List of Figures

1. Complaints and compliments received by Women’s Health, January to December 2020 28

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

3. Births per 1,000 women by ethnicity 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 primary group – Counties Manukau women in CM Health facilities 44

7. Counties Manukau women in CM Health facilities by locality of residence – actual primary as a proportion of potential primary 44

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

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

18. Registration with DHB or LMC in the first trimester of pregnancy by ethnicity (2017-2019) 79

88

19. Standard primiparae who have a spontaneous vaginal birth by ethnicity (2017-2019) 20. Standard primiparae who undergo an instrumental vaginal birth by ethnicty 89

21. Standard primiparae who undergo caesarean section by ethnicty 89

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

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

ethnicty 89

89

25. Women requiring a blood transfusion with caesarean section by ethnicty 89

26. Women requiring a blood transfusion with vaginal birth by ethnicty 90

27. Maternal tobacco use during the postnatal period by ethnicty 90

28. Preterm birth (liveborn babies 20-36 weeks gestation) by ethnicty

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

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

31. Percentage of women by weight class, 2008-2018 90

90

90

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

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

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

38. Women accessing co-payments for scans, by quintile, July to December 2019 109

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

40. Women accessing co-payments for scans, by community service card holder status, July 2019 to June 2020 41. Reasons for referrals for women supported by MRM midwives, July 2019 to December 2020

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

44. Gynae Complications 2020

45. Gynae Procedures 2020

46. Complication Percentage of Total Procedure Type - 2020

47. The Number of patients seen by each individual doctor

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

52. Survival by birthweight group for babies admitted to Middlemore Hospital 2017–2020, compared to ANZNN 20142018

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

55. Incidence of late-onset sepsis, 2013–2019

56. Incidence of necrotising enterocolitis, 2013–2019

57. Incidence of severe intraventricular haemorrhage, 2013–2019

58. Incidence of severe retinopathy of prematurity, 2013–2019

59. Severity of functional impairment, 2012–2015

60. Number of babies with meconium syndrome admitted to Middlemore Hospital Neonatal Care, 2013–2019 144

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