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97 Lead maternity carer A person who a) is a general practitioner with a Diploma in Obstetrics (or equivalent), a midwife or an obstetrician and b) is either a maternity provider in his or her own right; or an employee or contractor of a maternity provider; and c) had been selected by the women to provide her lead maternity care. Level II neonatal care - Level 2 units within New Zealand generally care for babies 32/40 weeks and above and babies who have been transferred from Level 3 units after being clinically stabilised. They do not ventilate babies (except in emergencies) and generally use a less invasive form of ventilation . continuous positive airways pressure (CPAP) for babies that are clinically stable. Some Level 2 units provide intermediate (Level 2+) care for babies over 28 weeks. Level III neonatal care - Level 3 unit provides neonatal intensive care and high dependency care. This means that they have the facilities to care for extremely premature infants (from 24 weeks gestation) and sick babies requiring ventilation, intravenous feeding and other types of intensive care monitoring and treatment. Live birth The complete expulsion or extraction from its mother of a product of conception, irrespective of duration of pregnancy, which, after such separation, breathes or shows any other evidence of life, such as breathing, beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached. Each product of such a birth is considered liveborn (WHO 1975). Maternity facility A facility that provides labour and birth services and inpatient postnatal care. Midwife A person who has successfully completed a midwifery education programme that is duly recognised in the country where it is located and that is based on the International Confederation of Midwives (ICM) Essential Competencies for Basic Midwifery Practice and the framework of the ICM Global Standards for Midwifery Education who has aquired the requisite qualifications to be registered and/or legally licensed to practice midwifery and use the title ‘midwife’; and who demonstrates competency in the practice of midwifery. New Zealand Maternity Clinical Indicators SOURCE LMC Claims (MAT)

Hospital Events (NMDS)

INDICATOR 1 Registration with a Lead Maternity Carer in the first trimester of pregnancy

NUMERATOR Total number of women who register with a Lead Maternity Carer in the first trimester of their pregnancy 2 Total number of stanStandard primiparae who have a spontaneous dard primiparae who vaginal birth have a spontaneous vaginal birth at a maternity facility 3 Total number of stanStandard primiparae who undergo an instrumental dard primiparae who vaginal birth undergo an instrumental vaginal birth 4 Total number of stanStandard primiparae who undergo caesarean dard primiparae who section undergo caesarean section 5 Total number of stanStandard primiparae who undergo induction of dard primiparae who labour undergo induction of labour

DENOMINATOR Total number of women who register with a Lead Maternity Carer Total number of standard primiparae who give birth at a maternity facility Total number of standard primiparae who give birth at a maternity facility Total number of standard primiparae who give birth at a maternity facility Total number of standard primiparae who give birth at a maternity facility

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...