables under the
questions into 2 Groups

 

Group 1 (Blue Pivot Tables)

O03.- Spontaneous abortion ** with any 4^th character, is used to classify
a diagnosis of ‘spontaneous miscarriage’ or just ‘miscarriage’. The fourth
character identifies whether the miscarriage is complete or incomplete,
and whether there are associated complications. 

O02.1 Missed abortion classifies a ‘missed miscarriage’, where a diagnosis
of miscarriage is before any bleeding has taken place e.g at a routine
antenatal scan.

 

 Group 2 (Peach Tables)

Other codes in O00-O03 (part of the code block Pregnancy with abortive
outcome) are as follows

O00 Ectopic pregnancy

O00.0 Abdominal pregnancy

O00.1 Tubal pregnancy

O00.2 Ovarian pregnancy

O00.8 Other ectopic pregnancy

O00.9 Ectopic pregnancy, unspecified

 O01 Hydatidiform mole

O01.0 Classical hydatidiform mole

O01.1 Incomplete and partial hydatidiform mole

O01.9 Hydatidiform mole, unspecified

 O02 Other abnormal products of conception

O02.0 Blighted ovum and nonhydatidiform mole

O02.8 Other specified abnormal products of conception

O02.9 Abnormal product of conception, unspecified

 

 

 

 

 1. The total number of cases with a Primary Discharge reason recorded

Primary Diagnosis recorded at Spell Level with Last Episode Indicator

 

DischargeYear WithPrimaryDiagnosis
2017 202117
2018 200936
2019 206426
2020 165740
2021 188408
2022 193676

 

 

 a. Yearly totals for the years 2022, 2021, 2020, 2019, 2018, 2017.

 

Before the 24th completed week of
pregnancy Column Labels          
Row Labels 2017 2018 2019 2020 2021 2022
Missed abortion 231 209 210 233 195 182
Spontaneous abortion 432 447 401 376 479 425
Grand Total 663 656 611 609 674 607

 

 

 

ICD10Name (Multiple Items)          
             
  Column Labels          
  2017 2018 2019 2020 2021 2022
Pregnancy with abortive outcome 105 121 151 202 254 255

                             Will Include

O00 Ectopic pregnancy, O00.0 Abdominal pregnancy, O00.1 Tubal pregnancy,
O00.2 Ovarian pregnancy, O00.8 Other ectopic pregnancy, O00.9 Ectopic
pregnancy, unspecified,  O01 Hydatidiform mole

O01.0 Classical hydatidiform mole, O01.1 Incomplete and partial
hydatidiform mole, O01.9 Hydatidiform mole, unspecified,  O02 Other
abnormal products of conception, O02.0 Blighted ovum and nonhydatidiform
mole

O02.8 Other specified abnormal products of conception, O02.9 Abnormal
product of conception, unspecified

 

 

 

 a. Level of deprivation of the mother, from 1-Most deprived to 10-Least
deprived

 

ICD10Name (Multiple Items)          
             
Before the 24th completed week
of pregnancy Column Labels          
Row Labels 2017 2018 2019 2020 2021 2022
1 1 5 2   6 4
2 32 51 38 30 45 33
3 35 22 27 26 40 21
4 37 35 42 46 33 29
5 38 35 30 37 37 46
6 82 68 60 60 62 50
7 82 58 60 69 61 65
8 93 101 98 80 83 75
9 99 92 112 82 83 101
10 139 129 103 97 130 92
NULL 25 60 39 82 94 91
Grand Total 663 656 611 609 674 607
             
Null Fields belong to Mothers with ZZ Postcodes
(Mostly Overseas)          

 

Will Include

 O03.- Spontaneous abortion and O02.1 Missed abortion 

 

ICD10Name (Multiple Items)          
             
Pregnancy with abortive outcome Column Labels          
Row Labels 2017 2018 2019 2020 2021 2022
1 1 4 1 2 1 4
2 6 8 6 8 12 20
3 6 7 8 5 11 6
4 3 4 14 13 14 4
5 8 8 6 10 11 8
6 17 12 19 29 20 34
7 14 16 8 9 14 25
8 13 24 23 19 45 43
9 15 15 23 27 52 19
10 14 15 28 39 27 40
NULL 8 8 15 41 47 52
Grand Total 105 121 151 202 254 255

 

Will include

O00 Ectopic pregnancy, O00.0 Abdominal pregnancy, O00.1 Tubal pregnancy,
O00.2 Ovarian pregnancy, O00.8 Other ectopic pregnancy, O00.9 Ectopic
pregnancy, unspecified,  O01 Hydatidiform mole

O01.0 Classical hydatidiform mole, O01.1 Incomplete and partial
hydatidiform mole, O01.9 Hydatidiform mole, unspecified,  O02 Other
abnormal products of conception, O02.0 Blighted ovum and nonhydatidiform
mole

O02.8 Other specified abnormal products of conception, O02.9 Abnormal
product of conception, unspecified

 

c) Racial and/or Ethnic group of the mother, e.g. Asian, Black, White,
etc.

ICD10Name (Multiple Items)          
             
Before the 24th completed week
of pregnancy Column Labels          
Row Labels 2017 2018 2019 2020 2021 2022
African 10 10 6 6 18 9
Any Other Asian Background 8 15 18 11 17 12
Any Other Black Background 1 3 6 9 2 1
Any Other Ethnic Group 3 8 10 10 16 19
Any Other Mixed Background   7 4 2 8 6
Any Other White Background 67 77 93 72 106 73
Bangladeshi 1 4 1 5 2 4
Caribbean 3   1 4 3  
Chinese 10 10 3 3 7 9
Indian 15 7 5 13 9 5
Not Known 3 4 8 8 19 7
Not Stated 160 143 103 138 108 97
Pakistani 12 17 13 23 13 27
White and Asian 2 2 2 1 3 3
White and Black African 1 2     11 3
White and Black Caribbean 3 2   6 5 6
White British 362 344 337 293 326 323
White Irish 2 1 1 5 1 3
Grand Total 663 656 611 609 674 607

 

Will Include

 O03.- Spontaneous abortion and O02.1 Missed abortion 

 

ICD10Name (Multiple Items)          
             
Pregnancy with abortive outcome Column Labels          
Row Labels 2017 2018 2019 2020 2021 2022
African 2 2 2 5 1 1
Any Other Asian Background   1 6 17 8 11
Any Other Black Background 1 1 2   3 6
Any Other Ethnic Group 1 1 1 2 7 3
Any Other Mixed Background   2   1 3  
Any Other White Background 9 17 18 32 16 23
Bangladeshi 3   3   5  
Caribbean 1 1 1 2 1 1
Chinese 1   4 1 2 10
Indian 2 1 2 5 4 5
Not Known 1 3 4 4 8 7
Not Stated 18 20 20 40 53 49
Pakistani 2 1 6 5 6 4
White and Asian         1 1
White and Black African     1      
White and Black Caribbean 2   1      
White British 62 71 79 88 136 134
White Irish     1      
Grand Total 105 121 151 202 254 255

Will Include

O00 Ectopic pregnancy, O00.0 Abdominal pregnancy, O00.1 Tubal pregnancy,
O00.2 Ovarian pregnancy, O00.8 Other ectopic pregnancy, O00.9 Ectopic
pregnancy, unspecified,  O01 Hydatidiform mole

O01.0 Classical hydatidiform mole, O01.1 Incomplete and partial
hydatidiform mole, O01.9 Hydatidiform mole, unspecified,  O02 Other
abnormal products of conception, O02.0 Blighted ovum and nonhydatidiform
mole

O02.8 Other specified abnormal products of conception, O02.9 Abnormal
product of conception, unspecified

 

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Kind regards,

Freedom of Information Team
Oxford University Hospitals NHS Foundation Trust
John Radcliffe Hospital
Headley Way
Headington
Oxford
OX3 9DU

 

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