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Quality at CM Health and stillbirth.32 In addition, smoking during pregnancy has been associated with an increased risk of neonatal death, particularly as a result of SUDI.33 There is a national health target which requires 90% of pregnant women to be offered advice and support to quit smoking at registration and booking. In addition there are actions in the Maaori Health Plan around ensuring women are smokefree at two weeks post-partum and for Tamariki Ora providers to support whanau to be smokefree. There is no system at present that reliably captures smoking status of pregnant women in New Zealand. It is expected the new MCIS will be able to capture and report this data and it is in the process of being implemented in Counties Manukau. Currently smoking data is captured variably in a number of databases. The National Maternity Collection data was provided to the DHB for

56 2013 but as explained previously this information is not as useful as in other parts of New Zealand because of the comparatively high percentage of women who use DHB services. There are also demographic differences between women who book with different maternity providers that make it likely this data underestimates the smoking prevalence of Counties women. Smoking status is also captured through discharge coding. Historically this data has been difficult to interpret as while the women who are documented as smokers are well captured it has not been clear what proportion of women have been asked the question and therefore what the denominator should be used. The data presented below is from the patient details section in the Patient Information System at CM Health. Health Intelligence and Informatics has explored the data sources available and has

determined this is the most reliable data source they can access for 2014. There is information available for 92% of women birthing in CM Health facilities in 2014 but there is some variability by ethnicity as shown in Figure 14. Smoking status at time of admission by ethnicity is shown for women who birthed at CM Health facility in Table 20.34

32 Jackson C. Perinatal Mortality in Counties Manukau. 2011. 33 Jackson C. Perinatal Mortality in Counties Manukau. 2011. 34 At CM Health smoking status is noted on the booking form for those women booked to deliver at a CM Health facility and recorded in Healthware.

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...