BORN Clinical Reports
BORN Ontario’s midwifery clinical reports provide quick and readily accessible snapshots of data that are particularly relevant to midwifery care. Clinical reports allow midwives to view and compare statistics for their own clients, their midwifery practice group, and aggregated statistics for all Ontario midwifery clients. These reports are a valuable tool for advocacy, and for monitoring the quality-of-care midwives provide.
The information and outcomes tracked in midwifery clinical reports were selected by midwifery researchers and representatives from the Midwifery Education Program, the AOM, and the College of Midwives of Ontario. This group developed the following four reports and their respective outcomes available in each:
Midwifery care profile: Labour
- fetal surveillance in labour
- pharmacologic pain management in labour
- intervention by planned place of birth
- cervical ripening, induction of labour and augmentation
- indications for induction
Midwifery care profile: Birth
- type of birth
- type of birth by planned and actual place of birth
- actual place of birth by planned place of birth
- type of birth by number of fetuses
- perineal trauma and episiotomy by type of birth
- fetal presentation at time of birth
- primary and repeat caesarean sections
- planned and spontaneous caesarean section
- type of birth for clients with previous caesarean section
- measuring normal birth and early postpartum by planned and actual place of birth
Midwifery care profile: Newborn
- distribution of gestational age at birth in completed weeks
- distribution of birth weight in grams
- infant weight for gestational age
- infant early attachment/feeding initiation, live births, by place of birth
- infant early attachment/feeding initiation, live births, by type of birth
- feeding at discharge
- midwifery feeding
- resuscitation methods
- Apgar 5, by birth location
- Apgar 5, by birth type
- confirmed congenital anomalies
- pregnancy outcome
Midwifery care profile: Utilization of services
- prenatal and postpartum visits by gestational age at booking
- OHIP coverage for Ontario midwifery clients
- unplanned client transport to hospital during labour
- unplanned client transport to hospital during birth/immediate postpartum
- unplanned client transport to hospital during postpartum (not immediate postpartum)
- unplanned newborn transport to hospital during birth/immediate postpartum
- unplanned newborn transport to hospital during postpartum (not immediate)
- client length of stay from admission to discharge home, facility births
- newborn length of stay from birth to discharge home, facility-born term live births
- NICU admissions, term live births, by actual place of birth
- clients with at least one transfer of care, by BORN encounter
- (NEW!) transfers of care in the labour/birth encounter
Reports Accessible to MPGs with no Provincial Comparator Data Available:
Key Indicator Midwifery - Pregnancy and Birth (NEW!)
Provides the count and frequencies of 34 pregnancy and birth indicators:
- Primary language
- Pre-existing health conditions
- Type of birth after previous cesarean birth
- Domestic/intimate partner violence
- First trimester visit
- Prenatal education
- Intention to breastfeed
- Maternal smoking at time of labour/admission
- Alcohol exposure in pregnancy
- Cannabis exposure in pregnancy
- Drug and substance exposure in pregnancy
- Antenatal exposure to medications
- Infections and pregnancy
- Hypertensive disorder of pregnancy
- Pregnancy related complications (not including hypertension or diabetes)
- Type of labour
- Labour and/or birth complications
- Pharmacologic pain management
- Supportive care
- Fetal surveillance
- Type of birth
- Maternal position at time of birth
- Healthcare provider who caught/delivered baby
- Perineal laceration
- Birth location
- Components of third stage management employed (unrelated to corrective measures for bleeding)
- Postpartum breastfeeding education and support
- Postpartum Complications
- Maternal transport to hospital at any part of the labour
- Was client admitted to hospital in postpartum period
- eHBHC screening
Review this helpful resource (PDF, 539 KB) created by BORN to learn how to access this report.
Key Indicator Midwifery - Infant Summary (NEW!)
Provides the count and frequencies of 22 infant indicators:
- Birth location
- Apgar 1
- Apgar 5
- Newborn resuscitation
- Delayed cord clamping
- Birth weight
- Gestational age at birth
- Transfers to NICU
- Arterial cord status
- Arterial cord pH
- Arterial cord base excess/deficit
- Confirmed congenital anomalies
- Newborn birth complications
- Neonatal health conditions
- Hyperbilirubinemia treatment
- Hearing screening
- Final neonatal disposition
- Length of stay
- Feeding 3 days
- Feeding 10 days
- Feeding discharge
- Admission hospital in postpartum
Review this helpful PDF created by BORN to learn how to access this report.
Midwifery care profile: Demographics
Provides the distribution of:
- Maternal age by parity
- Parity by location of birth
- Maternal primary language
- Pre-pregnancy BMI
- Maternal smoking and residential exposure to cigarette smoke during pregnancy
- Also includes selected components of maternal obstetrical history
Midwifery care profile: Forward Sortation Area
Provides numbers and percentages of where clients at your practice group reside, listed by postal code. Forward sortation area (FSA) represents the first three digits of the client’s postal code.
To learn more about the clinical reports available to midwives, visit our Resources for Midwives Developed by BORN Ontario page (login required) and download the BORN Information System (BIS) Reports for Midwives guide.
How to run a clinical report in the BIS
- Log in to the BIS under your midwifery practice group.
- Click on Reports in the top banner.
- Select Clinical Reports.
- Click on the report of interest. The report will open in a new window.
- Enter the required information to run the report:
Enter the date range you are interested in.
Select the indicators you would like to see (select as many as you like).
Select the practice group you would like to run the report for (if you work at more than one midwifery practice).
Click View Report.
Check out your data!
Why your MPG might want to access clinical report data
Clinical reports can be accessed in the BORN Information System at any time by any midwifery user. Reports can be customized to include data belonging to the clients of (a) a primary or coordinating midwife or (b) the entire practice group, which can then be compared with outcomes aggregated from midwifery clients across the province.
Reviewing BORN data can be helpful for:
- self-reflective practice to strategically improve the quality of care within your MPG
- reviewing and comparing your individual or MPG data with provincial midwifery averages
- facilitating discussion with hospitals to expand the scope of midwifery practice
- providing clients and/or the public with MPG or provincial statistics on client and newborn outcomes
- identifying client records in BORN that are incomplete and require acknowledgement (PDF, 195 KB)
Check out the following BORN Ontario webinar from 2015, which provides examples of how midwifery statistics can be used by MPGs. Since this time, some of the contents of clinical reports have changed, but the applicability of these important examples remains. As of 2019, midwives are now able to readily access their clinical reports by simply logging into their BORN account.
Webinar: Using BORN Reports in Clinical Practice.
The importance of acknowledging data
Practice groups can improve the value of clinical reports by ensuring their data is acknowledged (i.e. data is considered complete and accurate) monthly. Only acknowledged data is available for provincial comparators in clinical reports.
Every month we do not acknowledge our data, we are unable to view thousands of data points that set midwives apart from other health care providers and demonstrate rationale for important practices such as early discharge, delayed cord clamping, skin-to-skin, expectant management and more.
– ‘Remi Ejiwunmi, RM
Learn more about the importance of data acknowledgement in our blog post, Midwifery data matters.
BORN has also developed a resource for MPGs on how to acknowledge midwifery data (PDF, 195 KB).
For assistance with data entry issues, data quality management practices, data acknowledgement or for help using the reports, contact your BORN Coordinator.