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Executive Summary This report was commissioned by the Counties Manukau Health (CM Health) Maternity Review Workforce Project Board to support recommendations made in the Counties Manukau Health Maternity Review to increase the numbers of self-employed midwives and make maternity care more easily accessible. The intent of the analysis was to assess the existing midwifery workforce capability and capacity using 2013 data and project the future self-employed Lead Maternity Carer (LMC) workforce needs across the district based on 75% of women having their maternity care provided by self-employed LMCs.

The data has been sourced from the CM Health Healthware™ database, and where appropriate and applicable, from National Health data sets, for example, the National Minimum Dataset.

The analysis has highlighted important population trends, variability in the ethnicity mix between locality populations, disparity in areas of workforce workload/caseload and the impact of these on the self-employed LMC workforce capacity and sustainability.

In 2013, the number of births at CM Health facilities decreased by 625 (8%) while the number of deliveries at CM Health facilities reduced by 629 (9%). Over 65% of this reduction came from the most deprived areas of Manurewa, Mangere and Otara, where the majority of the population are Pacific and Maaori. In parallel to this there has been a reduction in the number of women cared for by CM Health staff while the number of women cared for by self-employed LMCs has remained similar. Consequently by the end of 2013, the proportion of women having their maternity care provided by self-employed LMCs increased to 60%. The birth rate for Maaori, Pacific and European/Other groups slowed over the period 2006 to 2013, while above average increases were recorded in the Asian group over the same period.

On average, 60% of pregnant women in Counties Manukau are now managed by self-employed LMCs at registration. However, 60% of women aged 40 years or over are cared for by CM Health employed midwives. This variation is due to the greater likelihood of complications in pregnancies among older women, resulting in a greater demand on CM Health specialist services.

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2014 2015 maternity quality and safety programme  

This Annual Report (2014-2015) covers the continued progress and initiatives undertaken over the last 12 months as part of the Maternity Qua...

2014 2015 maternity quality and safety programme  

This Annual Report (2014-2015) covers the continued progress and initiatives undertaken over the last 12 months as part of the Maternity Qua...