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Choice of midwife From 2006 to 2011, the number of pregnant women managed by self-employed LMCs increased by 21%. The number has been consistent at around 4,600 since 2011. However, the number of pregnant women who received care from CM Health-employed midwives reduced over the period 2008 to 2011. This has resulted in the proportion of women under the care of self-employed LMCs increasing from 57% to 62% (Figure 17).

Figure 17 Type of Midwives for Pregnant Women (data source-Healthware™ Database)

Women in the European/Other group have the highest engagement rate with self-employed LMCs (79%), whereas Pacific women have the lowest rate (52%) (Figure 18). Engagement by Maaori and Asian groups sits at around 58-59%. In the Franklin area, 88% of pregnant women engaged with a Self Employed LMC in 2013 (Figure 19). 60% to 68% of women in the Papakura, Howick and Papatoetoe areas engaged with a self-employed LMC whereas Otara had the lowest proportion at 45%. This is consistent with a high proportion of pregnant women in Otara being Pacific (68%) along with the area’s high socioeconomic deprivation profile, both factors associated with lower use of LMCs. Other contributing factors include the availability of DHB services and LMCs choosing to not work in the area. 18

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...