National Women's Annual Clinical Report 2010

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Table 207: Method of Infant feeding at discharge from NW (2003-2010) ..................................... 237 Table 208: Infant feeding on discharge from NW by mode of birth, LMC and maternal age) ....... 237 Table 209: Infant feeding on discharge from NW by prioritised maternal ethnicity, gestation, birthweight and among standard primpara (2010).................................................................. 238 Table 210: Infant feeding on discharge from NW Homecare (2010) ............................................. 238 Table 211: Maternal destination following birth by mode of birth (2010) ...................................... 238 Table 212: Maternal destination following birth by LMC at birth (2010) ........................................ 238 Table 213: Maternal destination following birth by prioritised maternal ethnicity (2010) ............... 239 Table 214: Postnatal readmission reason by maternal destination following birth (2010) ............ 239 Table 215: Place of birth for women admitted postnatally who did not birth at NW (2010)........... 239 Table 216: Occupancy (baby-days) for NICU by gestational age (1999-2010)............................. 240 Table 217: Occupancy (baby-days) for NICU by birth weight (1999-2010)................................... 240 Table 218: Admissions of inborn babies to NICU by gestational age groups (2000-2010)........... 240 Table 219: Live births at National Women’s by birthweight (includes BBA) (2010)....................... 240 Table 220: Admissions of inborn babies to NICU by birth weight (2000-2010) ............................ 241 Table 221: Admissions of inborn babies to NICU by gestational age (2000-2010)....................... 241 Table 222: Admissions of outborn babies to NICU by gestational age (2000-2010)..................... 242 Table 223: Admissions of outborn babies to NICU by gestational age groups (2000-2010)........ 242 Table 224: Admissions of outborn babies to NICU by birth weight (2000-2010)........................... 243 Table 225: Domicile of mother of all babies admitted to NICU (2000-2010) ................................. 243 Table 226: DHB of mothers of all babies admitted to NICU (2010)............................................... 244 Table 227: Prioritised ethnicity of babies admitted to NICU (2010).............................................. 244 Table 228: Main reason for admission to NICU (2010) ................................................................. 244 Table 229: Percentage receiving antenatal corticosteroids by birth weight among ANZNN assigned babies (2003-2010)................................................................................................................. 245 Table 230: Percentage receiving antenatal corticosteroids by gestational age among ANZNN assigned babies (2003-2010) ................................................................................................. 245 Table 231 (continued): Percentage receiving antenatal corticosteroids by gestational age among ANZNN assigned babies......................................................................................................... 246 Table 232: Organisms causing serious infection in NICU (2010).................................................. 246 Table 233: Intraventricular haemorrhage by birth weight (2010)................................................. 247 Table 234: Intraventricular haemorrhage by gestation (2010)....................................................... 247 Table 235: Intraventricular haemorrhage in all
Table 258: Perinatal mortality rate (per 1000 births) and perinatal-related mortality rate (per 1000 births) adjusted for lethal and terminated fetal abnormalities* (2000-2010)........................... 255 Table 259: Maternal characteristics and perinatal related mortality (2010).................................. 256 Table 260: Cause of perinatal-related death (2003-2004 ANZACPM; 2005-2010 PSANZ-PDC). 257 Table 261: Cause of death (PSANZ-PDC) among terminations of pregnancy (2010) .................. 257 Table 262: Perinatal deaths by cause (PSANZ-PDC) and gestational age (2010) ....................... 257 Table 263: Demography and characteristics of women attending EDU (2002-2010) ................... 258 Table 264: BMI by ethnicity (prioritised) among women having inpatient gynaecology surgery (2010)...................................................................................................................................... 259 Table 265: Smoking status by ethnicity (prioritised) among women having inpatient gynaecology surgery (2010)......................................................................................................................... 259 Table 266: ASA rating among women having inpatient gynaecology surgery (2010)................... 259 Table 267: BMI and Surgical approach ........................................................................................ 260 Table 268: Level 2 prioritisation of ethnicity as outlined in ‘Ministry of Health. 2004. Ethnicity Data Protocols for the Health and Disability Sector.’ ...................................................................... 264 xi
Page 1 and 2: National Women’s Annual Clinical
Page 3 and 4: It is my pleasure to present the 20
Page 5 and 6: 7 LABOUR AND BIRTH OUTCOMES .......
Page 7 and 8: Table 50: Neonatal outcomes followi
Page 9: Table 153: Preterm birth and matern
Page 13 and 14: Figure 53: Mode of birth (1991-2010
Page 15: Chapter 1 INTRODUCTION 1
Page 18 and 19: Chapter 8: Postnatal care This chap
Page 20 and 21: 1.5.3 Gynaecologic data quality As
Page 23 and 24: 2 SERVICE PROVISION 2.1 Maternity s
Page 25 and 26: 2.2.4 Antenatal and Postnatal Wards
Page 27 and 28: The service has access to the ACH L
Page 29 and 30: 2.5.3 University Links There are cl
Page 31 and 32: Reportable events All incidents (mi
Page 33: Chaptern 3 SUMMARY STATISTICS 19
Page 36 and 37: 3.2 Summary of maternal outcomes 20
Page 38 and 39: Rate Table 7: Perinatal related mor
Page 40 and 41: Maternal indicator Caesarean sectio
Page 42 and 43: 50 45 40 35 30 25 20 15 10 5 0 % Ep
Page 45 and 46: 4 MATERNAL DEMOGRAPHY This chapter
Page 47 and 48: 4.2.2 Maternal ethnicity When more
Page 49 and 50: % 60 50 40 30 20 10 0 NZ European M
Page 51 and 52: 4.5 Body mass index Thirty five per
Page 53 and 54: % 100 80 60 40 20 0 European Maori
Page 55: Women booked with a private obstetr
Page 59 and 60: 5 ANTENATAL COMPLICATIONS This chap
Page 61 and 62:
Ethnic differences in rates of pret
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of women under 20 with SGA babies s
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Perinatal deaths in term SGA infant
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The rate of multiple pregnancy rema
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Summary / Implications Multiple pre
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5.4.1 Demographic characteristics o
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5.4.5 Perinatal losses Diabetes Per
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A confirmed placental abruption is
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70 60 50 40 30 20 10 0 % Gestationa
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5.7 Body Mass Index Methods BMI is
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% European Maori Pacific Other Asia
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50 45 40 35 30 25 20 15 10 5 0 % Eu
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16 % 40 14 12 10 8 6 4 2 0 Iatrogen
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Table 38: Mothers with babies diagn
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6 LABOUR AND BIRTH This chapter inc
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Table 39: Maternal demographic char
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Table 40: Gestation at birth among
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Women given syntocinon prior to 3 c
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70 60 50 40 30 20 10 0 % NZ Europea
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6.5 Caesarean section WHA Maternity
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Caesarean section rate 60 50 40 30
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Sixty percent of para 1 women with
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6.6 Instrumental vaginal birth WHA
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Table 52: Neonatal outcomes followi
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6.10 Obstetric analgesia WHA Matern
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Table 56: GA use and mode of birth
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Table 58: Interventions and outcome
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Chaptern 7 LABOUR and BIRTH OUTCOME
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7 LABOUR and BIRTH OUTCOMES This ch
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7.2 Third stage management Methods:
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Table 61: Postpartum haemorrhage ra
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7.4 Emergency peripartum hysterecto
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Chaptern 8 POSTNATAL CARE 113
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8 POSTNATAL CARE This chapter provi
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% 90 85 80 75 70 65 60 55 50 45 40
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8.2 Postnatal admissions Methods Pr
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Table 70: Reason for admission to N
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Chaptern 9 NEWBORN SERVICES 123
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9 NEWBORN SERVICES This chapter pro
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9.2 NICU occupancy For 2010 the ver
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Number 700 600 500 400 300 200 100
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9.3.4 Reasons for admission to NICU
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9.4.3 Intraventricular haemorrhage
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246 for 2010. This number is higher
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9.4.8 Trends in the use of assisted
Page 153 and 154:
9.4.10 Positive pressure ventilatio
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9.4.12 Term/post-term infants on as
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9.5.2 Survival of inborn babies (23
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20% 18% 16% 14% 12% 10% 8% 6% 4% AN
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9.5.10 Postnatal corticosteroids (A
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express milk for many weeks before
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9.9 Child Development Unit 9.9.1 Fo
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9.9.2 Development at 4 years of chi
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Chapter 10 PERINATAL MORTALITY 155
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10 PERINATAL MORTALITY This chapter
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Table 87: Perinatal related loss an
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10.5 Causes of perinatal-related de
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Chapter 11 SEVERE MATERNAL MORBIDIT
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11 SEVERE MATERNAL MORBIDITY This c
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Chapter 12 GYNAECOLOGY 167
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12 GYNAECOLOGY This chapter provide
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12.2 Termination of pregnancy Epsom
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12.3 Second trimester Termination o
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12.4 Gynaecology inpatient surgery
Page 191 and 192:
Table 101: Demographic details of w
Page 193 and 194:
ACHS Gynaecology Indicators: Injury
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12.5 Gynaecologic laparoscopic proc
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12.6 Hysterectomy Methods See Gynae
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% 80 70 60 50 40 30 20 10 0 Abdomin
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12.7 Urogynaecology Methods As in p
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Table 113: Complications of surgery
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12.8 Colposcopy Methods: The data p
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Referral smear cytology Table 117:
Page 209 and 210:
The number of treatments and percen
Page 211 and 212:
Number of patients 4.5 4 3.5 3 2.5
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12.9 Gynaecologic oncology surgical
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11.9.2 Gynaecologic oncology surger
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203
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Antenatal Summary screen; Reason fo
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Postnatal Mothers Destination to Wa
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APPENDIX 2. SUMMARY STATISTICS Tabl
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Table 135: Time trends in nullipari
Page 227 and 228:
Table 141: Rates of smoking at book
Page 229 and 230:
Table 149: LMC at birth and materna
Page 231 and 232:
APPENDIX 4. ANTENATAL COMPLICATIONS
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Table 157: Demographic characterist
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4.4 Hypertensive disease Table 160:
Page 237 and 238:
Table 164: LMC at birth and BMI (20
Page 239 and 240:
APPENDIX 5. LABOUR AND BIRTH 5.1 In
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5.2 Outcomes following induction Ta
Page 243 and 244:
Table 180: Mode of birth by LMC at
Page 245 and 246:
5.5 Operative births Table 189: Pri
Page 247 and 248:
Table 196: Referral for ECV (women
Page 249 and 250:
APPENDIX 6. LABOUR and BIRTH OUTCOM
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APPENDIX 7. POSTNATAL CARE 7.1 Infa
Page 253 and 254:
Table 213: Maternal destination fol
Page 255 and 256:
Table 220: Admissions of inborn bab
Page 257 and 258:
Table 224: Admissions of outborn ba
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8.2.5 Antenatal corticosteroids Tab
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8.3.2 Intraventricular haemorrhage
Page 263 and 264:
8.4.1 Survival Table 240: Numbers o
Page 265 and 266:
8.5.4 Patent Ductus Arteriosus Tabl
Page 267 and 268:
Table 252: Inborn babies receiving
Page 269 and 270:
APPENDIX 9. PERINATAL MORTALITY Tab
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Table 260: Cause of perinatal-relat
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10.2 Gynaecology Inpatient Surgery
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APPENDIX 11. GLOSSARY OF ABBREVIATI
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APPENDIX 12. DEFINITIONS Antepartum
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Lead Maternity Carer (LMC) The Lead
Page 281:
Standard primipara A woman with no
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National Women's Annual Clinical Report 2010

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