National Women's Annual Clinical Report 2010

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3.5 Standard primipara Table 152: Demographic characteristics of standard and non-standard primipara (<strong>2010</strong>) Total primipara Standard primipara Non-standard primipara N n % n % Total Age 3650 1217 33.3 2433 66.7 < 20 270 30 11.1 240 88.9 21-25 522 235 45.0 287 55.0 26-30 1165 532 45.7 633 54.3 31-35 1113 420 37.7 693 62.3 36-40 502 0 0.0 502 100.0 >40 Ethnicity (prioritised) 78 0 0.0 78 100.0 NZ European 1401 389 27.8 1012 72.2 Maori 217 52 24.0 165 76.0 Pacific 334 91 27.3 243 72.8 Other Asian 827 380 45.9 447 54.1 Indian 286 120 42.0 166 58.0 Other European 472 136 28.8 336 71.2 Other LMC at Birth 113 49 43.4 64 56.6 Independent Midwife 1834 712 38.8 1122 61.2 Private Obstetrician 853 262 30.7 591 69.3 General Practitioner 43 17 39.5 26 60.5 NW Community 597 189 31.7 408 68.3 NW Diabetic 114 0 0.0 114 100.0 NW - Medical 162 31 19.1 131 80.9 Other DHB 30 1 3.3 29 96.7 Unbooked Smoking 17 5 29.4 12 70.6 Smoking at booking 222 49 22.1 173 77.9 No or not smoking in last month 3400 1165 34.3 2235 65.7 Missing 28 3 10.7 25 89.3 216
APPENDIX 4. ANTENATAL COMPLICATIONS 4.1 Preterm birth Table 153: Preterm birth and maternal demographic characteristics (<strong>2010</strong>) Total Total preterm birth Iatrogenic preterm Spontaneous preterm N n % n % n % Total Age 7709 689 8.9 377 4.9 312 4.0 40 Ethnicity 273 34 12.5 23 8.4 11 4.0 NZ European 2898 246 8.5 149 5.1 97 3.3 Maori 579 80 13.8 36 6.2 44 7.6 Pacific 1088 106 9.7 68 6.3 38 3.5 Other Asian 1476 95 6.4 36 2.4 59 4.0 Indian 539 54 10.0 32 5.9 22 4.1 Other European 856 86 10.0 44 5.1 42 4.9 Other Parity 273 22 8.1 12 4.4 10 3.7 Nulliparous 3650 343 9.4 174 4.8 169 4.6 Multiparous Plurality 4059 346 8.5 203 5.0 143 3.5 Singleton 7556 589 7.8 303 4.0 286 3.8 Twins 149 96 64.4 71 47.7 25 16.8 Triplets Smoking at booking 4 4 100.0 3 75.0 1 25.0 Currently smoking 601 86 14.3 45 7.5 41 6.8 No or not in last month 7061 583 8.3 326 4.6 257 3.6 Unknown BMI 47 20 42.6 6 12.8 14 29.8 35 541 59 10.9 42 7.8 17 3.1 Missing Deprivation quintile (NZ Dep 06) 219 66 30.1 35 16.0 31 14.2 1 1352 106 7.8 61 4.5 45 3.3 2 1423 113 7.9 60 4.2 53 3.7 3 1635 145 8.9 82 5.0 63 3.9 4 1776 188 10.6 104 5.9 84 4.7 5 1522 137 9.0 71 4.7 66 4.3 217
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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
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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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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 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: Table 149: LMC at birth and materna
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
Page 273 and 274: 10.2 Gynaecology Inpatient Surgery
Page 275 and 276: APPENDIX 11. GLOSSARY OF ABBREVIATI
Page 277 and 278: APPENDIX 12. DEFINITIONS Antepartum
Page 279 and 280: Lead Maternity Carer (LMC) The Lead
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Standard primipara A woman with no
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