National Women's Annual Clinical Report 2010

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Table 123: Post treatment follow up findings 2009 treatments N=166 n % Cytology findings at post treatment follow up No smear taken 4 2.4 Normal 120 72.3 High grade 11 6.6 Low grade/ASCUS 29 17.5 Unsatisfactory 1 0.6 Other Histology findings at post treatment follow up 1 0.6 No biopsy taken 146 88.0 HG 1 0.6 HPV 6 3.6 Condyloma/inflammation 2 1.2 Normal 11 6.6 Colposcopy Standard: Primary haemorrhage after treatment Standard NW 2008 NW 2009 NW 2010 Indicator Definition % % % % Numerator Treated women who require treatment for primary haemorrhage
Number of patients 4.5 4 3.5 3 2.5 2 1.5 1 0.5 0 LG Hospital LG Patient Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 Figure 136: Low grade referrals outside NSU Targets: Hospital vs patient related delays Number of patients 6 5 4 3 2 1 0 Treatment Hosp Treatment Patient Figure 137: Treatments outside NSU Targets: Hospital vs patient related delays % of appointments 18 16 14 12 10 8 6 4 2 0 Figure 138: Patient did not attend (DNA) Rate Jan-2009 Feb-2009 Mar-2009 Apr-2009 May-2009 Jun-2009 Jul-2009 Aug-2009 Sep-2009 Oct-2009 Nov-2009 Dec-2009 Jan-2010 Jan-09 Feb-2010 Feb-09 Mar-2010 Mar-09 Apr-2010 Apr-09 May-2010 May-09 Jun-2010 Jun-09 Jul-2010 Jul-09 Aug-2010 Aug-09 Sep-2010 Sep-09 Oct-2010 Oct-09 Nov-2010 Nov-09 Dec-2010 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10 Oct-10 Nov-10 Dec-10 197
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National Women’s Annual Clinical
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It is my pleasure to present the 20
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7 LABOUR AND BIRTH OUTCOMES .......
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Table 50: Neonatal outcomes followi
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Table 153: Preterm birth and matern
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Table 258: Perinatal mortality rate
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Figure 53: Mode of birth (1991-2010
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Chapter 1 INTRODUCTION 1
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Chapter 8: Postnatal care This chap
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1.5.3 Gynaecologic data quality As
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2 SERVICE PROVISION 2.1 Maternity s
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2.2.4 Antenatal and Postnatal Wards
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The service has access to the ACH L
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2.5.3 University Links There are cl
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Reportable events All incidents (mi
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Chaptern 3 SUMMARY STATISTICS 19
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3.2 Summary of maternal outcomes 20
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Rate Table 7: Perinatal related mor
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Maternal indicator Caesarean sectio
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50 45 40 35 30 25 20 15 10 5 0 % Ep
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4 MATERNAL DEMOGRAPHY This chapter
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4.2.2 Maternal ethnicity When more
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% 60 50 40 30 20 10 0 NZ European M
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4.5 Body mass index Thirty five per
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% 100 80 60 40 20 0 European Maori
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Women booked with a private obstetr
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5 ANTENATAL COMPLICATIONS This chap
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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
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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
Page 159 and 160: 20% 18% 16% 14% 12% 10% 8% 6% 4% AN
Page 161 and 162: 9.5.10 Postnatal corticosteroids (A
Page 163 and 164: express milk for many weeks before
Page 165 and 166: 9.9 Child Development Unit 9.9.1 Fo
Page 167 and 168: 9.9.2 Development at 4 years of chi
Page 169 and 170: Chapter 10 PERINATAL MORTALITY 155
Page 171 and 172: 10 PERINATAL MORTALITY This chapter
Page 173 and 174: Table 87: Perinatal related loss an
Page 175 and 176: 10.5 Causes of perinatal-related de
Page 177 and 178: Chapter 11 SEVERE MATERNAL MORBIDIT
Page 179 and 180: 11 SEVERE MATERNAL MORBIDITY This c
Page 181 and 182: Chapter 12 GYNAECOLOGY 167
Page 183 and 184: 12 GYNAECOLOGY This chapter provide
Page 185 and 186: 12.2 Termination of pregnancy Epsom
Page 187 and 188: 12.3 Second trimester Termination o
Page 189 and 190: 12.4 Gynaecology inpatient surgery
Page 191 and 192: Table 101: Demographic details of w
Page 193 and 194: ACHS Gynaecology Indicators: Injury
Page 195 and 196: 12.5 Gynaecologic laparoscopic proc
Page 197 and 198: 12.6 Hysterectomy Methods See Gynae
Page 199 and 200: % 80 70 60 50 40 30 20 10 0 Abdomin
Page 201 and 202: 12.7 Urogynaecology Methods As in p
Page 203 and 204: Table 113: Complications of surgery
Page 205 and 206: 12.8 Colposcopy Methods: The data p
Page 207 and 208: Referral smear cytology Table 117:
Page 209: The number of treatments and percen
Page 213 and 214: 12.9 Gynaecologic oncology surgical
Page 215 and 216: 11.9.2 Gynaecologic oncology surger
Page 217 and 218: 203
Page 219 and 220: Antenatal Summary screen; Reason fo
Page 221 and 222: Postnatal Mothers Destination to Wa
Page 223 and 224: APPENDIX 2. SUMMARY STATISTICS Tabl
Page 225 and 226: 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
Page 233 and 234: Table 157: Demographic characterist
Page 235 and 236: 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
Page 241 and 242: 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
Page 251 and 252: 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
Page 259 and 260: 8.2.5 Antenatal corticosteroids Tab
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8.3.2 Intraventricular haemorrhage
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8.4.1 Survival Table 240: Numbers o
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8.5.4 Patent Ductus Arteriosus Tabl
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Table 252: Inborn babies receiving
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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
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Standard primipara A woman with no
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