Women's Health and Newborn Annual Report 2019-2020

Page 6

INTRODUCTION

List of Figures 1. Complaints and compliments received by

Women’s Health, January to December 2020  28

20. Standard primiparae who undergo an instrumental vaginal birth by ethnicty  89

2. Birth numbers by ethnicity for women under 20 living in Counties Manukau  35

21. Standard primiparae who undergo caesarean section by ethnicty  89

3. Births per 1,000 women by ethnicity

22. Standard primiparae who undergo induction of labour by ethnicty  89

and age, for women living in Counties Manukau, 2019 and 2020 combined  35 4. Total fertility rates for women living in

Counties Manukau, 2015 to 2020  35 5. Potential primary and actual primary

birth proportions, Counties Manukau women in CM Health facilities  43 6. Main reasons not included in potentially

23. Standard primiparae with an intact

lower genital tract (no 1st- to 4th-degree tear or episiotomy) **Includes vaginal birth only by ethnicty  89 24. Women having a general anaesthetic for caesarean section by

ethnicty  89

primary group – Counties Manukau women in CM Health facilities  44

25. Women requiring a blood transfusion

7. Counties Manukau women in CM Health

26. Women requiring a blood transfusion

facilities by locality of residence – actual primary as a proportion of potential primary  44

with vaginal birth by ethnicty  90

8. Births in CM Health primary birthing units,

by distance of mother’s residence to the unit  45 9. Counties Manukau women in CM Health facilities, by prioritised ethnic group – percentage of potential primary  45 10. Counties Manukau women in CM Health facilities by prioritised ethnic group – actual primary as a proportion of potential primary  45 11. Births by location, 2010 to 2020  46 12. Ethnicity of women birthing at CM

Health facilities, 2010 to 2020  46 13. Demand for endocrinologist

appointments, January 2019 to January 2021  64 14. Ethnicity of women opting for IUCD /

IUS insertion following elective caesarean section, 1 July to 31 December 2020  71 15. Number of women opting for IUCD /

IUS insertion following elective caesarean section, 1 July to 31 December 2020  71

with caesarean section by ethnicty  89

27. Maternal tobacco use during the

postnatal period by ethnicty  90 28. Preterm birth (liveborn babies 20-36

weeks gestation) by ethnicty  90 29. Small babies at term (37–42 weeks’

41. Reasons for referrals for women supported by MRM midwives, July 2019 to December 2020  113 42. Presentations to hospital with SSI or wound problems within 30 days of primary surgery, pre- and postimplementation of the piNPWT guideline  116 43. Referrals to Te Rito Ora by ethnicity,

July to December 2020  118 44. Gynae Complications 2020  122 45. Gynae Procedures 2020  123 46. Complication Percentage of Total

Procedure Type - 2020  123 47. The Number of patients seen by each

individual doctor  129 48. Ethnicity breakdown by quintile group  129 49. Exclusive breastfeeding at discharge rates for CM Health maternity facilities  133 50. Total admissions to Middlemore Neonatal care, Level 2 and 3, 2015–2020  139 51. Survival by gestational age for babies

gestation) by ethnicty  90

admitted to Middlemore Hospital 20172020, compared to ANZNN 2014-2018  141

30. Small babies at term born at 40–42 weeks’ gestation by ethnicty  90

52. Survival by birthweight group for

31. Percentage of women by weight class,

2008-2018  99 32. Booking BMI by ethnicity, 2020  99 33. Infectious syphilis cases in Auckland region in 2019, by sexual behaviour, as notified to ESR  102 34. Infectious syphilis cases in Auckland Region, 2013 to 2019, as notified to ESR  103 35. Cases of syphilis among females aged 15 to 49 years, 2012 to 2020, by district health board  103

babies admitted to Middlemore Hospital 2017–2020, compared to ANZNN 20142018  141 53. Admission temperature for babies admitted to Middlemore Hospital, by gestational age for babies born in 2018  142 54. Incidence of chronic lung disease, 2013–2019  142 55. Incidence of late-onset sepsis, 2013–2019  142 56. Incidence of necrotising enterocolitis, 2013–2019  143

36. Demand for scans, by scan type, July 2019 to June 2020  108

57. Incidence of severe intraventricular haemorrhage, 2013–2019  143

37. Women accessing co-payments for scans, by ethnicity, July 2019 to June 2020  108

58. Incidence of severe retinopathy of

1,000 births) by baby’s prioritised ethnic group, 2014 to 2018  79

38. Women accessing co-payments for

59. Severity of functional impairment,

scans, by quintile, July to December 2019  109

2012–2015  144

18. Registration with DHB or LMC in the

39. Women accessing co-payments for scans, by ethnicity, July to December 2019  109

60. Number of babies with meconium

40. Women accessing co-payments for scans, by community service card holder status, July 2019 to June 2020  109

61. Mode of ventilation for meconium aspiration syndrome, 2013–2019  145

16. Domicile of women opting for IUCD /

IUS insertion following elective caesarean section, 1 July to 31 December 2020  71 17. Perinatal related mortality rates (per

first trimester of pregnancy by ethnicity (2017-2019)  88 19. Standard primiparae who have a

spontaneous vaginal birth by ethnicity (2017-2019)  88

6 CM HEALTH

prematurity, 2013–2019  143

syndrome admitted to Middlemore Hospital Neonatal Care, 2013–2019  144


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Glossary

7min
pages 154-156

Consumer advisor feedback – Women’s Health planning workshop, 21 October 2020

3min
pages 152-153

One family’s journey: seven weeks from news of pregnancy to birth at 26 weeks gestation

2min
page 140

Lactation Support Service Specialists Annual Update

5min
pages 131-133

Neonatal Unit

2min
page 138

New blood glucose analysers make a significant difference

2min
page 134

Sudden unexpected death in infancy

2min
page 137

Supporting families through the loss of a baby

2min
pages 135-136

Vaginal pessaries for prolapse

1min
page 127

Creating a significant new nurse specialist position for early perinatal pregnancy loss

4min
pages 125-126

Gynaecology procedural complications data

3min
pages 122-123

Improving women’s gynaecological health at CM Health

2min
page 121

Maternity Clinical Information System

2min
page 106

Social media channels

2min
page 97

Smokefree

3min
pages 100-101

Supporting a high-quality first antenatal visit

7min
pages 94-96

Pasifika midwifery workforce development

1hr
pages 60-86

Early pregnancy midwifery care

3min
page 93

Clinical Midwife Coach – Community Midwifery Service

2min
page 55

Maaori Midwifery

5min
pages 56-59

Quality & Safety Structure

8min
pages 28-30

Our midwifery workforce

5min
pages 51-52

Midwifery-led Research In Women’s Health

3min
pages 53-54

Home birth during COVID alert level 4

5min
pages 26-27

Women’s Health vision and values

1min
page 16

COVID-19 – Womens Health’s response in March 2020

12min
pages 22-25

mum and newborn like family

2min
page 21

Women’s Health Planning Day 2020

5min
pages 17-18

Senior Leadership Foreword

2min
pages 8-9

List of Figures

4min
page 6

Connecting and supporting our maternity consumers

3min
pages 19-20

Vision and Values 2020-2025

1min
page 15
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Women's Health and Newborn Annual Report 2019-2020 by Te Whatu Ora Counties Manukau - Issuu