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Background Counties Manukau Health (CM Health) has had an increased focus on improving the quality of maternity care provided to women living in the district for several years. The Perinatal and Maternity Mortality Review Committee (PMMRC) first noted in their 2008-09 report that Counties had a higher perinatal related mortality that the New Zealand average.1 Two years later, in 2011, PMMRC specifically recommended that “further research was warranted to understand the higher rate of perinatal-related mortality in Counties Manukau.” While it was thought, and later confirmed, that women living in Counties Manukau have a higher prevalence of risk factors, which explain the poor maternity outcomes compared to other women birthing in New Zealand, there was a desire to review the delivery of maternity care to women in the district to identify opportunities for improvement of outcomes for women and their babies by addressing these risk factors as well as other system issues.2,3 To this end an independent external review panel was established to review the maternity care system and provide recommendations to guide a tangible action plan. This external review panel provided their report at the end of 2012. The recommendations of this report were then translated into a work plan which has guided considerable work in the maternity sector in Counties Manukau. This work plan was overseen by a Maternity Review Board which reported through to the Executive Leadership Team and the Board. In addition there was also work being undertaken at a strategic level looking at how we could “Achieve Better Outcomes for All” and, at the end of 2012, preconception, the antenatal period and first years of life were captured as a priority area under the “First 2000 days” programme. This increased focus on maternity care in Counties Manukau coincided with the implementation of the Ministry of Health (MoH) led Maternity Quality and Safety Programme (MQSP). The work of the MQSP and the work resulting from the Maternity Review have been connected through the Maternity Quality and Safety Governance Group (MQSGG) reporting through to the Maternity Review Board. At the end of 2014 the Maternity Review Board entered a transitional period as it moved from a project structure to business as usual. As a result the governance structure in the maternity area is currently being re-configured. At the same time the overarching governance of child, youth and maternity services is also being reviewed but it is likely there will be a new child, youth and maternity governance group established to which the MQSGG will report. It is expected that the new governance arrangements will be clarified in the first quarter of the 2015/16 year.

1 PMMRC. 2009. Perinanatal and maternity Mortaility in New Zealand 2007. Third Report to the Minister of Health July 2008 to June 2009. Wellington: Ministry of Health http://www.hqsc.govt.nz/assets/PMMRC/Publications/Third-PMMRC-report-2008-09.pdf 2 Jackson C. Antenatal Care in Counties Manukau DHB: A focus on Antenatal Care (pg 120). 2011 3 Those risk factors for which CM Health women had a higher prevalence included overweight and obesity, smoking, hypertension in pregnancy, diabetes in pregnancy, low socio-economic status, no antenatal care, and small for gestational age .

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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...