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