2005 - National Women's Hospital - Auckland District Health Board

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Cover artwork: Chris Charteris, 2004. Unconditional love. Medium: Gold-lipped mother of pearl with bright yellow and red pigment. Chris Charteris, 2004. The unborn child and its connection to the universe. Medium: Mother of pearl in silver. Te Ao Marama Ngarimu, 2004. Kete Whakairo. Medium: Woven flax fibre. NICU and National Women's Health are deeply indebted to FHE Galleries (Auckland), Kathlene Fogarty, and the artists for providing the artwork installed in NICU (http://www.fhegalleries.com). 2
National Women’s Annual Clinical Report Contact Details Marjet Pot, Project Manager marjetp@adhb.govt.nz Lynn Sadler, Epidemiologist lynns@adhb.govt.nz 1 2005 Shirley Beer, Maternity Clinical Information sbeer@adhb.govt.nz David Knight, Clinical Leader davidk@adhb.govt.nz Carl Kuschel, Clinical Director Neonatal Paediatrics carlk@adhb.govt.nz Denys Court, Clinical Director Obstetrics and Gynaeocology denysc@adhb.govt.nz
Page 4 and 5: Reproduction of material National W
Page 6 and 7: TABLE of CONTENTS 1 INTRODUCTION ..
Page 8 and 9: 10 GYNAECOLOGY ....................
Page 10 and 11: Table 36: Blood transfusion……
Page 12 and 13: Table 108: Induction rate by indica
Page 14 and 15: Table 173: Chronic lung disease by
Page 16 and 17: Figure 34: Caesarean section rate a
Page 18 and 19: Figure 104: ROP at 28-31 weeks.....
Page 21 and 22: 1 INTRODUCTION 1.1 Purpose of this
Page 23 and 24: 1.4.1 Healthware In 2001, Healthwar
Page 25 and 26: clinical record and data in Healthw
Page 27: section 2 SUMMARY STATISTICS SSSTAT
Page 30 and 31: 2.2 Summary of maternal outcomes 20
Page 32 and 33: 2.3 Summary of neonatal outcomes 20
Page 35 and 36: 3 MATERNAL DEMOGRAPHY This chapter
Page 37 and 38: 80 70 60 50 40 30 20 10 0 % Nullipa
Page 39 and 40: Significantly, more complete data h
Page 41: section 4 ANTENATAL COMPLICATIONS C
Page 44 and 45: Table 9: Rates of preterm birth
Page 46 and 47: 4.2 Small for gestational age (SGA)
Page 48 and 49: 4.3 Multiple pregnancy This section
Page 50 and 51: Table 16: Fetal/newborn outcomes of
Page 52 and 53:
4.4 Diabetes Methods The statistics
Page 54 and 55:
4.4.2 Outcomes of pregnancies compl
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Table 20: Neonatal outcomes among b
Page 58 and 59:
4.5 Antepartum haemorrhage Antepart
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had had a Manchester operation for
Page 62 and 63:
lower rate among Asian women may be
Page 65:
section 5 LABOUR and BIRTH DEMOGRAP
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Rates of induction vary by LMC, mat
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% 35 10 9 8 7 6 5 4 3 2 1 0 Post da
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5.2 Use of Syntocinon Table 26: Use
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5.3 Mode of birth Findings Table 27
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70 60 50 40 30 20 10 0 % IMW Pvt Ob
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5.4 Caesarean section Methods In 20
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Other Failed Induction Diabetes Cor
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. % 70 60 50 40 30 20 10 0 SVB Oper
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5.7 Obstetric analgesia Methods Cur
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Younger women are less likely to ch
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There is a suggestion that third an
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Table 36: Blood transfusion 1993 19
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5.11 Neonatal outcomes by mode of b
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5.12 Labour and birth at Birthcare
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Summary • The caesarean section r
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6 POSTNATAL CARE This chapter provi
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% 80 60 40 20 0 NZ European Maori P
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increase in numbers in the Medical
Page 105 and 106:
Of the 2013 women with vaginal birt
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The rate of re-admission is half th
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section 7 NEWBORN SERVICES 107
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7 NEWBORN SERVICES This chapter pro
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Number 600 500 400 300 200 100 0 AD
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7.3 Immunisation A number of babies
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7.5 Hypoxic ischaemic encephalopath
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7.6.2 Trends in use of assisted ven
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7.6.4 Positive pressure ventilation
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7.6.6 High frequency oscillatory ve
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7.7 Very low birth weight infants T
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7.8 Survival of babies from 23 to 3
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7.10 Morbidity of inborn very low b
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7.10.3 Intraventricular haemorrhage
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7.10.6 Chronic lung disease The ANZ
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7.10.9 Pneumothorax needing drainag
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7.11 Death of babies born in or adm
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Table 53: Outcome Categories at 18
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Table 56: Outcome categories at 4 y
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section 8 PERINATAL MORTALITY 141
Page 145 and 146:
8 PERINATAL MORTALITY This chapter
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All babies born at National Women
Page 149 and 150:
8.5 Lead maternity carer (LMC) at b
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8.8 Necropsy 80 70 60 50 40 30 20 1
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section 9 FERTILITY SERVICES 151
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9 FERTILITY SERVICES This chapter d
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section 10 GYNAECOLOGY 155
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10 GYNAECOLOGY 10.1 Hyperemesis Met
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10.2 Ectopic pregnancy Methods Thes
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10.3 Hysterectomy Methods These dat
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section 11 TERMINATION of PREGNANCY
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11 TERMINATION OF PREGNANCY Epsom D
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section 12 APPENDICES 167
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APPENDIX 1. METHODOLOGY 1.2 Data cl
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If indication for operative deliver
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APPENDIX 2. SUMMARY STATISTICS Tabl
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Table 79: Time trends in Nulliparit
Page 179 and 180:
3.1 Lead Maternity Carer and matern
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3.2 Smoking Table 88: Smoking statu
Page 183 and 184:
APPENDIX 4. ANTENATAL COMPLICATIONS
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4.3 Diabetes Table 94: Women with d
Page 187 and 188:
4.4 Antepartum haemorrhage Table 98
Page 189 and 190:
4.5 Hypertensive disease Table 101:
Page 191 and 192:
Table 105: Rates of indication for
Page 193 and 194:
Table 108: Induction rate by indica
Page 195 and 196:
Table 113: Gestation at birth among
Page 197 and 198:
Table 119: Mode of birth by LMC at
Page 199 and 200:
Total births (mothers) Total operat
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NZ European SVB Vaginal breech 199
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LMC type Total Epidural Entonox Pet
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Table 137: 3 rd and 4 th degree tea
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Table 141: Clinical characteristics
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Table 147: Postnatal readmission by
Page 211 and 212:
Table 149: Admissions to NICU by bi
Page 213 and 214:
Table 153: Domicile of mother of ba
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Table 159: Late onset serious infec
Page 217 and 218:
Table 164: Inhaled Nitric Oxide (iN
Page 219 and 220:
Table 170: Intraventricular haemorr
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Table 177: Patent Ductus Arteriosus
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7.7 Details of babies who died Tabl
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Table 187: Babies with lethal anoma
Page 227 and 228:
Table 191: Maternal characteristics
Page 229 and 230:
Perinatal necropsy rates (%) Table
Page 231 and 232:
APPENDIX 10. GLOSSARY OF ABBREVIATI
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Lead Maternity Carer (LMC) The Lead
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2005 - National Women's Hospital - Auckland District Health Board

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