National Women's Annual Clinical Report 2010

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4.3 Antepartum haemorrhage Table 159: Characteristics of pregnancies complicated by antepartum haemorrhage (<strong>2010</strong>) Placenta praevia n=58 Placental abruption n=50 APH uncertain origin n=330 No APH n=7271 Total n % n % n % n % Maternal age 40 Parity 273 3 1.1 0 0.0 8 2.9 262 96.0 Nulliparous 3650 24 0.7 21 0.6 160 4.4 3445 94.4 Multip previous CS 1197 16 1.3 7 0.6 60 5.0 1114 93.1 Multip no previous CS Smoking status at booking 2862 18 0.6 22 0.8 110 3.8 2712 94.8 Currently smoking 601 4 0.7 10 1.7 41 6.8 546 90.8 Not currently smoking 7061 53 0.8 39 0.6 287 4.1 6682 94.6 Unknown BMI 47 1 2.1 1 2.1 2 4.3 43 91.5 35 541 3 0.6 2 0.4 34 6.3 502 92.8 Missing data Hypertensive disease 219 2 0.9 3 1.4 17 7.8 197 90.0 Gestational hypertension 234 0 0.0 2 0.9 17 7.3 215 91.9 Chronic hypertension Chronic hypertension 164 2 1.2 1 0.6 9 5.5 152 92.7 with superimposed preeclampsia 24 1 4.2 0 0.0 1 4.2 22 91.7 Preeclampsia 231 3 1.3 6 2.6 11 4.8 211 91.3 Nil 7056 52 0.7 41 0.6 292 4.1 6671 94.5 220
4.4 Hypertensive disease Table 160: Demographic characteristics of women with hypertensive disease (<strong>2010</strong>) Gestational hypertension Chronic hypertension Superimposed preeclampsia Preeclampsia Normotensive Total Ethnicity (prioritised) n % n % n % n % n % NZ European 2898 98 3.4 75 2.6 8 0.3 88 3.0 2629 90.7 Maori 579 22 3.8 11 1.9 1 0.2 22 3.8 523 90.3 Pacific 1088 38 3.5 26 2.4 9 0.8 54 5.0 961 88.3 Other Asian 1476 29 2.0 18 1.2 3 0.2 20 1.4 1406 95.3 Indian 539 17 3.2 9 1.7 2 0.4 19 3.5 492 91.3 OtherEuropean 856 27 3.2 22 2.6 1 0.1 17 2.0 789 92.2 Other 273 3 1.1 3 1.1 0 0.0 11 4.0 256 93.8 Maternal age (nullipara)
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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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11 SEVERE MATERNAL MORBIDITY This c
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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 and 230: Table 149: LMC at birth and materna
Page 231 and 232: APPENDIX 4. ANTENATAL COMPLICATIONS
Page 233: Table 157: Demographic characterist
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
Page 281: Standard primipara A woman with no
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