National Women's Annual Clinical Report 2010

1 INTRODUCTION
1.1 Purpose of this report
The purpose of the National Women’s (NW) Annual Clinical Report is:
To chronicle maternity, neonatal, and gynaecologic care and outcomes of care
during the calendar year.
To demonstrate trends in the population, service provision, interventions and
outcomes over time.
To stimulate enquiry and improvement in services provided by NW.
To encourage external commentary and critique of care provided at NW.
To provide a benchmark for obstetric and neonatal care in New Zealand against
which other services might compare themselves.
1.2 Report structure
The chapters in this report contain figures and commentary with limited data tables. The
similarly numbered appendices contain the comprehensive data tables relevant to the
commentary in each chapter. The report is divided into the following chapters:
Chapter 1: Introduction
This chapter provides background information, describes the data sources and relevant
methodology.
Chapter 2: Service provision
This chapter gives background or context to the provision of Maternity, Gynaecology and
Newborn Services at National Women’s.
Chapter 3: Summary statistics
This chapter provides, for the obstetric and neonatal population at NW, summary data on
principal outcomes. It also includes benchmarking of NW maternity data with Women’s
Hospitals Australasia (WHA) clinical indicators.
Chapter 4: Maternal demography
This chapter provides information on domicile, age, ethnicity, parity, smoking behaviour,
BMI, deprivation and LMC for the women who birthed at NW. It also provides data on the
characteristics of standard primipara at NW.
Chapter 5: Antenatal complications
This chapter focuses on the following antenatal complications: diabetes, preterm birth,
multiple pregnancy, antepartum haemorrhage, SGA (small for gestational age), and
hypertensive disease. It also includes an analysis of interventions and outcomes by
maternal BMI; and data from the Maternal Fetal Medicine Service.
Chapter 6: Labour and birth
This chapter focuses on induction of labour, mode of birth, and neonatal and maternal
outcomes associated with birthing. It also provides data on outcomes of women labouring
at Birthcare Auckland.
Chapter 7: Labour and birth outcomes
This chapter includes perineal trauma, postpartum haemorrhage, emergency peripartum
hysterectomy, and neonatal outcomes.
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