National Women's Annual Clinical Report 2010

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Table 259: Maternal characteristics and perinatal related mortality (2010) Births n=7866 n % n % Stillbirths n=83 SB rate* n % Neonatal deaths n=34 NND rate ‡ n % Perinatal related deaths n=117 Perinatal related mortality rate † Maternal Ethnicity (prioritised) NZ European 2030 25.8 27 32.5 13.3 10 29.4 5.0 37 31.6 18.2 Maori 412 5.2 11 13.3 26.7 7 20.6 17.5 18 15.4 43.7 Pacific 871 11.1 18 21.7 20.7 6 17.6 7.0 24 20.5 27.6 Other Asian 941 12.0 10 12.0 10.6 6 17.6 6.4 16 13.7 17.0 Indian 425 5.4 5 6.0 11.8 0 0.0 0.0 5 4.3 11.8 Other European 599 7.6 10 12.0 16.7 4 11.8 6.8 14 12.0 23.4 Other 211 2.7 2 2.4 9.5 1 2.9 4.8 3 2.6 14.2 Parity Nullipara 3720 47.3 41 49.4 11.0 14 53.8 3.8 55 47.0 14.8 Multipara 4146 52.7 42 50.6 10.1 20 76.9 4.9 62 53.0 15.0 Maternal Age 35 2455 31.2 24 28.9 9.8 14 53.8 5.8 38 32.5 15.5 Maternal Smoking Currently smoking 615 7.8 13 15.7 21.1 5 14.7 8.3 18 15.4 29.3 No or not smoking in last month 7203 91.6 70 84.3 9.7 29 85.3 4.1 99 84.6 13.7 Missing 48 0.6 0 0.0 0.0 0.0 0.0 0.0 0 0.0 0.0 Maternal BMI 35 552 7.0 7 8.4 12.7 5 0.9 9.1 12 10.3 21.7 Missing 222 2.8 6 7.2 27.0 2 0.9 9.0 8 6.8 36.0 * Stillbirth rate = number of stillbirths per 1000 births ‡ Neonatal Death rate = number of neonatal deaths per 1000 live births † Perinatal related mortality rate = number of stillbirths & neonatal deaths to 27 days per 1000 births Table 7: Perinatal full necropsy rates (%) (1991-2010) 1991 1992 1993 1994 1995 1996 1997 1998 1999 Perinatal necropsy rates (%) Perinatal necropsy rates (%) 58 56 65 68 57 48 50 38 50 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 40 40 41 43 52 48 50 59 55 38 44 256
Table 260: Cause of perinatal-related death (2003-2004 ANZACPM; 2005-2010 PSANZ-PDC) Classification* 2003 n % 2004 n % 2005 n % 2006 N % 2007 n % 2008 n % 2009 n % 2010 n % Congenital abnormality 36 34 36 34 38 34 37 37 48 43 34 31 31 28 48 41 Perinatal infection 6 6 6 6 11 10 9 9 4 4 5 5 4 4 4 3 Hypertension 4 4 4 4 3 3 3 3 0 4 4 6 5 4 3 Antepartum haemorrhage 5 5 5 5 6 5 4 4 7 6 13 12 15 13 11 9 Maternal conditions 8 7 8 7 8 7 6 6 5 5 3 3 6 5 9 8 Specific perinatal conditions 5 5 5 5 10 9 7 7 7 6 22 20 16 14 8 7 Hypoxic peripartum death 3 3 3 3 4 4 0 2 2 1 1 1 1 2 2 Fetal growth restriction 6 6 6 6 1 1 8 8 11 10 9 8 5 4 2 2 Spontaneous preterm 23 22 23 22 20 18 13 13 16 14 11 10 19 17 8 7 Unexplained antepartum death 9 8 9 8 10 9 12 12 10 9 7 6 9 8 0 No obstetric antecedent 0 0 0 1 1 1 1 0 0 0 Total 105 124 111 99 111 110 112 117 Table 261: Cause of death (PSANZ-PDC) among terminations of pregnancy (2010) Classification Termination of pregnancy n=35 n % Congenital abnormality 27 77.1 Perinatal Infection 2 5.7 Hypertension 2 5.7 Specific perinatal conditions 1 2.9 Maternal condition 2 5.7 Spontaneous preterm 1 2.9 Table 262: Perinatal deaths by cause (PSANZ-PDC) and gestational age (2010) Total < 37 weeks > 37 weeks Classification n=117 n=102 n=15 n % n % n % Congenital abnormality 48 41.0 40 39.2 8 53.3 Perinatal infection 4 3.4 2 2.0 2 13.3 Antepartum haemorrhage 11 9.4 11 10.8 0 0.0 Maternal conditions 9 7.7 7 6.9 2 13.3 Hypertension 4 3.4 3 2.9 1 6.7 Specific perinatal conditions 8 6.8 8 7.8 0 0.0 Hypoxic peripartum death 2 1.7 0 0.0 2 13.3 Fetal growth restriction 2 1.7 2 2.0 0 0.0 Spontaneous preterm 18 15.4 18 17.7 0 0.0 Unexplained antepartum death 10 8.6 10 9.8 0 0.0 257
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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
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12 GYNAECOLOGY This chapter provide
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12.2 Termination of pregnancy Epsom
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12.3 Second trimester Termination o
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12.4 Gynaecology inpatient surgery
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Table 101: Demographic details of w
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ACHS Gynaecology Indicators: Injury
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12.5 Gynaecologic laparoscopic proc
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12.6 Hysterectomy Methods See Gynae
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% 80 70 60 50 40 30 20 10 0 Abdomin
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12.7 Urogynaecology Methods As in p
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Table 113: Complications of surgery
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12.8 Colposcopy Methods: The data p
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Referral smear cytology Table 117:
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The number of treatments and percen
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Number of patients 4.5 4 3.5 3 2.5
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12.9 Gynaecologic oncology surgical
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11.9.2 Gynaecologic oncology surger
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203
Page 219 and 220: Antenatal Summary screen; Reason fo
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Page 231 and 232: APPENDIX 4. ANTENATAL COMPLICATIONS
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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
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Page 253 and 254: Table 213: Maternal destination fol
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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: APPENDIX 9. PERINATAL MORTALITY Tab
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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National Women's Annual Clinical Report 2010

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