National Women's Annual Clinical Report 2010

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Data Checks with Other Sources CMS/ Coding data to ensure correct birth numbers. Neonatology database; fields checked include Birthweight, Gestation, Apgars & Days in NICU. Perinatal related deaths database fields cross-referenced with Healthware include; ethnicity, gestation – LMP/EDD, LMC, Gravida/Parity, Height/Weight/BMI, Outcome, Apgars, Sex, Gestation, Birth Weight, PSANZ-PDC & PSANZ-NDC classifications, customised centile. PIMs theatre data checked against Healthware for epidural and GA Smoking Cessation Database cross-referenced with Healthware for smoking & referral to Smokefree Pregnancy service. 208
APPENDIX 2. SUMMARY STATISTICS Table 132: Mode of birth (1998-<strong>2010</strong>) 1998 1999 2000 2002 2003 n=7492 n=7501 n=7827 n=7775 n=7611 n % n % n % n % n % Spontaneous vertex birth 4645 62 4635 61.8 4650 59.4 4327 55.7 4269 56.1 Vaginal breech 75 1 83 1.1 87 1.1 66 0.8 58 0.8 Operative vaginal 922 12.3 945 12.6 1010 12.9 1081 13.9 1065 14.0 Caesarean 1850 24.7 1838 24.5 2080 26.6 2301 29.6 2219 29.1 2004 2005 2006 2007 2008 2009 n=7491 n=7194 n=7212 n=7695 n=7589 n=7735 n % n % n % n % n % n % Spontaneous vertex birth 4073 54.4 3845 53.4 3815 52.9 4212 54.7 4218 55.5 4313 55.8 Vaginal breech 54 0.7 54 0.7 51 0.7 70 0.9 62 0.8 61 0.8 Operative vaginal 1171 15.6 1022 14.2 956 13.3 975 12.6 937 12.3 947 12.3 Caesarean 2193 29.3 2273 31.6 2390 33.1 1428 31.7 2372 31.3 2414 31.2 <strong>2010</strong> n=7709 n % Spontaneous vertex birth 4217 54.7 Vaginal breech 59 0.8 Operative vaginal 942 12.2 Caesarean 2491 32.3 209
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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
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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
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 and 210: The number of treatments and percen
Page 211 and 212: Number of patients 4.5 4 3.5 3 2.5
Page 213 and 214: 12.9 Gynaecologic oncology surgical
Page 215 and 216: 11.9.2 Gynaecologic oncology surger
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Page 219 and 220: Antenatal Summary screen; Reason fo
Page 221: Postnatal Mothers Destination to Wa
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
Page 261 and 262: 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
Page 271 and 272: 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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