National Women's Annual Clinical Report 2010

More documents

Recommendations

Info

Table 192: Type of operative vaginal birth: (1996-2010) 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Total births 9157 8055 7492 7501 7827 7471 7755 7611 7491 7194 7212 7695 7589 7753 7709 Total operative vaginal births 1156 1051 925 949 1006 1081 1065 1171 1022 956 975 937 947 942 % of all births 12.6 13.0 12.3 12.7 12.9 13.9 14.0 15.6 14.2 13.3 12.7 12.3 12.2 12.2 Total forceps alone 739 590 464 439 435 391 352 323 234 256 222 301 339 308 % of all births 8.1 7.3 6.2 5.9 5.6 5.0 4.6 4.3 3.3 3.5 2.9 4.0 4.0 4.0 Kiellands forceps 83 73 41 33 21 36 22 33 22 29 42 38 % of all births 0.9 0.9 0.5 0.4 0.3 0.5 0.3 0.5 0.3 0.4 0.5 0.5 Other forceps 656 517 423 406 414 287 212 223 200 272 297 270 % of all births 7.2 6.4 5.6 5.4 5.3 3.8 2.9 3.1 2.6 3.6 3.8 3.5 Ventouse or forceps /ventouse 417 461 461 510 571 690 713 848 788 700 753 677 650 634 % of all births 4.6 5.7 6.2 6.8 7.3 8.9 9.4 11.3 11.0 9.7 9.8 8.9 8.4 8.3 Ventouse alone 436 516 771 728 639 686 636 608 584 % of all births 5.8 6.6 10.3 10.1 8.9 8.9 8.4 7.8 7.6 Forceps/ ventouse 74 55 77 60 61 67 41 35 50 % of all births 1.0 0.7 1.0 0.8 0.8 0.9 0.5 0.5 0.6 Table 193: Breech birth (1996-2010) Note no data in 2001-2003 1996 1997 1998 1999 2000 2004 2005 2006 2007 2008 2009 2010 Total babies born 9612 8270 7721 7679 8054 7679 7384 7379 7875 7753 7897 7866 Total breech births 479 434 400 440 484 421 432 419 449 439 335 434 Percent of total births 5.0 5.2 5.2 5.7 6.0 5.5 5.9 5.7 5.7 5.7 4.2 5.5 Total singleton babies 7329 7609 7303 7007 7050 7518 7427 7576 7556 Total singleton breech 341 363 318 328 328 351 346 335 340 Percent of singletons 4.7 4.8 4.4 4.7 4.7 4.7 4.7 4.4 4.3 Total multiple babies 350 445 376 377 329 357 324 321 310 Total multiple breech 99 121 103 104 91 98 93 89 94 Percent of multiple births 28.3 27.2 27.4 27.6 27.7 27.5 28.7 27.7 30.3 Table 194: Mode of birth by type of breech (singletons only) (2010) Extended leg Flexed leg Unspecified Total breech n=174 n=95 n=71 n= 340 n % n % n % n % Vaginal breech 23 13.2 13 13.7 12 16.9 48 14.1 Caesarean section 151 86.8 82 86.3 59 83.1 292 85.9 CS emergency 46 26.4 35 36.8 17 23.9 98 28.8 CS elective 105 60.3 47 49.5 42 59.2 194 57.1 Table 195: Mode of birth by type of breech (multiples only)(2010) Extended leg Flexed leg Unspecified Total breech n=31 n=26 n=37 n=94 n % n % n % n % Vaginal breech 4 12.9 6 23.1 5 13.5 15 16.0 Caesarean section 25 80.6 20 76.9 32 86.5 77 81.9 CS emergency 11 35.5 12 46.2 13 35.1 36 38.3 CS elective 14 45.2 8 30.8 19 51.4 41 43.6 232
Table 196: Referral for ECV (women at term with singleton breech presentation or attempted ECV) by demographic and clinical characteristics (2010) Singleton breech at ECV No ECV term or attempted ECV n=95 n=188 n=283 n % n % Age (years ≤ 20 7 2 29 5 71 21-30 83 35 42 48 58 31-40 183 54 30 129 70 ≥ 41 Ethnicity (prioritised) 10 4 40 6 60 NZ/Other European 162 41 25 121 75 Maori/ Pacific Island 44 20 45 24 55 Other Asian 49 23 47 26 53 Indian 17 7 41 10 59 Other BMI 11 4 36 7 64 35 LMC at birth 14 6 43 8 57 Independent MW 144 69 48 75 52 NW Community 39 11 28 28 72 NW Diabetes/Medical 20 5 25 15 75 Private Obstetrician 69 7 10 62 90 GP Previous CS 3 2 67 1 33 No 229 90 39 139 61 Yes 48 4 8 44 92 5.6 Anaesthesia use Table 197: Epidural use among women with spontaneous and induced labour (2000-2010) 2000 2004 2005 2006 2007 2008 2009 2010 Number of births 7827 7491 7194 7212 7695 7589 7753 7709 Number women with spontaneous labour 4820 4817 4246 4256 4490 4070 4125 4007 Spontaneous labour and epidural 2143 2434 2138 2168 2057 1743 1717 1686 % 44.5 50.5 50.4 50.9 45.8 42.8 41.6 42.1 Number labour of women with induced 2002 1922 1894 1776 1906 2203 2238 2214 Induced labour and epidural 1313 1412 1373 1269 1326 1550 1599 1557 % 65.6 73.5 72.5 71.5 69.6 70.4 71.4 70.3 Table 198: Analgesic use and LMC at birth among labouring nulliparous women (2010) LMC type Total N Epidural n % Entonox n % Pethidine n % TENS n % Water n % IMW 1704 1091 64.0 936 54.9 446 26.2 43 2.5 230 13.5 Pvt Obstetrician 601 505 84.0 273 45.4 80 13.3 12 2.0 53 8.8 GP 41 29 70.7 28 68.3 10 24.4 3 7.3 7 17.1 NW Community 543 319 58.8 339 62.4 152 28.0 5 0.9 55 10.1 NW Diabetes 99 75 75.8 65 65.7 30 30.3 0 2 2.0 NW Medical 125 90 72.0 37 53.6 31 24.8 1 0.8 4 3.2 Other DHB 21 7 33.3 12 57.1 7 33.3 0 0 Unbooked 16 6 37.5 10 62.5 6 37.5 0 0 233
Page 1 and 2:
National Women’s Annual Clinical
Page 3 and 4:
It is my pleasure to present the 20
Page 5 and 6:
7 LABOUR AND BIRTH OUTCOMES .......
Page 7 and 8:
Table 50: Neonatal outcomes followi
Page 9 and 10:
Table 153: Preterm birth and matern
Page 11 and 12:
Table 258: Perinatal mortality rate
Page 13 and 14:
Figure 53: Mode of birth (1991-2010
Page 15:
Chapter 1 INTRODUCTION 1
Page 18 and 19:
Chapter 8: Postnatal care This chap
Page 20 and 21:
1.5.3 Gynaecologic data quality As
Page 23 and 24:
2 SERVICE PROVISION 2.1 Maternity s
Page 25 and 26:
2.2.4 Antenatal and Postnatal Wards
Page 27 and 28:
The service has access to the ACH L
Page 29 and 30:
2.5.3 University Links There are cl
Page 31 and 32:
Reportable events All incidents (mi
Page 33:
Chaptern 3 SUMMARY STATISTICS 19
Page 36 and 37:
3.2 Summary of maternal outcomes 20
Page 38 and 39:
Rate Table 7: Perinatal related mor
Page 40 and 41:
Maternal indicator Caesarean sectio
Page 42 and 43:
50 45 40 35 30 25 20 15 10 5 0 % Ep
Page 45 and 46:
4 MATERNAL DEMOGRAPHY This chapter
Page 47 and 48:
4.2.2 Maternal ethnicity When more
Page 49 and 50:
% 60 50 40 30 20 10 0 NZ European M
Page 51 and 52:
4.5 Body mass index Thirty five per
Page 53 and 54:
% 100 80 60 40 20 0 European Maori
Page 55:
Women booked with a private obstetr
Page 59 and 60:
5 ANTENATAL COMPLICATIONS This chap
Page 61 and 62:
Ethnic differences in rates of pret
Page 63 and 64:
of women under 20 with SGA babies s
Page 65 and 66:
Perinatal deaths in term SGA infant
Page 67 and 68:
The rate of multiple pregnancy rema
Page 69 and 70:
Summary / Implications Multiple pre
Page 71 and 72:
5.4.1 Demographic characteristics o
Page 73 and 74:
5.4.5 Perinatal losses Diabetes Per
Page 75 and 76:
A confirmed placental abruption is
Page 77 and 78:
70 60 50 40 30 20 10 0 % Gestationa
Page 79 and 80:
5.7 Body Mass Index Methods BMI is
Page 81 and 82:
% European Maori Pacific Other Asia
Page 83 and 84:
50 45 40 35 30 25 20 15 10 5 0 % Eu
Page 85 and 86:
16 % 40 14 12 10 8 6 4 2 0 Iatrogen
Page 87:
Table 38: Mothers with babies diagn
Page 91 and 92:
6 LABOUR AND BIRTH This chapter inc
Page 93 and 94:
Table 39: Maternal demographic char
Page 95 and 96:
Table 40: Gestation at birth among
Page 97 and 98:
Women given syntocinon prior to 3 c
Page 99 and 100:
70 60 50 40 30 20 10 0 % NZ Europea
Page 101 and 102:
6.5 Caesarean section WHA Maternity
Page 103 and 104:
Caesarean section rate 60 50 40 30
Page 105 and 106:
Sixty percent of para 1 women with
Page 107 and 108:
6.6 Instrumental vaginal birth WHA
Page 109 and 110:
Table 52: Neonatal outcomes followi
Page 111 and 112:
6.10 Obstetric analgesia WHA Matern
Page 113 and 114:
Table 56: GA use and mode of birth
Page 115 and 116:
Table 58: Interventions and outcome
Page 117 and 118:
Chaptern 7 LABOUR and BIRTH OUTCOME
Page 119 and 120:
7 LABOUR and BIRTH OUTCOMES This ch
Page 121 and 122:
7.2 Third stage management Methods:
Page 123 and 124:
Table 61: Postpartum haemorrhage ra
Page 125 and 126:
7.4 Emergency peripartum hysterecto
Page 127 and 128:
Chaptern 8 POSTNATAL CARE 113
Page 129 and 130:
8 POSTNATAL CARE This chapter provi
Page 131 and 132:
% 90 85 80 75 70 65 60 55 50 45 40
Page 133 and 134:
8.2 Postnatal admissions Methods Pr
Page 135 and 136:
Table 70: Reason for admission to N
Page 137 and 138:
Chaptern 9 NEWBORN SERVICES 123
Page 139 and 140:
9 NEWBORN SERVICES This chapter pro
Page 141 and 142:
9.2 NICU occupancy For 2010 the ver
Page 143 and 144:
Number 700 600 500 400 300 200 100
Page 145 and 146:
9.3.4 Reasons for admission to NICU
Page 147 and 148:
9.4.3 Intraventricular haemorrhage
Page 149 and 150:
246 for 2010. This number is higher
Page 151 and 152:
9.4.8 Trends in the use of assisted
Page 153 and 154:
9.4.10 Positive pressure ventilatio
Page 155 and 156:
9.4.12 Term/post-term infants on as
Page 157 and 158:
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 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
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: 5.5 Operative births Table 189: Pri
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
show all

National Women's Annual Clinical Report 2010

Create successful ePaper yourself

Delete template?

Save as template?