National Women's Annual Clinical Report 2010

Women booked with a private obstetrician were more likely to be older, particularly over
35 years, compared to women booked with other LMCs. Private LMCs (both independent
midwives and obstetricians) have significantly fewer Māori and Pacific women booking
with them compared to public LMCs. The importance of public LMCs in the provision of
antenatal care for Māori and Pacific Island women and the issues for these women
accessing an independent midwife for pregnancy care needs to be considered.
4.8 Standard primipara
The definition for standard primipara is a woman with no prior birth > 20 weeks, aged 20-
34 years at index birth, with a singleton pregnancy, cephalic presentation, gestation 37-41
weeks, baby not small for gestational age (customised centile >10 th ), no medical disease,
(defined as no history of cardiac disease, renal disease, mental health disorder, SLE, HIV
infection, CVA/TIA, diabetes or hypertension), no gestational diabetes in index pregnancy,
no pregnancy associated hypertensive disease in index pregnancy, no antepartum
haemorrhage during index pregnancy. The objective of reporting outcomes for this tightly
defined sub-group is to permit comparison between individual caregivers within National
Women’s and to compare outcomes with those in other institutions.
In 2010, 33% of primiparous women were defined as standard. Fewer European and
Māori primipara are standard primipara compared to Other Asian and Indian women.
%
100
80
60
40
20
0
NZ
European
Standard primipara Non-standard primipara
Maori Pacific Other Asian Indian Other
European
Figure 21: Standard primipara rates by maternal ethnicity
100
80
60
40
20
0
%
Standard primipara Non-standard primipara
IMW Pvt
Obstetrician
GP NW
Community
Figure 22: Standard primipara rates by LMC at birth
41
Other
NW Diabetic NW Medical