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Conclusion The analysis presented in this report has highlighted the following high level findings to inform strategic planning by the Counties Manukau DHB, LMCs and midwives considering becoming selfemployed LMCs in the Counties Manukau district: 

The number of births to Counties Manukau women is in a flat growth period but is forecast to increase from 2017.

The total number of deliveries in CM Health facilities reduced in 2013 by 6.6% to 7325 deliveries with 60% of the women considered at risk or high risk.

In 2013, 60% of women were registered with a self-employed LMC. The same number of high risk women were registered with a self-employed LMC as with DHB employed community midwives while more at risk women were registered with self-employed LMCs.

If 75% of women are to be registered with a self-employed LMC then projections show the number of LMCs in the Counties Manukau area needs to increase across the district by 25 FTEs with most in the Manurewa, Mangere and Papakura areas.

When compared to the Maori and Pacific ethnicity mix of the Counties Manukau population, there is currently a significant shortage of Maaori and Pacific midwives.

The number of Maaori and Pacific women engaging with self-employed LMCs is low, along with potential engagement issues with the increasing Asian population. The reasons are complex and not entirely understood but contributing factors include the availability of local self-employed LMCs and clinical complexity.

There has been a significant increase in at risk and high risk births. In addition, the number of women having caesarean sections has also increased although this report does not make any connection between the increase and the increased risk profile of women in the Counties Manukau district.

The demands on CM Health staff have increased due to the proportion of women over 40 years old giving birth and the associated increased risk of complications needing support or services provided by 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...