nsw mothers and babies 2014...hepatitis b 28 table 33: hepatitis b dose given to liveborn babies,...

NSW Mothers and Babies 2014

NSW MINISTRY OF HEALTH

73 Miller Street

Locked Mail Bag 961

NORTH SYDNEY NSW 2060

Tel: +61 2 9391 9223

Fax: +61 2 9391 9232

Copyright © NSW Ministry of Health 2016

This work is copyright. It may be reproduced in whole or in

part for study or training purposes subject to the inclusion of

an acknowledgement of the source. It may not be reproduced

for commercial usage or sale. Reproduction for purposes

other than those indicated above requires written permission

from the NSW Ministry of Health.

SHPN 150504

ISBN 978-1-76000-291-6

Produced by:

Centre for Epidemiology and Evidence

Population and Public Health Division

Suggested citation:

Centre for Epidemiology and Evidence.

New South Wales Mothers and Babies 2014.

Sydney: NSW Ministry of Health, 2016.

Further copies of this document can be downloaded from the NSW

Ministry of Health website at www.health.nsw.gov.au/hsnsw.

February 2016

www.health.nsw.gov.au/hsnsw

CONTENTS1. ACKNOWLEDGEMENTS 7

2. EXECUTIVE SUMMARY 8

3. METHODS 9

Data sources 9

Map of NSW Local Health Districts 11

4. TRENDS IN NEW SOUTH WALES 12

Confinements and births by plurality 12 Table 1: Plurality, NSW 2010–2014 12

Local Health District of residence 12 Table 2: Maternal Local Health District of residence, NSW 2010–2014 12

Maternal age 13 Figure 1: Mothers aged less than 20 years and 35 years and over, NSW 2010–2014 13 Table 3: Maternal age, NSW 2010–2014 13

Maternal country of birth 14 Table 4: Maternal country of birth, NSW 2010–2014 14

Aboriginal and Torres Strait Islander mothers 15 Table 5: Aboriginal and Torres Strait Islander mothers, NSW 2010–2014 15

Previous pregnancies 15 Table 6: Previous pregnancies, NSW 2010–2014 15

Duration of pregnancy at first antenatal visit 15 Table 7: Duration of pregnancy at first antenatal visit, NSW 2010–2014 15

Smoking in pregnancy 16 Table 8: Smoking in pregnancy, NSW 2010–2014 16 Table 9: Mothers who smoked at all during pregnancy by number of cigarettes smoked in the second

half of pregnancy, NSW 2010–2014 16

Place of birth 16 Table 10: Maternal place of birth, NSW 2010–2014 16

Hypertension and diabetes 17 Table 11: Maternal hypertension or diabetes, NSW 2010–2014 17

Labour 17 Table 12: Onset and augmentation of labour, NSW 2010–2014 17

Birth 18 Table 13: Type Of Birth, NSW 2010–2014 18 Table 14: Maternal health insurance by type of birth, NSW 2010–2014 18

NSW HEALTH | NSW Mothers and Babies 2014 | 1

Baby sex 19

Gestational age 19 Table 15: Gestational age, NSW 2010–2014 19

Birth weight 19 Table 16: Birth weight, NSW 2010–2014 19

Apgar score 19 Table 17: Apgar score at 5 minutes, NSW 2010–2014 19

Hepatitis B 20 Table 18: Hepatitis B dose given to liveborn babies, NSW 2010–2014 20

Infant feeding 20 Table 19: Live births by type of infant feeding, NSW 2010–2014 20

Perinatal outcome 20 Table 20: Perinatal outcomes, NSW 2010–2014 20

Maternal deaths 21 Table 21: Maternal deaths by year, NSW 1990–2013 21 Table 22: Maternal deaths by cause, NSW 2013 21

5. LOCAL HEALTH DISTRICTS 22

Confinements 22

Maternal age 22 Table 23: Maternal age by Local Health District of residence, NSW 20124 22

Maternal country of birth 23 Table 24: Maternal country of birth group by Local Health District of residence, NSW 2014 23

Aboriginal and Torres Strait Islander mothers 24 Table 25: Aboriginal and Torres Strait Islander mothers by Local Health District of residence, NSW 2014 24

Duration of pregnancy at first antenatal visit 24 Table 26: Duration of pregnancy at first antenatal visit by Local Health District of residence, NSW 2014 24

Smoking in pregnancy 25 Table 27: Cigarettes smoked in the second half of pregnancy by Local Health District of residence, NSW 2014 25

Place of birth 25 Table 28: Place of birth by Local Health District of residence, NSW 2014 25

Labour 26 Table 29: Onset and augmentation of labour by Local Health District of residence, NSW 2014 26

Birth 26 Table 30: Type of birth by Local Health District of residence, NSW 2014 26

Birth weight 27 Table 31: Birth weight by Local Health District of residence, NSW 2014 27

Gestational age 27 Table 32: Gestational age by Local Health District of residence, NSW 2014 27

2 | NSW HEALTH | NSW Mothers and Babies 2014

Hepatitis B 28 Table 33: Hepatitis B dose given to liveborn babies, NSW 2014 28

Infant feeding 28 Table 34: Live births by infant feeding on discharge and Local Health District of residence, NSW 2014 28

Perinatal outcomes 29 Table 35: Perinatal outcomes by Local Health District of residence, 2014 29

Live births by statistical local areas 30 Table 36: Live births by Local Health District and statistical local area of residence, NSW 2014 30

6. NSW HOSPITALS 32

Onset and augmentation of labour 32 Table 37: Onset and augmentation of labour by Local Health District of hospital, NSW 20134 32 Table 38: Onset and augmentation of labour by hospital and maternity service level, NSW 2014 32

Type of birth 34 Table 39: Type of birth by Local Health District of hospital, NSW 2014 34 Table 40: Type of birth by hospital and maternity service level, NSW 2014 34

Pain relief 36 Table 41: Pain relief by Local Health District of hospital, NSW 2014 36 Table 42: Pain relief by hospital and maternity service level, NSW 2014 36

Perineal status 38 Table 43: Perineal status among vaginal births by Local Health District of hospital, NSW 2014 38 Table 44: Perineal status among vaginal births by hospital and maternity service level, NSW 2014 38

Birth weight 40 Table 45: Births by birth weight and Local Health District of hospital, NSW 2014 40 Table 46: Births by birth weight, hospital and maternity service level, NSW 2014 40

Gestational age 42 Table 47: Births by gestational age and Local Health District of hospital, NSW 2014 42 Table 48: Births by gestational age, hospital and maternity service level, NSW 2014 42

Neonatal resuscitation 44 Table 49: Births by type of resuscitation and Local Health District of hospital, NSW 2014 44 Table 50: Births by type of resuscitation, hospital and maternity service level, NSW 2014 44

Admission to special care or neonatal intensive care 46 Table 51: Live births by admission to special care or neonatal intensive care and Local Health District of hospital, NSW 2014 46 Table 52: Live births by admission to special care or neonatal intensive care, hospital and maternity service level, NSW 2014 46

Infant feeding 48 Table 53: Live births by type of infant feeding and Local Health District of hospital, NSW 2014 48 Table 54: Live births by type of infant feeding, hospital and maternity service level, NSW 2014 48

Baby discharge status 50 Table 55: Baby discharge status by hospital and Local Health District of hospital, NSW 2014 50 Table 56: Baby discharge status by hospital and maternity service level, NSW 2014 50

Postnatal length of stay 52 Table 57: Average maternal postnatal length of stay in hospital of birth, NSW 2010–2014 52


7. CLINICAL INDICATORS FOR OBSTETRICS 53

Outcome of selected primipara, Indicator 1.1 53 Table 58: 1.1 Selected primipara who have a spontaneous vaginal birth by Local Health District and hospital, NSW 2010–2014 53

Indicator 1.2 55 Table 59: 1.2 Selected primipara who undergo induction of labour by Local Health District and hospital, NSW 2010–2014 55

Indicator 1.3 56 Table 60: 1.3 Selected primipara who undergo an instrumental vaginal birth by Local Health District and hospital, NSW 2010–2014 56

Indicator 1.4 57 Table 61: 1.4 Selected primipara undergoing caesarean section by Local Health District and hospital, NSW 2010–2014 57

Vaginal birth following caesarean section, Indicator 2.1 58 Table 62: 2.1 Vaginal delivery after previous primary caesarean section by Local Health District and hospital, NSW 2010–2014 58

Major perineal tears and surgical repair of the perineum, Indicator 3.1 59 Table 63: 3.1 Selected primipara delivering vaginally with an intact perineum by Local Health District and hospital, NSW 2010–2014 59

Indicator 3.2 60 Table 64: 3.2 Selected primipara undergoing episiotomy and no perineal tear by Local Health District and hospital, NSW 2010–2014 60

Indicator 3.3 61 Table 65: 3.3 Selected primipara sustaining a perineal tear and no episiotomy by Local Health District and hospital, NSW 2010–2014 61

Indicator 3.4 62 Table 66: 3.4 Selected primipara undergoing episiotomy and sustaining a perineal tear by Local Health District and hospital, NSW 2010–2014 62

Indicator 3.5 63 Table 67: 3.5 Selected primipara undergoing surgical repair of the perineum for third degree tear by Local Health District and hospital, NSW 2010–2014 63

Indicator 3.6 64 Table 68: 3.6 Selected primipara undergoing surgical repair of the perineum for fourth degree tear by Local Health District and hospital, NSW 2010–2014 64

General anaesthesia for caesarean section, Indicator 4.1 65 Table 69: 4.1 General anaesthesia for caesarean section by Local Health District and hospital, NSW 2010–2014 65

Postpartum haemorrhage and blood transfusion, Indicator 7.1 66 Table 70: 7.1 Postpartum haemorrhage and blood transfusion following vaginal birth by Local Health District and hospital, NSW 2010–2014 66


Indicator 7.2 67 Table 71: 7.2 Postpartum haemorrhage and blood transfusion following caesarean section by Local Health District and hospital, NSW 2010–2014 67

Intrauterine growth restriction, Indicator 8.1 68 Table 72: 8.1 Intrauterine growth restriction at 40 weeks gestation or more by Local Health District and hospital, NSW 2010–2014 68

Apgar score, Indicator 9.1 69 Table 73: 9.1 Apgar score of 7 or less in term babies by Local Health District and hospital, NSW 2010–2014 69

8. ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS AND BABIES 70

Reporting of Aboriginality 70 Figure 2: Estimated level of reporting of births to Aboriginal or Torres Strait Islander mothers by year of birth and Local Health District of residence, NSW 2014 70 Table 74: Aboriginal or Torres Strait Islander mothers and estimated level of reporting by year of birth and Local Health District of residence 2012–2014 71 Table 75: Aboriginal or Torres Strait Islander babies and estimated level of reporting by year of birth and Local Health District of residence 2012–2014 72

Trends in births 73 Table 76: Aboriginal and Torres Strait Islander mothers and babies, NSW 2010–2014 73

Plurality 73 Table 77: Aboriginal and Torres Strait Islander mothers and babies by plurality, NSW 2010–2014 73

Previous pregnancies 73 Table 78: Previous pregnancies among Aboriginal and Torres Strait Islander mothers, NSW 2010–2014 73

Maternal age 74 Table 79: Age of Aboriginal and Torres Strait Islander mothers, NSW 2010–2014 74

Local Health District of residence 74 Table 80: Local Health District of residence of Aboriginal and Torres Strait Islander mothers, NSW 2010–2014 74 Table 81: Local Health District of residence of Aboriginal and Torres Strait Islander mothers by age, NSW 2014 75 Duration of pregnancy at first antenatal visit 75 Table 82: Duration of pregnancy at first antenatal visit among Aboriginal and Torres Strait Islander mothers, NSW 2010–2014 75 Table 83: Duration of pregnancy at first antenatal visit among Aboriginal and Torres Strait Islander mothers, by Local Health District of residence NSW 2014 76

Smoking in pregnancy 76 Figure 3: Smoking in the second half of pregnancy among Aboriginal and Torres Strait Islander mothers by amount smoked and Local Health District of residence, NSW 2014 76

Medical conditions and obstetric complications 77 Table 84: Medical conditions and obstetric complications among Aboriginal and non-Aboriginal mothers, NSW 2014 77

Labour and birth 77 Table 85: Labour onset for Aboriginal and Torres Strait Islander mothers, NSW 2010–2014 77 Table 86: Type of birth among Aboriginal and Torres Strait Islander mothers, NSW 2010–2014 77

Birth weight 78 Table 87: Weight of babies born to Aboriginal and Torres Strait Islander mothers, NSW 2010–2014 78 Table 88: Weight of babies born to Aboriginal and Torres Strait Islander mothers by Local Health District of residence, NSW 2014 78


Gestational age 78 Table 89: Gestational age of babies born to Aboriginal and Torres Strait Islander mothers, NSW 2010–2014 78 Table 90: Gestational age of babies born to Aboriginal and Torres Strait Islander mothers by Local Health District of residence, NSW 2014 79

Apgar score 79 Table 91: Apgar score of babies born to Aboriginal and Torres Strait Islander mothers, NSW 2010–2014 79

Infant feeding 80 Table 92: Infant feeding among liveborn babies of Aboriginal and Torres Strait Islander mothers by Local Health District of residence, NSW 2014 80

Perinatal mortality 80 Table 93: Perinatal deaths among babies born to Aboriginal or Torres Strait Islander mothers, NSW 2010–2014 80

9. APPENDICES 81

Appendix 1: Glossary of terms 81

Appendix 2: Explanatory notes 82

Appendix 3: Maternal countries of Birth and country of birth groups 83

Appendix 4: NSW Perinatal Data Collection form 84


NSW Perinatal Data Collection Komala GouthamNSW hospitals’ midwives and independent midwives NSW hospitals’ medical record departments

Maternal death reviews NSW Maternal and Perinatal Committee

Record linkage Centre for Health Record Linkage

Report preparation Caroline Sharpe, Malcolm Gillies

Editors Lee Taylor, Michael Giffin

NSW Maternal and Perinatal Committee 2014 Professor William Walters AM, Dr Susan Arbuckle, Professor Marie-Paule Austin, Dr Andrew Berry AM, Ms Vanessa Clements, Professor Hannah Dahlen, Ms Kate Dyer AM, Ms Alison Goodfellow, Dr John Hobbs, Ms Deb Matha, Ms Catriona Middleton-Rennie, Associate Professor Elisabeth Murphy, Associate Professor Michael Nicholl, Professor Jonathan Morris, Ms Karol Petrovska, Professor John Smoleniec, Dr Lee Taylor, Dr Greg Whittaker

1. ACKNOWLEDGEMENTS


This is the seventeenth annual report on mothers and babies in NSW. The key findings are:

• The number of births in NSW rose from 96,489 in 2010 to 97,325 in 2014, an overall increase of 0.9%. The largest increase occurred in the Western Sydney Local Health District, where the number of births increased from 13,817 to 14,877 between 2010 and 2014.

• The percentage of mothers who were teenagers fell from 3.3% in 2010 to 2.7% in 2014. Over the same period the percentage of mothers aged 35 years and over decreased from 24.2% to 23.2%.

• The rate of normal vaginal birth decreased from 57.7% in 2010 to 56.3% in 2014. The caesarean section rate increased from 30.5% to 32.2%, while the rate of instrumental birth remained steady at about 11%.

• Operative and instrumental births were more common among privately than publicly insured mothers. Among privately insured mothers the rate of normal vaginal birth fell from 46.2% in 2010 to 44.7% in 2014 and the caesarean section rate increased from 39.2% to 41.6%. Among publicly insured mothers the rate of normal vaginal birth fell from 63.8% to 62.4% and the caesarean section rate rose from 25.8% to 27.3%.

• The proportion of mothers reporting any smoking during pregnancy declined from 11.2% in 2010 to 9.3% in 2014. Of mothers who smoked during pregnancy in 2014, 26.0% stopped smoking in the first half of pregnancy.

• In 2014, the majority of mothers planned to give birth in a hospital labour ward, and 2.7% of mothers planned to give birth in a birth centre. Eighty-five per cent of mothers who planned to give birth in a birth centre actually did so. There were 228 homebirths in NSW reported in 2014.

• In 2014, 7.7% of babies were born prematurely (less than 37 weeks gestation), a slight increase from 7.4% in 2010.

• Since 2010, the rate of low birth weight (less than 2,500 grams) remained stable, ranging from 6.1% to 6.3%. The rate of low birth weight was 6.3% in 2014.

• Between 2010 and 2014, the reported number of Aboriginal or Torres Strait Islander mothers giving birth increased from 3,090 in 2010 to 3,756 in 2014, an increase from 3.3% to 3.9% of all mothers.

• The percentage of Aboriginal or Torres Strait Islander mothers who were teenagers fell from 18.6% in 2010 to 15.8% in 2014. The percentage of mothers giving birth at 35 years of age or more has decreased from 9.4% in 2010 to 8.4% in 2014.

• In 2014, 45.2% of Aboriginal or Torres Strait Islander mothers reported smoking at some time during pregnancy.

• Since 2010, rates of low birth weight and prematurity in Aboriginal or Torres Strait Islander babies has been over 11%. In 2014, 11.3% of Aboriginal or Torres Strait Islander babies were low birth weight and 13.0% were premature.

• The perinatal mortality rate of 12.3 per 1,000 births in Aboriginal or Torres Strait Islander mothers in 2014 is substantially higher than the rate of 7.6 per 1,000 births experienced among babies born to non-Aboriginal or Torres Strait Islander mothers.

2. EXECUTIVE SUMMARY


Data sourcesNSW Perinatal Data Collection

The New South Wales Perinatal Data Collection (PDC) is a population-based surveillance system covering all births in NSW public and private hospitals, as well as home births. It encompasses all live births, and stillbirths of at least 20 weeks gestation or at least 400 grams birth weight.

The PDC relies on the attending midwife or doctor to complete a notification form when a birth occurs. The form, a copy of which is shown at Appendix 4, includes demographic items and items on maternal health, the pregnancy, labour, birth, and perinatal outcomes. Completed forms are sent to the Health System Information and Performance Reporting Branch within the System Purchasing and Performance Division of the NSW Ministry of Health, where they are compiled into the PDC database.

In 2014, 86.6% of PDC records were received electronically from public and private hospitals information systems and 13.4% were received by paper forms. Electronically submitted records were received by secure upload to the state database or encrypted via email. There are several source systems that generate the PDC data. The largest source is ObstetriX, which supplies 58.0% of all PDC records and covers all public hospitals in Northern Sydney, Central Coast, South Eastern Sydney, Illawarra Shoalhaven, Hunter New England, Nepean Blue Mountains and Western Sydney Local Health Districts and some hospitals in Mid North Coast, Northern NSW, Murrumbidgee, Southern NSW, Western NSW and Far West Local Health Districts. CERNER systems supply 18.5% of PDC records (public hospitals in Sydney and South Western Sydney Local Health Districts). Meditech, which supplies 8.0% of all PDC data includes six Ramsay Private Hospitals (North Shore Private Hospital, Westmead Private Hospital, St George Private Hospital, Kareena Private Hospital, Figtree Private Hospital and Tamara Private Hospital, and 2.0% of PDC records were supplied from the Sydney Adventist Hospital database.

The PDC receives notifications of women whose usual place of residence is outside NSW but who give birth in NSW. However, the PDC does not receive notifications of births outside NSW to women usually resident in NSW.

.

Maternal and Child Health Register

The Maternal and Child Health Register is a dataset of linked de-identified records that has been established under the Public Health and Disease Registers provisions of the NSW Public Health 2010 Act. It includes records from the following data collections for children and young people aged less than 16 years and women aged 12 to 55 years:

• NSW PDC for the period 1994 onwards (all records);

• NSW Admitted Patient Data Collection (public hospitals and the NSW Private Hospital Inpatient Statistics Collection) for the period 1 July 2000 onwards (children and young people aged less than 16 years and women aged 12 to 55 years);

• NSW Emergency Department Data Collection for the period 1 July 2005 onwards (children and young people aged less than 16 years and women aged 12 to 55 years);

• NSW Register of Congenital Conditions for the most recently available 6 year period (all records);

• NSW Perinatal Death Review database for the period 1 January 2000 onwards (all records);

• Notifiable Conditions Information Management System for the period 1994 onwards (children and young people aged less than 16 years and women aged 12 to 55 years);

• NSW Registry of Births, Deaths and Marriages death registrations for the period 1994 onwards (children and young people aged less than 16 years and women aged 12 to 55 years); and

• Australian Coordinating Registry Cause of Death Unit Record File for the period 1994 onwards (children and young people aged less than 16 years and women aged 12 to 55 years).

An Enhanced Reporting of Aboriginality (ERA) variable is available on the Maternal and Child Heath Register. This variable uses linkage with routinely collected population-based health and health-related data collections in NSW to obtain more accurate information about Aboriginal people than is currently available in individual collections, and thus to more accurately identify and monitor risk factors for diseases and conditions that are different for Aboriginal people compared to non-Aboriginal people.

3. METHODS

(Continued on next page)


Enhanced reporting relies on having independent sources of information on whether a person is Aboriginal or Torres Strait Islander.1 Each independent report is counted as a “unit of information” that contributes to the weight of evidence as to whether a person is reported as Aboriginal or Torres Strait Islander. ERA uses the following algorithm to determine whether a person is reported as Aboriginal:

1. If a person is consistently reported as Aboriginal or Torres Strait Islander on all contributing sources of data, then the person is reported as Aboriginal or Torres Strait Islander.

2. If the person is not consistently reported as Aboriginal or Torres Strait islander, then:

i) if the person has 3 or more units of information across all contributing data sets, at least 2 indicating that the person is Aboriginal or Torres Strait Islander are required to report the person as Aboriginal or Torres Strait Islander;

ii) otherwise, if the person has 1 or 2 units of information in all contributing data sets, 1 is sufficient to report the person as Aboriginal or Torres Strait Islander.

3. If a person is consistently reported as unknown, not stated or the information is missing on all contributing data sets, then the person’s Aboriginality is reported as “missing”.

For mothers and babies, ERA is based on the weight of evidence from linked records of the PDC, Admitted Patient Data Collection (APDC), Emergency Department Data Collection, Australian Coordinating Registry Cause of Death Unit Record File, and RBDM Birth Registration data. In this report, APDC records do not contribute to the mother’s or baby’s ERA where there is a corresponding linked PDC birth record. This is because, from 2012, information on a person’s Aboriginality as reported on the PDC is usually obtained from the hospital’s patient administration system and the APDC not an independent source of information.

The Maternal and Child Health Register linkage is updated regularly for all years of data. Reported numbers of Aboriginal mothers and babies according to ERA for a particular birth year may therefore vary when subsequently reported. It should be noted that the 2012 ERA figures reported in the NSW Mothers and Babies 2012 and 2013 reports used a definition where PDC records always contributed to the mother’s and baby’s ERA.

NSW Maternal and Perinatal Committee

The NSW Maternal and Perinatal Mortality Review Committee is a quality assurance committee established under the NSW Health Administration Act 1982, and is privileged under the Act to carry out confidential reviews of both maternal and perinatal deaths. Members are appointed by the Minister for Health.

The Committee reviews each maternal death to identify any possible avoidable factors and to determine whether the death was related to pregnancy (or its management) or whether it was incidental. The Committee also reviews perinatal deaths among liveborn babies, and stillbirths of at least 20 weeks gestation or at least 400 grams birth weight. The information obtained from these reviews assists in the development of policies aimed at improving the health of mothers and newborns in NSW. Information considered by the Committee is confidential.

Reference

1. Population and Public Health Division. Improved reporting of Aboriginal and Torres Strait Islander peoples on population datasets in New South Wales using record linkage—a feasibility study. Sydney: NSW Ministry of Health, 2012.


Map of NSW Local Health Districts

CENTRAL COAST

NORTHERN SYDNEY

SYDNEY

SOUTH EASTERN SYDNEY

SOUTH WESTERN SYDNEY

ILLAWARRA SHOALHAVEN

NEPEAN BLUE MOUNTAINS

WESTERN SYDNEY

Penrith

Wollongong

Liverpool

Gosford

FAR WEST

WESTERN NSW

MURRUMBIDGEE

HUNTER NEW ENGLAND

NORTHERN NSW

ILLAWARRA SHOALHAVEN

SOUTHERN NSWNetwork with Vic

ACT

MID NORTH COAST

METROPOLITAN (see breakout map)

Dubbo

Albury

Queanbeyan

Newcastle

Lismore


Confinements and births by pluralityThe number of births in NSW rose from 96,489 in 2010 to 97,325 in 2014, a rise of 0.9%. In 2014, 97,325 births to 95,926 mothers were reported (Table 1). The percentage of multiple (twin and triplet) pregnancies has remained fairly stable over recent years at about 1.4%.

Local Health District of residenceThe largest increase occurred in the Western Sydney Local Health District, where the number of births increased from 13,817 to 14,877 between 2010 and 2014. In 2014 29.3% of mothers giving birth were residents in South Western Sydney and Western Sydney Local Health Districts, similar to previous years (Table 2).

4. TRENDS IN NEW SOUTH WALES

TABLE 1: PLURALITY, NSW 2010–2014

Plurality

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

Confinements

Singleton 93527 98.5 94429 98.5 96793 98.6 94128 98.5 94543 98.6

Twins 1446 1.5 1383 1.4 1327 1.4 1384 1.4 1367 1.4

Triplets 22 0.0 23 0.0 21 0.0 25 0.0 16 0.0

Quadruplets 1 0.0 0 0.0 0 0.0 0 0.0 0 0.0

TOTAL 94996 100.0 95835 100.0 98141 100.0 95537 100.0 95926 100.0

Births

Singleton 93527 96.9 94429 97.1 96793 97.3 94128 97.1 94543 97.1

Twins 2892 3.0 2747 2.8 2654 2.7 2768 2.9 2734 2.8

Triplets 66 0.1 69 0.1 63 0.1 75 0.1 48 0.0

Quadruplets 4 0.0 0 0.0 0 0.0 0 0.0 0 0.0

TOTAL 96489 100.0 97245 100.0 99510 100.0 96971 100.0 97325 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.

TABLE 2: MATERNAL LOCAL HEALTH DISTRICT OF RESIDENCE, NSW 2010–2014

Local Health District

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

Sydney 8524 9.0 8537 8.9 8769 8.9 8331 8.7 8401 8.8

South Western Sydney 12554 13.2 12647 13.2 13176 13.4 12842 13.4 13220 13.8

South Eastern Sydney 11358 12.0 11309 11.8 11878 12.1 11396 11.9 11460 11.9

Illawarra Shoalhaven 4403 4.6 4467 4.7 4476 4.6 4398 4.6 4363 4.5

Western Sydney 13817 14.5 14321 14.9 14601 14.9 14515 15.2 14877 15.5

Nepean Blue Mountains 4743 5.0 4881 5.1 4788 4.9 4743 5.0 4820 5.0

Northern Sydney 10613 11.2 10308 10.8 10653 10.9 10310 10.8 10454 10.9

Central Coast 3776 4.0 3914 4.1 3823 3.9 3922 4.1 3738 3.9

Hunter New England 10826 11.4 11116 11.6 11328 11.5 10931 11.4 10717 11.2

Northern NSW 2845 3.0 2832 3.0 2786 2.8 2785 2.9 2631 2.7

Mid North Coast 2289 2.4 2333 2.4 2243 2.3 2235 2.3 2151 2.2

Southern NSW 1366 1.4 1387 1.4 1450 1.5 1368 1.4 1339 1.4

Murrumbidgee 2515 2.6 2402 2.5 2402 2.4 2305 2.4 2435 2.5

Western NSW 3717 3.9 3685 3.8 3879 4.0 3707 3.9 3805 4.0

Far West 254 0.3 218 0.2 255 0.3 226 0.2 230 0.2

Other–not stated 1396 1.5 1478 1.5 1634 1.7 1523 1.6 1285 1.3

TOTAL 94996 100.0 95835 100.0 98141 100.0 95537 100.0 95926 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health


Maternal age The percentage of mothers who were teenagers fell slightly from 3.3% in 2010 to 2.7% in 2014. Between 2010 and 2014, the percentage of mothers aged 35 years and over has decreased from 24.2% to 23.2% (Figure 1, Table 3).

The mean maternal age rose from 30.2 to 30.4 years over the 5 years 2010 to 2014. The mean maternal age rose slightly from 28.6 to 29.0 years for primiparous mothers and remained stable at 31.5 years for multiparous mothers.

The proportion of mothers giving birth for the first time who were aged 35 years or more was 15.8% in 2010 and 15.5% in 2014. The proportion of multiparous mothers who were aged 35 years or more decreased slightly from 30.5% in 2010 to 29.3% in 2014.

TABLE 3: MATERNAL AGE, NSW 2010–2014

Maternal age (years)

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

Less than 15 17 0.0 19 0.0 18 0.0 15 0.0 14 0.0

15–19 3182 3.3 3080 3.2 3144 3.2 2832 3.0 2616 2.7

20–24 12776 13.4 12508 13.1 12694 12.9 12097 12.7 11699 12.2

25–29 25811 27.2 26513 27.7 26769 27.3 25801 27.0 25995 27.1

30–34 30205 31.8 31209 32.6 32385 33.0 32411 33.9 33300 34.7

35–39 18924 19.9 18299 19.1 18534 18.9 17841 18.7 17939 18.7

40–44 3890 4.1 3957 4.1 4314 4.4 4282 4.5 4115 4.3

45+ 177 0.2 224 0.2 266 0.3 240 0.3 241 0.3

Not stated 14 0.0 26 0.0 17 0.0 18 0.0 7 0.0

TOTAL 94996 100.0 95835 100.0 98141 100.0 95537 100.0 95926 100.0


Figure 1: Mothers aged less than 20 years and 35 years and over, NSW 2010–2014

YEAR

Less than 20 years

35 years and over

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence. NSW Ministry of Health.

20100

5

10

20

25

30

35

40

2011 2012 2013 2014

PER

CEN

T


Maternal country of birthThe percentage of mothers born in Australia decreased between 2010 and 2014, from 67.3% to 63.3%. In 2014, mothers born in the China, India, New Zealand, United Kingdom, Vietnam, the Philippines and Lebanon together accounted for 17.3% of all mothers (Table 4).

TABLE 4: MATERNAL COUNTRY OF BIRTH, NSW 2010–2014#

Country of birth

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

Australia 63945 67.3 63611 66.4 63799 65.0 62165 65.1 60761 63.3

China 2899 3.1 3281 3.4 4145 4.2 3856 4.0 4753 5.0

India 2753 2.9 3081 3.2 3142 3.2 3328 3.5 3634 3.8

New Zealand 2281 2.4 2237 2.3 2246 2.3 2188 2.3 2128 2.2

United Kingdom 2491 2.6 2234 2.3 2185 2.2 1968 2.1 1816 1.9

Vietnam 1413 1.5 1506 1.6 1861 1.9 1436 1.5 1537 1.6

Philippines 1401 1.5 1386 1.4 1494 1.5 1465 1.5 1450 1.5

Lebanon 1409 1.5 1373 1.4 1337 1.4 1280 1.3 1289 1.3

Iraq 936 1.0 970 1.0 981 1.0 1014 1.1 1092 1.1

Bangladesh 589 0.6 671 0.7 714 0.7 761 0.8 827 0.9

Indonesia 783 0.8 798 0.8 902 0.9 823 0.9 778 0.8

Nepal 285 0.3 449 0.5 542 0.6 636 0.7 766 0.8

Pakistan 525 0.6 566 0.6 592 0.6 646 0.7 733 0.8

South Korea 705 0.7 627 0.7 802 0.8 728 0.8 690 0.7

South Africa 661 0.7 653 0.7 660 0.7 610 0.6 598 0.6

Fiji 655 0.7 633 0.7 641 0.7 621 0.7 590 0.6

Thailand 482 0.5 514 0.5 569 0.6 535 0.6 535 0.6

United States of America 447 0.5 502 0.5 510 0.5 473 0.5 498 0.5

Ireland 429 0.5 363 0.4 450 0.5 441 0.5 471 0.5

Hong Kong 414 0.4 465 0.5 548 0.6 452 0.5 456 0.5

Sri Lanka 428 0.5 417 0.4 450 0.5 442 0.5 452 0.5

Malaysia 409 0.4 422 0.4 451 0.5 420 0.4 441 0.5

Afghanistan 320 0.3 340 0.4 365 0.4 340 0.4 405 0.4

Japan 386 0.4 428 0.4 427 0.4 392 0.4 404 0.4

Iran 240 0.3 270 0.3 297 0.3 295 0.3 369 0.4

Germany 280 0.3 297 0.3 308 0.3 309 0.3 349 0.4

Canada 268 0.3 299 0.3 292 0.3 333 0.3 290 0.3

Cambodia 251 0.3 304 0.3 303 0.3 267 0.3 274 0.3

Brazil 185 0.2 200 0.2 216 0.2 242 0.3 267 0.3

Sudan 318 0.3 289 0.3 268 0.3 284 0.3 265 0.3

Russian Federation (not USSR) 164 0.2 213 0.2 206 0.2 169 0.2 243 0.3

Egypt 197 0.2 232 0.2 209 0.2 214 0.2 242 0.3

France 185 0.2 158 0.2 161 0.2 173 0.2 233 0.2

Western Samoa 230 0.2 242 0.3 219 0.2 239 0.3 222 0.2

Syria 137 0.1 154 0.2 151 0.2 132 0.1 192 0.2

Taiwan 145 0.2 161 0.2 184 0.2 187 0.2 191 0.2

Poland 207 0.2 202 0.2 195 0.2 204 0.2 181 0.2

Turkey 204 0.2 201 0.2 175 0.2 179 0.2 176 0.2

North Korea 162 0.2 149 0.2 177 0.2 157 0.2 174 0.2

Macedonia 118 0.1 115 0.1 123 0.1 125 0.1 150 0.2

Tonga 176 0.2 161 0.2 169 0.2 166 0.2 148 0.2

Burma (Myanmar) 81 0.1 97 0.1 100 0.1 108 0.1 146 0.2

Singapore 157 0.2 143 0.1 170 0.2 135 0.1 137 0.1

Colombia 106 0.1 105 0.1 142 0.1 135 0.1 136 0.1

Chile 160 0.2 140 0.1 147 0.1 124 0.1 135 0.1

Bosnia–Herzegovina 124 0.1 128 0.1 123 0.1 113 0.1 134 0.1

Zimbabwe 112 0.1 117 0.1 127 0.1 110 0.1 129 0.1

Former Yugoslavia 118 0.1 124 0.1 123 0.1 104 0.1 121 0.1

Saudi Arabia 152 0.2 158 0.2 132 0.1 116 0.1 120 0.1

Jordan 104 0.1 101 0.1 95 0.1 105 0.1 116 0.1

Peru 84 0.1 119 0.1 94 0.1 130 0.1 116 0.1

Inadequately described 213 0.2 79 0.1 95 0.1 110 0.1 151 0.2

Other–not stated 3072 3.2 3350 3.5 3327 3.4 3552 3.7 3415 3.6

TOTAL 94996 100.0 95835 100.0 98141 100.0 95537 100.0 95926 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Countries of birth for which 100 or more women gave birth in 2014.


Aboriginal and Torres Strait Islander mothers The reported number of Aboriginal or Torres Strait Islander mothers giving birth increased from 3,090 in 2010 to 3,756 in 2014, an increase from 3.3% to 3.9% of all mothers (Table 5). Further information on Aboriginal and Torres Strait Islander mothers and babies is shown in Chapter 8.

Previous pregnancies In recent years there has been an increase in the percentage of mothers giving birth for the first time, from 42.9% in 2010 to 44.1% in 2014 (Table 6). While the proportion of mothers giving birth to a second or subsequent baby has decreased from 57.0% to 55.8% over the same period.

Duration of pregnancy at first antenatal visit Between 2010 and 2011, the proportion of mothers starting antenatal care at less than 14 weeks gestation substantially decreased from 79.3% to 71.3% (Table 7).

Since 2011, rates of commencement of antenatal care at less than 14 weeks gestation have fallen substantially due to the introduction of a stricter definition of “antenatal care”. Up to 2010, the question asked was ‘Duration of pregnancy at first antenatal visit’. From 2011, the question asked is: ‘Duration of pregnancy at first comprehensive booking or assessment by clinician’. The new question has more specifically defined the type of visit to be reported and resulted in a substantial decrease in the reported proportion of mothers who commenced antenatal care before 14 weeks gestation between 2010 and 2011. In 2014, 59.7% of mothers commenced antenatal care at less than 14 weeks gestation and 84.8% commenced antenatal care at less than 20 weeks gestation.

TABLE 5: ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS, NSW 2010–2014

Aboriginal or Torres Strait Islander

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

Aboriginal or Torres Strait Islander 3090 3.3 2975 3.1 3348 3.4 3492 3.7 3756 3.9

Non-Aboriginal or Torres Strait Islander 91662 96.5 92619 96.6 94738 96.5 91986 96.3 92158 96.1

Not stated 244 0.3 241 0.3 55 0.1 59 0.1 12 0.0

TOTAL 94996 100.0 95835 100.0 98141 100.0 95537 100.0 95926 100.0


TABLE 6: PREVIOUS PREGNANCIES, NSW 2010–2014

No. previous pregnancies (>20 weeks gestation)

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

0 40796 42.9 41602 43.4 43140 44.0 42257 44.2 42338 44.1

1–4 52491 55.3 52423 54.7 53447 54.5 51831 54.3 52070 54.3

5+ 1671 1.8 1547 1.6 1518 1.5 1429 1.5 1491 1.6

Not stated 38 0.0 263 0.3 36 0.0 20 0.0 27 0.0

TOTAL 94996 100.0 95835 100.0 98141 100.0 95537 100.0 95926 100.0


TABLE 7: DURATION OF PREGNANCY AT FIRST ANTENATAL VISIT, NSW 2010–2014

Duration of pregnancy (weeks)

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

0–13 75317 79.3 68373 71.3 60051 61.2 57336 60.0 57293 59.7

14–19 11840 12.5 14879 15.5 21489 21.9 22916 24.0 24062 25.1

20–plus 6594 6.9 9724 10.1 14063 14.3 14507 15.2 14164 14.8

Not stated 1245 1.3 2859 3.0 2538 2.6 778 0.8 407 0.4

TOTAL 94996 100.0 95835 100.0 98141 100.0 95537 100.0 95926 100.0



Smoking in pregnancy The proportion of mothers reporting any smoking during pregnancy declined from 11.2% in 2010 to 9.3% in 2014 (Table 8). Of mothers who smoked during pregnancy in 2014, 26.0% stopped smoking in the first half of pregnancy. Over the 5-year period, among those who smoked in the second half of pregnancy, there was a trend towards smoking fewer cigarettes per day (Table 9).

Place of birth In 2014, the majority of mothers planned to give birth in a hospital labour ward, and 2.7% of mothers planned to give birth in a birth centre (Table 10). Eighty-five per cent of mothers who planned to give birth in a birth centre actually did so. The total number of reported planned homebirths was fairly stable (264 in 2010 and 258 in 2014) while the reported number of planned homebirths that occurred at home fell slightly from 246 in 2010 to 228 in 2014.

TABLE 8: SMOKING IN PREGNANCY, NSW 2010–2014

Smoking in pregnancy

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

Did not smoke 84300 88.7 84545 88.2 87580 89.2 86251 90.3 87041 90.7

Smoked 10685 11.2 10669 11.1 10225 10.4 9285 9.7 8883 9.3

Not stated 11 0.0 621 0.6 336 0.3 1 0.0 2 0.0

TOTAL 94996 100.0 95835 100.0 98141 100.0 95537 100.0 95926 100.0


TABLE 10: MATERNAL PLACE OF BIRTH, NSW 2010–2014

Place of birth

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

Hospital 90730 95.5 91574 95.6 93945 95.7 92012 96.3 92596 96.5

Birth centre 2703 2.8 2804 2.9 2837 2.9 2392 2.5 2202 2.3

Planned birth centre–hospital admission 830 0.9 709 0.7 596 0.6 354 0.4 381 0.4

Planned homebirth 246 0.3 225 0.2 202 0.2 217 0.2 228 0.2

Planned homebirth–hospital admission 18 0.0 36 0.0 30 0.0 19 0.0 30 0.0

Born before arrival 468 0.5 462 0.5 519 0.5 543 0.6 488 0.5

Not stated 1 0.0 25 0.0 12 0.0 0 0.0 1 0.0

TOTAL 94996 100.0 95835 100.0 98141 100.0 95537 100.0 95926 100.0


TABLE 9: MOTHERS WHO SMOKED AT ALL DURING PREGNANCY BY NUMBER OF CIGARETTES SMOKED IN THE SECOND HALF OF PREGNANCY, NSW 2010–2014

Cigarettes smoked in the second half of pregnancy

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

None 1851 17.3 2561 24.0 2562 25.1 2446 26.3 2306 26.0

1–10 per day 4739 44.4 5482 51.4 5439 53.2 5069 54.6 4948 55.7

> 10 per day 2941 27.5 1900 17.8 1849 18.1 1510 16.3 1319 14.8

Smoked, amount not stated 1154 10.8 604 5.7 363 3.6 260 2.8 310 3.5

Not stated 0 0.0 122 1.1 12 0.1 0 0.0 0 0.0

TOTAL 10685 100.0 10669 100.0 10225 100.0 9285 100.0 8883 100.0



Hypertension and diabetes The reported rate of gestational diabetes rose from 5.6% in 2010 to 7.5% in 2014. The rate of diabetes mellitus also increased from 0.6% to 1.4% (Table 11), while the rate of hypertension in pregnancy remained steady at about 5% over the 5-year period.

Labour The rate of spontaneous onset of labour fell from 56.5% in 2010 to 50.8% in 2014 and the rate of induction of labour rose from 26.1% in 2010 to 29.6% in 2014 (Table 12). The most common reported reason for induction of labour in 2014 was prolonged pregnancy (41 or more weeks) (18.1%), followed by prelabour rupture of membranes (17.0%), hypertensive disease (7.7%), diabetes (11.6%), suspected intrauterine growth retardation (4.7%), fetal distress (2.2%) and fetal death (0.7%).

TABLE 11: MATERNAL HYPERTENSION OR DIABETES, NSW 2010–2014

Condition

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

Diabetes mellitus 609 0.6 612 0.6 662 0.7 1170 1.2 1358 1.4

Gestational diabetes 5330 5.6 6094 6.4 7292 7.4 6710 7.0 7242 7.5

Chronic hypertension 796 0.8 784 0.8 776 0.8 741 0.8 745 0.8

Pre-eclampsia 1879 2.0 1662 1.7 1675 1.7 1577 1.7 1458 1.5

Gestational Hyptertension 2632 2.8 2646 2.8 2825 2.9 2766 2.9 2810 2.9

TOTAL 94996 100.0 95835 100.0 98141 100.0 95537 100.0 95926 100.0


TABLE 12: ONSET AND AUGMENTATION OF LABOUR, NSW 2010–2014

Onset of labour

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

Spontaneous 38280 40.3 37772 39.4 38144 38.9 35970 37.7 35398 36.9

Spontaneous augmented with ARM 6611 7.0 6392 6.7 6389 6.5 5965 6.2 5645 5.9

Spontaneous augmented with oxytocics/ prostaglandins† 8481 8.9 8564 8.9 8530 8.7 7888 8.3 7680 8.0

No labour 16849 17.7 17638 18.4 18253 18.6 17818 18.7 18812 19.6

Induced – oxytocics/ prostaglandins 8763 9.2 9176 9.6 9693 9.9 10028 10.5 10343 10.8

Induced – ARM only 1782 1.9 1789 1.9 1729 1.8 1884 2.0 1887 2.0

Induced – ARM + oxytocics/ prostaglandins 14057 14.8 14321 14.9 15220 15.5 15822 16.6 15940 16.6

Induced – other‡ 166 0.2 151 0.2 163 0.2 159 0.2 216 0.2

Not stated 7 0.0 32 0.0 20 0.0 3 0.0 5 0.0

TOTAL 94996 100.0 95835 100.0 98141 100.0 95537 100.0 95926 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.ARM: artificial rupture of membranes.† May include artificial rupture of membranes.‡ This category includes other forms of induction such as Foley’s catheter.


Birth Among NSW mothers, the rate of normal vaginal birth decreased from 57.7% in 2010 to 56.3% in 2014 (Table 13). The caesarean section rate increased from 30.5% to 32.2%, while the rate of instrumental birth (forceps and vacuum extraction) remained steady at about 11%.

Operative and instrumental births are more common among privately than publicly insured mothers (Table 14). Among privately insured mothers the rate of normal vaginal birth fell from 46.2% in 2010 to 44.7% in 2014 and the caesarean section rate increased from 39.2% to 41.6%. Among publicly insured mothers the rate of normal vaginal birth fell from 63.8% to 62.4% and the caesarean section rate rose from 25.8% to 27.3%.

TABLE 13: TYPE OF BIRTH, NSW 2010–2014

Type of birth

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

Normal vaginal 54774 57.7 54516 56.9 55993 57.1 54269 56.8 53988 56.3

Forceps 3843 4.0 3932 4.1 4192 4.3 4349 4.6 4489 4.7

Vacuum extraction 7074 7.4 7005 7.3 6981 7.1 6500 6.8 6160 6.4

Vaginal breech 332 0.3 316 0.3 399 0.4 363 0.4 367 0.4

Elective caesarean section 16849 17.7 17638 18.4 18253 18.6 17818 18.7 18812 19.6

Emergency caesarean section† 12099 12.7 12391 12.9 12305 12.5 12236 12.8 12103 12.6

Not stated 25 0.0 37 0.0 18 0.0 2 0.0 7 0.0

TOTAL 94996 100.0 95835 100.0 98141 100.0 95537 100.0 95926 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.† Emergency caesarean section includes caesarean sections where the onset of labour was not stated.

TABLE 14: MATERNAL HEALTH INSURANCE BY TYPE OF BIRTH, NSW 2010–2014#

Insurance status–type of birth

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

PUBLIC Normal vaginal 39468 63.8 39288 63.3 40202 63.2 38942 62.8 38627 62.4

Forceps 2365 3.8 2397 3.9 2718 4.3 2804 4.5 2823 4.6


Vaginal breech 247 0.4 244 0.4 311 0.5 277 0.4 251 0.4


Emergency caesarean section* 7520 12.2 7702 12.4 7483 11.8 7650 12.3 7618 12.3

Not stated 7 0.0 13 0.0 7 0.0 0 0.0 3 0.0

TOTAL 61889 100.0 62104 100.0 63579 100.0 62029 100.0 61937 100.0

PRIVATE Normal vaginal 15239 46.2 14938 44.9 15363 45.3 14713 45.2 14837 44.7

Forceps 1473 4.5 1530 4.6 1455 4.3 1509 4.6 1653 5.0


Vaginal breech 84 0.3 70 0.2 83 0.2 83 0.3 112 0.3



Not stated 18 0.1 22 0.1 9 0.0 2 0.0 4 0.0

TOTAL 33004 100.0 33288 100.0 33924 100.0 32551 100.0 33198 100.0

TOTAL* Normal vaginal 54774 57.7 54516 56.9 55993 57.1 54269 56.8 53988 56.3

Forceps 3843 4.0 3932 4.1 4192 4.3 4349 4.6 4489 4.7


Vaginal breech 332 0.3 316 0.3 399 0.4 363 0.4 367 0.4



Not stated 25 0.0 37 0.0 18 0.0 2 0.0 7 0.0

TOTAL 94996 100.0 95835 100.0 98141 100.0 95537 100.0 95926 100.0

Source: Linked data of the NSW Perinatal Data Collection and NSW Admitted Patient Data Collection. Centre for Epidemiology and Evidence, NSW Ministry of Health.# Figures for 2010–13 differ to those reported previously as the linkage has been updated.† Emergency caesarean section includes cases where caesarean section was reported but type of onset of labour was not reported.* Total includes mothers where type of health insurance was not stated.


Birth weight Since 2010, the pattern of birth weight has remained stable, with the rate of low birth weight (less than 2,500 grams), ranging from 6.1% to 6.3% (Table 16). The rate of low birth weight was 6.3% in 2014.

Baby sex There was no significant change in the pattern of baby sex since 2010, with slightly more male babies born than females in each year. In 2014, 50,011 (51.4%) babies were male, 47,281 (48.6%) were female, and 10 were of indeterminate sex. This compares with babies born in 2010, when 49,361 (51.2%) babies were male, 47,094 (48.8%) were female, and 7 were of indeterminate sex.

Gestational age In 2014, 7.7% of babies were born prematurely (less than 37 weeks gestation), a slight increase from 7.4% in 2010 (Table 15). Over the 5 year period, 92% of babies were born at term (37–41 weeks gestation). The percentage of postmature babies (42-plus weeks gestation) was 0.8% in 2010 and 0.4% in 2014.

TABLE 16: BIRTH WEIGHT, NSW 2010–2014

Birth weight (grams)

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

Less than 500 210 0.2 253 0.3 252 0.3 232 0.2 225 0.2

500–999 408 0.4 443 0.5 428 0.4 413 0.4 433 0.4

1000–1499 541 0.6 538 0.6 521 0.5 524 0.5 552 0.6

1500–1999 1120 1.2 1084 1.1 1166 1.2 1129 1.2 1096 1.1

2000–2499 3621 3.8 3684 3.8 3714 3.7 3856 4.0 3839 3.9

2500–2999 14648 15.2 14776 15.2 15356 15.4 15089 15.6 15598 16.0

3000–3499 35008 36.3 35362 36.4 36647 36.8 36118 37.2 36528 37.5

3500–3999 29575 30.7 29916 30.8 30171 30.3 29191 30.1 28986 29.8

4000–4499 9654 10.0 9516 9.8 9571 9.6 8860 9.1 8606 8.8

4500+ 1645 1.7 1567 1.6 1618 1.6 1460 1.5 1393 1.4

Not stated 59 0.1 106 0.1 66 0.1 99 0.1 69 0.1

TOTAL 96489 100.0 97245 100.0 99510 100.0 96971 100.0 97325 100.0


TABLE 15: GESTATIONAL AGE, NSW 2010–2014

Gestational age (weeks)

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

< 28 665 0.7 726 0.7 686 0.7 690 0.7 659 0.7

28–31 676 0.7 676 0.7 679 0.7 659 0.7 696 0.7

32–36 5762 6.0 5872 6.0 6184 6.2 6059 6.2 6140 6.3

37–41 88649 91.9 89298 91.8 91388 91.8 89086 91.9 89435 91.9

42 + 733 0.8 660 0.7 569 0.6 466 0.5 391 0.4

Not stated 4 0.0 13 0.0 4 0.0 11 0.0 4 0.0

TOTAL 96489 100.0 97245 100.0 99510 100.0 96971 100.0 97325 100.0


Apgar score In 2014, 2.3% of babies were born with an Apgar score of less than 7 at 5 minutes and 1.1% were born with an Apgar score of less than 5 (Table 17). These rates are similar to those of previous years.

TABLE 17: APGAR SCORE AT 5 MINUTES, NSW 2010–2014#

Apgar score

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

0–4 1051 1.1 1096 1.1 1052 1.1 1053 1.1 1050 1.1

5–6 959 1.0 1019 1.0 1145 1.2 1184 1.2 1206 1.2

7+ 94201 97.6 94834 97.5 97081 97.6 94673 97.6 94861 97.5

Not stated 278 0.3 296 0.3 232 0.2 61 0.1 208 0.2

TOTAL 96489 100.0 97245 100.0 99510 100.0 96971 100.0 97325 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Includes stillbirths and live births.


Perinatal outcome Across the period 2010–2014 the perinatal mortality rate decreased from 8.2 to 7.8 per 1,000 births (Table 20). In 2014, 70.7% of all reported perinatal deaths were stillbirths and 29.3% were neonatal deaths.

In 2014, of the 755 perinatal deaths in NSW, 728 (96.4%) were reported among planned hospital births, 10 (1.3%) among planned birth centre births, 16 deaths were among babies born before arrival at hospital, and the planned place of birth was not stated for 1 death. No perinatal deaths were reported in planned home births.

Hepatitis B The percentage of babies given a hepatitis B vaccination at birth has risen from 93.6% in 2010 to 94.6% in 2014 (Table 18).

Infant feeding The percentage of babies fully breastfed at the time of discharge from hospital decreased from 80.0% to 78.6% between 2010 and 2014. The percentage of babies that received any breastfeeding rose from 7.5% in 2010 to 10.5% in 2014. In the same 5-year period, the percentage of babies receiving infant formula only fell from 11.6% to 9.9% (Table 19).

TABLE 20: PERINATAL OUTCOMES, NSW 2010–2014#

YearLiveborn surviving Stillborn Neonatal death Death–age not stated Not stated Total births

Perinatal death rate/1,000 births†

No. % No. % No. % No. % No. % No. % No.

2010 95675 99.2 555 0.6 239 0.2 7 0.0 13 0.0 96489 100.0 8.2

2011 96329 99.1 572 0.6 254 0.3 4 0.0 86 0.1 97245 100.0 8.5

2012 98657 99.1 600 0.6 212 0.2 6 0.0 35 0.0 99510 100.0 8.2

2013 96174 99.2 562 0.6 212 0.2 2 0.0 21 0.0 96971 100.0 8.0

2014 96553 99.2 534 0.5 221 0.2 2 0.0 15 0.0 97325 100.0 7.8

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Perinatal deaths include deaths reported to the PDC only. As the PDC form is completed at discharge or transfer of the baby, deaths occurring after this time may not be reported to the PDC.† The perinatal death rate excludes deaths where the age at death was not stated.

TABLE 18: HEPATITIS B DOSE GIVEN TO LIVEBORN BABIES, NSW 2010–2014

Hepatitis B dose given

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

No 6053 6.3 6097 6.3 5882 5.9 5441 5.6 5207 5.4

Yes 89772 93.6 90338 93.5 92957 94.0 90921 94.3 91538 94.6

Not stated 96 0.1 152 0.2 36 0.0 26 0.0 31 0.0

TOTAL 95921 100.0 96587 100.0 98875 100.0 96388 100.0 96776 100.0


TABLE 19: LIVE BIRTHS BY TYPE OF INFANT FEEDING, NSW 2010–2014

Infant feeding

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

Full breast-feeding 76757 80.0 79256 82.1 81154 82.1 76912 79.8 76018 78.6

Any breast-feeding 7184 7.5 5889 6.1 6709 6.8 8457 8.8 10132 10.5

Infant formula only 11159 11.6 10308 10.7 10163 10.3 9935 10.3 9577 9.9

Not stated 821 0.9 1134 1.2 849 0.9 1084 1.1 1049 1.1

TOTAL 95921 100.0 96587 100.0 98875 100.0 96388 100.0 96776 100.0



TABLE 22: MATERNAL DEATHS BY CAUSE, NSW 2013#

Classification Cause No.

2013

Direct Amniotic fluid embolism 1

Direct Postpartum haemorrhage 1

Incidental Sharp force trauma to chest 1

Indirect Suicide 1

Incidental Metabolic complications of diabetes 1

TOTAL 5

Source: NSW Maternal and Perinatal Mortality Review Committee.# Includes all deaths of women who were pregnant at the time of death, or who died within 42 days of childbirth. Direct deaths include those resulting from obstetric complications of the pregnant state, including its man-agement. Indirect deaths include those resulting from pre-existing disease or disease which developed during pregnancy and was not due to direct obstetric causes but which may have been aggravated by the physiological effects of pregnancy. Incidental deaths are those where the pregnancy is unlikely to have contributed significantly to the death.1

Maternal deaths In the period 1990–2013, 223 deaths were reported among pregnant women or women who gave birth less than 6 weeks previously. Of these, 67 (30.0%) died of incidental causes not related to the pregnancy or its management, 94 (42.2%) deaths were found to be directly due to pregnancy or its management, and 59 (26.5%) were found to result from pre-existing disease or disease which developed during pregnancy (not due to direct obstetric causes), but which may have been aggravated by the physiologic effects of pregnancy (Table 21). Table 22 shows maternal deaths by cause in NSW for 2013.

TABLE 21: MATERNAL DEATHS BY YEAR, NSW 1990–2013#

Year

Classification

Direct IndirectTotal

Direct & IndirectIncidental TOTAL

No. Ratio/100,000 No. Ratio/100,000 No. Ratio/100,000 No. Ratio/100,000 No. Ratio/100,000

1990 4 4.6 6 6.9 10 11.6 2 2.3 12 13.9

1991 4 4.7 1 1.2 5 5.8 1 1.2 6 7.0

1992 5 5.7 1 1.1 6 6.8 5 5.7 11 12.5

1993 6 6.9 1 1.2 7 8.1 6 6.9 13 15.0

1994 8 9.2 1 1.2 9 10.4 3 3.5 12 13.8

1995 7 8.1 2 2.3 9 10.4 6 7.0 15 17.4

1996 6 7.0 1 1.2 7 8.2 5 5.9 12 14.1

1997 7 8.1 2 2.3 9 10.5 5 5.8 14 16.1

1998 4 4.7 4 4.7 8 9.4 3 3.5 11 12.9

1999† 4 4.7 1 1.2 5 5.8 6 7.0 12 14.0

2000 4 4.7 5 5.9 9 10.7 1 1.2 10 11.9

2001 4 4.7 4 4.7 8 9.5 1 1.2 9 10.7

2002 2 2.4 2 2.4 4 4.7 1 1.2 5 5.9

2003 1 1.2 3 3.5 4 4.7 3 3.5 7 8.2

2004† 2 2.3 2 2.3 4 4.7 2 2.3 7 8.2

2005† 4 4.5 4 4.5 8 9.0 2 2.2 11 12.3

2006 4 4.4 3 3.3 7 7.7 3 3.3 10 11.0

2007 1 1.1 0 0.0 1 1.1 0 0.0 1 1.1

2008 0 0.0 4 4.2 4 4.2 1 1.1 5 5.3

2009 5 5.3 2 2.1 7 7.4 3 3.2 10 10.5

2010 4 4.2 2 2.1 6 6.3 2 2.1 8 8.4

2011 3 3.1 5 5.2 8 8.3 2 2.1 10 10.4

2012 3 3.1 2 2.0 5 5.1 2 2.0 7 7.1

2013 2 2.1 1 1.0 3 3.1 2 2.1 5 5.2

Source: NSW Maternal and Perinatal Mortality Review Committee.# Includes all deaths of women who were pregnant at the time of death, or who died within 42 days of childbirth. Direct deaths include those resulting from obstetric complications of the pregnant state, including its man-agement. Indirect deaths include those resulting from pre-existing disease or disease which developed during pregnancy and was not due to direct obstetric causes but which may have been aggravated by the physiological effects of pregnancy. Incidental deaths are those where the pregnancy is unlikely to have contributed significantly to the death.1

† Totals for the year include one death that was unable to be classified.

Reference

1. Sullivan EA, Hall B, King, JF. Maternal deaths in Australia 2003–2005. Maternal deaths series no. 3 Cat. No. PER 42. Sydney: AIHW National Perinatal Statistics Unit, 2007.


Information on the health of Aboriginal and Torres Strait Islander mothers is shown in Chapter 8.

Confinements The largest numbers of mothers who gave birth in 2014 were resident in the Western Sydney Local Health District (n = 14,877, 15.5%), followed by the South Western Sydney Local Health District (n = 13,220, 13.8%) and the South Eastern Sydney Local Health District (n = 11,460, 11.9%) (Table 23).

Maternal age In 2014, the proportion of women giving birth at less than 20 years of age varied from 0.3% in the Northern Sydney Local Health District to 8.3% in the Far West Local Health District, while the proportion of mothers giving birth at 35 years of age or more ranged from 9.1% in the Far West Local Health District to 38.3% in the Northern Sydney Local Health District (Table 23).

5. LOCAL HEALTH DISTRICTS

TABLE 23: MATERNAL AGE BY LOCAL HEALTH DISTRICT OF RESIDENCE, NSW 2014


Maternal age (Years)

12–19 20–24 25–29 30–34 35–39 40–44 45+ Not stated TOTAL

No. % No. % No. % No. % No. % No. % No. % No. % No. %

Sydney 72 0.9 518 6.2 1797 21.4 3311 39.4 2144 25.5 520 6.2 37 0.4 2 0.0 8401 100.0

South Western Sydney 377 2.9 1961 14.8 4092 31.0 4265 32.3 2043 15.5 459 3.5 22 0.2 1 0.0 13220 100.0

South Eastern Sydney 78 0.7 563 4.9 2444 21.3 4654 40.6 2957 25.8 719 6.3 45 0.4 0 0.0 11460 100.0

Illawarra Shoalhaven 168 3.9 654 15.0 1287 29.5 1427 32.7 659 15.1 156 3.6 10 0.2 2 0.0 4363 100.0

Western Sydney 314 2.1 1736 11.7 4426 29.8 5510 37.0 2385 16.0 477 3.2 29 0.2 0 0.0 14877 100.0

Nepean Blue Mountains 157 3.3 771 16.0 1549 32.1 1491 30.9 681 14.1 166 3.4 5 0.1 0 0.0 4820 100.0

Northern Sydney 31 0.3 255 2.4 1732 16.6 4428 42.4 3219 30.8 736 7.0 51 0.5 2 0.0 10454 100.0

Central Coast 127 3.4 570 15.2 1148 30.7 1198 32.0 550 14.7 134 3.6 11 0.3 0 0.0 3738 100.0

Hunter New England 535 5.0 1928 18.0 3247 30.3 3186 29.7 1497 14.0 310 2.9 14 0.1 0 0.0 10717 100.0

Northern NSW 148 5.6 482 18.3 788 30.0 710 27.0 375 14.3 125 4.8 3 0.1 0 0.0 2631 100.0

Mid North Coast 106 4.9 464 21.6 638 29.7 568 26.4 301 14.0 72 3.3 2 0.1 0 0.0 2151 100.0

Southern NSW 76 5.7 260 19.4 421 31.4 363 27.1 178 13.3 38 2.8 3 0.2 0 0.0 1339 100.0

Murrumbidgee 134 5.5 501 20.6 735 30.2 697 28.6 297 12.2 67 2.8 4 0.2 0 0.0 2435 100.0

Western NSW 272 7.1 793 20.8 1202 31.6 994 26.1 449 11.8 93 2.4 2 0.1 0 0.0 3805 100.0

Far West 19 8.3 59 25.7 76 33.0 55 23.9 13 5.7 8 3.5 0 0.0 0 0.0 230 100.0

Other–not stated 16 1.2 184 14.3 413 32.1 443 34.5 191 14.9 35 2.7 3 0.2 0 0.0 1285 100.0

TOTAL 2630 2.7 11699 12.2 25995 27.1 33300 34.7 17939 18.7 4115 4.3 241 0.3 7 0.0 95926 100.0



Maternal country of birth

Sixty-nine per cent of women who gave birth in NSW in 2014 were born in English speaking countries, 19.3% were born in Asian countries, and 5.1% were born in the Middle East or Africa (Table 24). The highest proportions of mothers born in non-English speaking countries were resident in the Western Sydney, Sydney and South Western Sydney Local Health Districts.

TABLE 24: MATERNAL COUNTRY OF BIRTH BY LOCAL HEALTH DISTRICT OF RESIDENCE, NSW 2014


Country of birth group

English speaking

Central & South America

Melanesia, Micronesia & Polynesia

Southern Europe

Western & Northern Europe

Eastern Europe, Russia, Central Asian &

Baltic States

Middle East & Africa

South East Asia

North East Asia

Southern Asia

TOTAL†

No. % No. % No. % No. % No. % No. % No. % No. % No. % No. % No. %

Sydney 4589 54.6 113 1.3 76 0.9 111 1.3 114 1.4 115 1.4 464 5.5 708 8.4 1210 14.4 803 9.6 8401 100.0

South Western Sydney 7569 57.3 155 1.2 431 3.3 263 2.0 46 0.3 112 0.8 1911 14.5 1660 12.6 371 2.8 661 5.0 13220 100.0

South Eastern Sydney 7325 63.9 197 1.7 71 0.6 194 1.7 261 2.3 235 2.1 400 3.5 733 6.4 1244 10.9 617 5.4 11460 100.0

Illawarra Shoalhaven 3897 89.3 27 0.6 19 0.4 35 0.8 24 0.6 15 0.3 88 2.0 92 2.1 77 1.8 64 1.5 4363 100.0

Western Sydney 6857 46.1 95 0.6 353 2.4 101 0.7 62 0.4 374 2.5 1423 9.6 961 6.5 1717 11.5 2838 19.1 14877 100.0

Nepean Blue Mountains 4222 87.6 21 0.4 47 1.0 13 0.3 26 0.5 30 0.6 105 2.2 121 2.5 69 1.4 137 2.8 4820 100.0

Northern Sydney 6477 62.0 223 2.1 61 0.6 83 0.8 264 2.5 197 1.9 275 2.6 509 4.9 1619 15.5 578 5.5 10454 100.0

Central Coast 3419 91.5 17 0.5 17 0.5 9 0.2 23 0.6 22 0.6 17 0.5 75 2.0 54 1.4 50 1.3 3738 100.0

Hunter New England 10003 93.3 30 0.3 19 0.2 22 0.2 53 0.5 32 0.3 83 0.8 160 1.5 119 1.1 171 1.6 10717 100.0

Northern NSW 2405 91.4 21 0.8 5 0.2 2 0.1 28 1.1 11 0.4 20 0.8 38 1.4 34 1.3 33 1.3 2631 100.0

Mid North Coast 1924 89.4 10 0.5 9 0.4 8 0.4 19 0.9 5 0.2 25 1.2 50 2.3 16 0.7 65 3.0 2151 100.0

Southern NSW 1223 91.3 3 0.2 3 0.2 17 1.3 7 0.5 4 0.3 6 0.4 27 2.0 18 1.3 25 1.9 1339 100.0

Murrumbidgee 2196 90.2 5 0.2 22 0.9 2 0.1 10 0.4 8 0.3 37 1.5 39 1.6 23 0.9 90 3.7 2435 100.0

Western NSW 3593 94.4 5 0.1 5 0.1 3 0.1 14 0.4 3 0.1 30 0.8 48 1.3 23 0.6 71 1.9 3805 100.0

Far West 218 94.8 0 0.0 1 0.4 0 0.0 0 0.0 0 0.0 0 0.0 5 2.2 0 0.0 6 2.6 230 100.0

Other–not stated 649 50.5 33 2.6 30 2.3 16 1.2 20 1.6 23 1.8 49 3.8 132 10.3 116 9.0 208 16.2 1285 100.0

TOTAL 66566 69.4 955 1.0 1169 1.2 879 0.9 971 1.0 1186 1.2 4933 5.1 5358 5.6 6710 7.0 6417 6.7 95926 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. † Includes 782 mothers in NSW for whom country of birth was not stated. Maternal countries of birth and birth groups are shown in Appendix 3.


Aboriginal and Torres Strait Islander mothers In 2014, 3.9% of mothers were reported to be Aboriginal or Torres Strait Islander (Table 25). The reported proportion of Aboriginal or Torres Strait Islander mothers varied from 0.3% in the Northern Sydney Local Health District to 20.0% in Far West Local Health District.

TABLE 25: ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS BY LOCAL HEALTH DISTRICT OF RESIDENCE, NSW 2014


Aboriginal and Torres Strait Islander

Aboriginal or Torres Strait IslanderNon-Aboriginal

or Torres Strait IslanderNot stated TOTAL

No. % No. % No. % No. %

Sydney 120 1.4 8280 98.6 1 0.0 8401 100.0

South Western Sydney 235 1.8 12984 98.2 1 0.0 13220 100.0

South Eastern Sydney 99 0.9 11361 99.1 0 0.0 11460 100.0

Illawarra Shoalhaven 212 4.9 4151 95.1 0 0.0 4363 100.0

Western Sydney 301 2.0 14574 98.0 2 0.0 14877 100.0

Nepean Blue Mountains 196 4.1 4623 95.9 1 0.0 4820 100.0

Northern Sydney 29 0.3 10422 99.7 3 0.0 10454 100.0

Central Coast 217 5.8 3521 94.2 0 0.0 3738 100.0

Hunter New England 932 8.7 9782 91.3 3 0.0 10717 100.0

Northern NSW 235 8.9 2396 91.1 0 0.0 2631 100.0

Mid North Coast 251 11.7 1900 88.3 0 0.0 2151 100.0

Southern NSW 86 6.4 1253 93.6 0 0.0 1339 100.0

Murrumbidgee 190 7.8 2245 92.2 0 0.0 2435 100.0

Western NSW 583 15.3 3222 84.7 0 0.0 3805 100.0

Far West 46 20.0 184 80.0 0 0.0 230 100.0

Other–not stated 24 1.9 1260 98.1 1 0.1 1285 100.0

TOTAL 3756 3.9 92158 96.1 12 0.0 95926 100.0


Duration of pregnancy at first antenatal visit In 2014, 84.8% of mothers commenced antenatal care prior to 20 weeks gestation and 59.7% commenced antenatal care prior to 14 weeks gestation. The percentage of mothers commencing antenatal care prior to 14 weeks gestation varied from 30.6% in the Southern NSW Local Health District to 78.3% in the Mid North Coast Local Health District (Table 26).

TABLE 26: DURATION OF PREGNANCY AT FIRST ANTENATAL VISIT BY LOCAL HEALTH DISTRICT OF RESIDENCE, NSW 2014


Duration of pregnancy at first antenatal visit (weeks)

0–13 14–19 20–plus Not stated TOTAL

No. % No. % No. % No. % No. %

Sydney 6553 78.0 1353 16.1 478 5.7 17 0.2 8401 100.0




Western Sydney 8141 54.7 4303 28.9 2384 16.0 49 0.3 14877 100.0


Northern Sydney 6393 61.2 3294 31.5 748 7.2 19 0.2 10454 100.0

Central Coast 1439 38.5 1335 35.7 940 25.1 24 0.6 3738 100.0


Northern NSW 2170 82.5 243 9.2 212 8.1 6 0.2 2631 100.0

Mid North Coast 1684 78.3 232 10.8 230 10.7 5 0.2 2151 100.0

Southern NSW 410 30.6 354 26.4 567 42.3 8 0.6 1339 100.0

Murrumbidgee 1331 54.7 475 19.5 621 25.5 8 0.3 2435 100.0

Western NSW 2535 66.6 595 15.6 652 17.1 23 0.6 3805 100.0

Far West 140 60.9 58 25.2 31 13.5 1 0.4 230 100.0

Other–not stated 874 68.0 145 11.3 241 18.8 25 1.9 1285 100.0

TOTAL 57293 59.7 24062 25.1 14164 14.8 407 0.4 95926 100.0



Smoking in pregnancy In 2014, 6.9% of mothers reported smoking in the second half of pregnancy (Table 27). The lowest rate was reported among mothers resident in the Northern Sydney Local Health District (0.9%) and the highest rate was reported among residents of the Far West Local Health District (30.4%).

TABLE 27: CIGARETTES SMOKED IN THE SECOND HALF OF PREGNANCY BY LOCAL HEALTH DISTRICT OF RESIDENCE, NSW 2014


Cigarettes smoked in the second half of pregnancy

None 1–10 per day > 10 per daySmoked,

amount not statedNot stated TOTAL

No. % No. % No. % No. % No. % No. %

Sydney 8240 98.1 133 1.6 27 0.3 1 0.0 0 0.0 8401 100.0

South Western Sydney 12388 93.7 663 5.0 164 1.2 4 0.0 1 0.0 13220 100.0

South Eastern Sydney 11272 98.4 145 1.3 25 0.2 18 0.2 0 0.0 11460 100.0

Illawarra Shoalhaven 3943 90.4 314 7.2 83 1.9 23 0.5 0 0.0 4363 100.0

Western Sydney 14170 95.2 525 3.5 138 0.9 44 0.3 0 0.0 14877 100.0

Nepean Blue Mountains 4418 91.7 300 6.2 69 1.4 33 0.7 0 0.0 4820 100.0

Northern Sydney 10362 99.1 62 0.6 9 0.1 21 0.2 0 0.0 10454 100.0

Central Coast 3359 89.9 275 7.4 88 2.4 16 0.4 0 0.0 3738 100.0

Hunter New England 9295 86.7 1045 9.8 324 3.0 53 0.5 0 0.0 10717 100.0

Northern NSW 2345 89.1 236 9.0 38 1.4 11 0.4 1 0.0 2631 100.0

Mid North Coast 1834 85.3 233 10.8 70 3.3 14 0.7 0 0.0 2151 100.0

Southern NSW 1112 83.0 176 13.1 44 3.3 7 0.5 0 0.0 1339 100.0

Murrumbidgee 2092 85.9 265 10.9 65 2.7 13 0.5 0 0.0 2435 100.0

Western NSW 3142 82.6 474 12.5 146 3.8 43 1.1 0 0.0 3805 100.0

Far West 160 69.6 46 20.0 21 9.1 3 1.3 0 0.0 230 100.0

Other–not stated 1215 94.6 56 4.4 8 0.6 6 0.5 0 0.0 1285 100.0

TOTAL 89347 93.1 4948 5.2 1319 1.4 310 0.3 2 0.0 95926 100.0


Place of birth Ninety-seven per cent of mothers chose to give birth in a hospital birthing suite in 2014, compared to 2.7% who planned a birth centre birth and 0.3% who planned a home birth (Table 28). Planned birth centre births were most commonly reported in the Hunter New England Local Health District.

TABLE 28: PLACE OF BIRTH BY LOCAL HEALTH DISTRICT OF RESIDENCE, NSW 2014


Place of birth

Hospital Birth centrePlanned

birth centre– hospital admission

Planned home-birth

Planned homebirth–

hospital admission

Born before arrival

Not stated TOTAL

No. % No. % No. % No. % No. % No. % No. % No. %

Sydney 7961 94.8 377 4.5 15 0.2 11 0.1 2 0.0 35 0.4 0 0.0 8401 100.0

South Western Sydney 13101 99.1 19 0.1 4 0.0 17 0.1 2 0.0 76 0.6 1 0.0 13220 100.0

South Eastern Sydney 10904 95.1 355 3.1 133 1.2 21 0.2 7 0.1 40 0.3 0 0.0 11460 100.0

Illawarra Shoalhaven 4313 98.9 22 0.5 5 0.1 8 0.2 1 0.0 14 0.3 0 0.0 4363 100.0

Western Sydney 14562 97.9 216 1.5 18 0.1 7 0.0 0 0.0 74 0.5 0 0.0 14877 100.0

Nepean Blue Mountains 4713 97.8 53 1.1 13 0.3 17 0.4 1 0.0 23 0.5 0 0.0 4820 100.0

Northern Sydney 10252 98.1 136 1.3 7 0.1 26 0.2 3 0.0 30 0.3 0 0.0 10454 100.0

Central Coast 3607 96.5 87 2.3 5 0.1 5 0.1 0 0.0 34 0.9 0 0.0 3738 100.0

Hunter New England 9728 90.8 710 6.6 125 1.2 72 0.7 9 0.1 73 0.7 0 0.0 10717 100.0

Northern NSW 2422 92.1 133 5.1 10 0.4 32 1.2 2 0.1 32 1.2 0 0.0 2631 100.0

Mid North Coast 2114 98.3 15 0.7 7 0.3 1 0.0 1 0.0 13 0.6 0 0.0 2151 100.0

Southern NSW 1301 97.2 20 1.5 7 0.5 1 0.1 0 0.0 10 0.7 0 0.0 1339 100.0

Murrumbidgee 2385 97.9 21 0.9 18 0.7 1 0.0 1 0.0 9 0.4 0 0.0 2435 100.0

Western NSW 3748 98.5 25 0.7 10 0.3 6 0.2 1 0.0 15 0.4 0 0.0 3805 100.0

Far West 226 98.3 1 0.4 0 0.0 0 0.0 0 0.0 3 1.3 0 0.0 230 100.0

Other–not stated 1259 98.0 12 0.9 4 0.3 3 0.2 0 0.0 7 0.5 0 0.0 1285 100.0

TOTAL 92596 96.5 2202 2.3 381 0.4 228 0.2 30 0.0 488 0.5 1 0.0 95926 100.0



Labour In 2014, the onset of labour was spontaneous in 50.8% of confinements (Table 29). Labour was induced in 29.6% of confinements and no labour (elective caesarean section) was reported in 19.6%. The rate of spontaneous onset of labour was highest among residents of the Southern NSW Local Health District (62.2%). The highest rate of induction of labour was among residents of the Nepean Blue Mountains Local Health District (34.1%).

TABLE 29: ONSET AND AUGMENTATION OF LABOUR BY LOCAL HEALTH DISTRICT OF RESIDENCE, NSW 2014


Onset of labour

SpontaneousSpontaneous augmented with ARM

Spontaneous augmented

with oxytocics/ prostaglandins†

No labourInduced–oxytocics/

prostaglandins

Induced– ARM only

Induced–ARM + oxytocics/

prostaglandinsInduced–other‡ Not stated TOTAL

No. % No. % No. % No. % No. % No. % No. % No. % No. % No. %

Sydney 3035 36.1 311 3.7 934 11.1 1766 21.0 859 10.2 186 2.2 1288 15.3 21 0.2 1 0.0 8401 100.0

South Western Sydney 5049 38.2 1016 7.7 1233 9.3 2376 18.0 1476 11.2 184 1.4 1842 13.9 42 0.3 2 0.0 13220 100.0

South Eastern Sydney 3687 32.2 816 7.1 1018 8.9 2540 22.2 1214 10.6 265 2.3 1908 16.6 12 0.1 0 0.0 11460 100.0

Illawarra Shoalhaven 1469 33.7 340 7.8 294 6.7 816 18.7 405 9.3 101 2.3 928 21.3 10 0.2 0 0.0 4363 100.0

Western Sydney 5144 34.6 1046 7.0 1274 8.6 2822 19.0 1584 10.6 180 1.2 2791 18.8 35 0.2 1 0.0 14877 100.0

Nepean Blue Mountains 1702 35.3 203 4.2 227 4.7 1046 21.7 627 13.0 69 1.4 934 19.4 12 0.2 0 0.0 4820 100.0

Northern Sydney 3809 36.4 538 5.1 774 7.4 2426 23.2 1018 9.7 265 2.5 1613 15.4 11 0.1 0 0.0 10454 100.0

Central Coast 1406 37.6 220 5.9 313 8.4 716 19.2 366 9.8 63 1.7 645 17.3 9 0.2 0 0.0 3738 100.0

Hunter New England 4185 39.1 470 4.4 689 6.4 1931 18.0 1213 11.3 197 1.8 1989 18.6 43 0.4 0 0.0 10717 100.0

Northern NSW 1276 48.5 139 5.3 181 6.9 328 12.5 262 10.0 70 2.7 368 14.0 7 0.3 0 0.0 2631 100.0

Mid North Coast 978 45.5 109 5.1 117 5.4 401 18.6 210 9.8 47 2.2 286 13.3 3 0.1 0 0.0 2151 100.0

Southern NSW 639 47.7 85 6.3 109 8.1 192 14.3 137 10.2 32 2.4 144 10.8 1 0.1 0 0.0 1339 100.0

Murrumbidgee 962 39.5 108 4.4 118 4.8 495 20.3 322 13.2 89 3.7 338 13.9 3 0.1 0 0.0 2435 100.0

Western NSW 1416 37.2 190 5.0 246 6.5 747 19.6 456 12.0 106 2.8 637 16.7 6 0.2 1 0.0 3805 100.0

Far West 110 47.8 7 3.0 9 3.9 42 18.3 25 10.9 7 3.0 30 13.0 0 0.0 0 0.0 230 100.0

Other–not stated 531 41.3 47 3.7 144 11.2 168 13.1 169 13.2 26 2.0 199 15.5 1 0.1 0 0.0 1285 100.0

TOTAL 35398 36.9 5645 5.9 7680 8.0 18812 19.6 10343 10.8 1887 2.0 15940 16.6 216 0.2 5 0.0 95926 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.ARM: artificial rupture of membranes.† May include artificial rupture of membranes.‡ This category includes other forms of induction such as Foley’s catheter.

Birth Fifty-six per cent of births were normal vaginal births in 2014, 11.1% were instrumental (forceps or vacuum extraction), and 32.2% were by caesarean section (Table 30). The highest rate of normal vaginal birth was 67.7% among residents of the Northern NSW Local Health District, while the highest rate of instrumental birth was 15.8% among residents of the South Eastern Sydney Local Health District. The caesarean section rate varied from 23.6% among mothers resident in the Northern NSW Local Health District to 36.6% in the Northern Sydney Local Health District.

TABLE 30: TYPE OF BIRTH BY LOCAL HEALTH DISTRICT OF RESIDENCE, NSW 2014


Type of birth

Normal vaginal Forceps Vacuum extraction Vaginal breechElective caesarean

sectionEmergency

caesarean section† Not stated TOTAL


Sydney 4323 51.5 608 7.2 556 6.6 36 0.4 1766 21.0 1111 13.2 1 0.0 8401 100.0




Western Sydney 8423 56.6 760 5.1 776 5.2 86 0.6 2822 19.0 2010 13.5 0 0.0 14877 100.0


Northern Sydney 5171 49.5 724 6.9 703 6.7 30 0.3 2426 23.2 1398 13.4 2 0.0 10454 100.0

Central Coast 2018 54.0 248 6.6 235 6.3 16 0.4 716 19.2 505 13.5 0 0.0 3738 100.0


Northern NSW 1782 67.7 98 3.7 120 4.6 11 0.4 328 12.5 292 11.1 0 0.0 2631 100.0

Mid North Coast 1311 60.9 78 3.6 86 4.0 5 0.2 401 18.6 270 12.6 0 0.0 2151 100.0

Southern NSW 839 62.7 57 4.3 97 7.2 3 0.2 192 14.3 151 11.3 0 0.0 1339 100.0

Murrumbidgee 1389 57.0 18 0.7 176 7.2 5 0.2 495 20.3 352 14.5 0 0.0 2435 100.0

Western NSW 2295 60.3 105 2.8 209 5.5 15 0.4 747 19.6 433 11.4 1 0.0 3805 100.0

Far West 150 65.2 19 8.3 2 0.9 1 0.4 42 18.3 16 7.0 0 0.0 230 100.0

Other–not stated 766 59.6 59 4.6 107 8.3 8 0.6 168 13.1 177 13.8 0 0.0 1285 100.0

TOTAL 53988 56.3 4489 4.7 6160 6.4 367 0.4 18812 19.6 12103 12.6 7 0.0 95926 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.† Emergency caesarean section includes caesarean sections where the onset of labour was not stated.


Birth weight In 2014, 6.3% of babies were low birth weight (less than 2,500 grams). These comprised 0.7% of babies with a birth weight less than 1,000 grams, 0.6% in the 1,000 to 1,499 gram range and 5.1% in the 1,500 to 2,499 gram range (Table 31). Rates of low birth weight ranged from 4.2% in the Southern NSW Local Health District to 7.2% in the Hunter New England Local Health District.

TABLE 31: BIRTH WEIGHT BY LOCAL HEALTH DISTRICT OF RESIDENCE, NSW 2014



Less than 500

500–999 1,000–1,499 1,500–1,999 2,000–2,499 2,500–2,999 3,000–3,499 3,500–3,999 4,000–4,499 4,500+ Not stated TOTAL

No. % No. % No. % No. % No. % No. % No. % No. % No. % No. % No. % No. %

Sydney 15 0.2 38 0.4 47 0.6 95 1.1 297 3.5 1499 17.6 3466 40.7 2347 27.6 606 7.1 94 1.1 13 0.2 8517 100.0

South Western Sydney 41 0.3 54 0.4 86 0.6 136 1.0 564 4.2 2341 17.5 5014 37.4 3838 28.6 1133 8.5 184 1.4 8 0.1 13399 100.0

South Eastern Sydney 25 0.2 48 0.4 52 0.4 132 1.1 456 3.9 1962 16.8 4640 39.8 3364 28.8 863 7.4 115 1.0 5 0.0 11662 100.0

Illawarra Shoalhaven 6 0.1 18 0.4 27 0.6 44 1.0 176 4.0 651 14.7 1615 36.5 1439 32.5 373 8.4 72 1.6 2 0.0 4423 100.0

Western Sydney 51 0.3 90 0.6 86 0.6 184 1.2 601 4.0 2706 17.9 5932 39.3 4073 27.0 1171 7.8 186 1.2 10 0.1 15090 100.0

Nepean Blue Mountains 5 0.1 15 0.3 26 0.5 58 1.2 217 4.4 727 14.9 1781 36.4 1516 31.0 463 9.5 82 1.7 1 0.0 4891 100.0

Northern Sydney 26 0.2 40 0.4 59 0.6 103 1.0 357 3.4 1595 15.0 4143 39.1 3211 30.3 949 9.0 109 1.0 9 0.1 10601 100.0

Central Coast 8 0.2 15 0.4 19 0.5 43 1.1 169 4.4 491 12.9 1324 34.9 1230 32.4 421 11.1 77 2.0 2 0.1 3799 100.0

Hunter New England 24 0.2 52 0.5 86 0.8 152 1.4 467 4.3 1550 14.2 3753 34.4 3436 31.5 1175 10.8 207 1.9 8 0.1 10910 100.0

Northern NSW 7 0.3 13 0.5 4 0.2 25 0.9 96 3.6 377 14.2 917 34.4 852 32.0 310 11.6 59 2.2 4 0.2 2664 100.0

Mid North Coast 1 0.0 12 0.5 16 0.7 26 1.2 96 4.4 318 14.6 722 33.1 703 32.2 237 10.9 50 2.3 1 0.0 2182 100.0

Southern NSW 1 0.1 4 0.3 4 0.3 8 0.6 39 2.9 169 12.6 452 33.7 467 34.8 163 12.1 35 2.6 0 0.0 1342 100.0

Murrumbidgee 0 0.0 8 0.3 9 0.4 22 0.9 87 3.5 356 14.5 836 34.0 830 33.8 261 10.6 48 2.0 1 0.0 2458 100.0

Western NSW 10 0.3 17 0.4 23 0.6 54 1.4 156 4.0 605 15.7 1372 35.6 1209 31.3 353 9.2 55 1.4 3 0.1 3857 100.0

Far West 1 0.4 1 0.4 0 0.0 0 0.0 12 5.2 29 12.6 92 39.8 74 32.0 19 8.2 2 0.9 1 0.4 231 100.0

Other–not stated 4 0.3 8 0.6 8 0.6 14 1.1 49 3.8 222 17.1 469 36.1 397 30.6 109 8.4 18 1.4 1 0.1 1299 100.0

TOTAL 225 0.2 433 0.4 552 0.6 1096 1.1 3839 3.9 15598 16.0 36528 37.5 28986 29.8 8606 8.8 1393 1.4 69 0.1 97325 100.0


Gestational age The majority of births (91.9%) were at term, and 0.4% were post-term (42-plus weeks). The 7.7% of preterm births comprised 0.7% born at less than 28 weeks, 0.7% at 28–31 weeks, and 6.3% at 32–36 weeks. The highest rate of preterm birth was 9.6% in the Hunter New England Local Health District, while the lowest was 3.5% in the Far West Local Health District (Table 32).

TABLE 32: GESTATIONAL AGE BY LOCAL HEALTH DISTRICT OF RESIDENCE, NSW 2014



< 28 28–31 32–36 37–41 42 + Not stated TOTAL

No. % No. % No. % No. % No. % No. % No. %

Sydney 56 0.7 60 0.7 459 5.4 7920 93.0 22 0.3 0 0.0 8517 100.0

South Western Sydney 103 0.8 91 0.7 795 5.9 12383 92.4 27 0.2 0 0.0 13399 100.0

South Eastern Sydney 69 0.6 68 0.6 737 6.3 10724 92.0 64 0.5 0 0.0 11662 100.0

Illawarra Shoalhaven 24 0.5 25 0.6 326 7.4 4038 91.3 10 0.2 0 0.0 4423 100.0

Western Sydney 132 0.9 118 0.8 879 5.8 13941 92.4 20 0.1 0 0.0 15090 100.0

Nepean Blue Mountains 18 0.4 41 0.8 347 7.1 4467 91.3 18 0.4 0 0.0 4891 100.0

Northern Sydney 67 0.6 68 0.6 585 5.5 9849 92.9 32 0.3 0 0.0 10601 100.0

Central Coast 25 0.7 21 0.6 270 7.1 3469 91.3 14 0.4 0 0.0 3799 100.0

Hunter New England 74 0.7 115 1.1 853 7.8 9802 89.8 63 0.6 3 0.0 10910 100.0

Northern NSW 23 0.9 8 0.3 154 5.8 2452 92.0 27 1.0 0 0.0 2664 100.0

Mid North Coast 13 0.6 21 1.0 147 6.7 1986 91.0 15 0.7 0 0.0 2182 100.0

Southern NSW 3 0.2 7 0.5 61 4.5 1249 93.1 22 1.6 0 0.0 1342 100.0

Murrumbidgee 10 0.4 15 0.6 149 6.1 2263 92.1 21 0.9 0 0.0 2458 100.0

Western NSW 29 0.8 29 0.8 297 7.7 3476 90.1 25 0.6 1 0.0 3857 100.0

Far West 3 1.3 1 0.4 4 1.7 223 96.5 0 0.0 0 0.0 231 100.0

Other–not stated 10 0.8 8 0.6 77 5.9 1193 91.8 11 0.8 0 0.0 1299 100.0

TOTAL 659 0.7 696 0.7 6140 6.3 89435 91.9 391 0.4 4 0.0 97325 100.0



Hepatitis B Ninety-five per cent of babies in NSW were given a hepatitis B vaccination at birth. The highest rate of hepatitis B vaccination at birth was 97.8% in South Western Sydney, while the lowest was 81.7% in Northern NSW (Table 33).

TABLE 33: HEPATITIS B DOSE GIVEN TO LIVEBORN BABIES, NSW 2014


Hepatitis B dose given

No Yes Not stated TOTAL

No. % No. % No. % No. %

Sydney 533 6.3 7941 93.7 1 0.0 8475 100.0




Western Sydney 525 3.5 14465 96.5 2 0.0 14992 100.0


Northern Sydney 754 7.1 9787 92.8 5 0.0 10546 100.0

Central Coast 159 4.2 3621 95.8 0 0.0 3780 100.0


Northern NSW 483 18.3 2157 81.7 1 0.0 2641 100.0

Mid North Coast 218 10.1 1946 89.9 0 0.0 2164 100.0

Southern NSW 86 6.4 1248 93.5 1 0.1 1335 100.0

Murrumbidgee 81 3.3 2364 96.7 0 0.0 2445 100.0

Western NSW 130 3.4 3700 96.6 2 0.1 3832 100.0

Far West 7 3.1 219 96.9 0 0.0 226 100.0

Other–not stated 107 8.3 1180 91.5 2 0.2 1289 100.0

TOTAL 5207 5.4 91538 94.6 31 0.0 96776 100.0


Infant feeding In 2014, infant feeding on discharge from hospital was reported for 95,727 liveborn babies (Table 34). The majority of babies (78.6%) were reported to be fully breastfed, 9.9% were receiving infant formula only, and a further 10.5% were being partially breastfed. Rates of full breastfeeding varied from 66.5% in the South Western Sydney Local Health District to 88.8% in the Northern NSW Local Health District.

TABLE 34: LIVE BIRTHS BY INFANT FEEDING ON DISCHARGE AND LOCAL HEALTH DISTRICT OF RESIDENCE, NSW 2014


Infant feeding

Full breast-feeding Any breast-feeding Infant formula only Not stated TOTAL

No. % No. % No. % No. % No. %

Sydney 6835 80.6 1170 13.8 398 4.7 72 0.8 8475 100.0




Western Sydney 11483 76.6 1941 12.9 1456 9.7 112 0.7 14992 100.0


Northern Sydney 8994 85.3 1123 10.6 361 3.4 68 0.6 10546 100.0

Central Coast 3094 81.9 262 6.9 385 10.2 39 1.0 3780 100.0


Northern NSW 2344 88.8 92 3.5 170 6.4 35 1.3 2641 100.0

Mid North Coast 1810 83.6 109 5.0 210 9.7 35 1.6 2164 100.0

Southern NSW 1126 84.3 60 4.5 126 9.4 23 1.7 1335 100.0

Murrumbidgee 1883 77.0 137 5.6 397 16.2 28 1.1 2445 100.0

Western NSW 2996 78.2 183 4.8 585 15.3 68 1.8 3832 100.0

Far West 170 75.2 9 4.0 42 18.6 5 2.2 226 100.0

Other–not stated 1084 84.1 125 9.7 54 4.2 26 2.0 1289 100.0

TOTAL 76018 78.6 10132 10.5 9577 9.9 1049 1.1 96776 100.0



Perinatal outcomes The perinatal mortality rate in 2014 was 7.8 per 1,000 births. This rate includes deaths among liveborn babies up to 28 days of age, and stillbirths of at least 400 grams birth weight or at least 20 weeks gestation (Table 35). The perinatal mortality rate varied from 5.5 per 1,000 births in the Nepean Blue Mountains Local Health District to 21.6 per 1,000 births in the Far West Local Health District.

TABLE 35: PERINATAL OUTCOMES BY LOCAL HEALTH DISTRICT OF RESIDENCE, 2014#

Local Health DistrictLiveborn surviving Stillborn Neonatal death Death–age not stated Not stated Total births

Perinatal death rate/1,000 births

No. % No. % No. % No. % No. % No. % No.

Sydney 8453 99.2 42 0.5 22 0.3 0 0.0 0 0.0 8517 100.0 7.5

South Western Sydney 13281 99.1 78 0.6 39 0.3 1 0.0 0 0.0 13399 100.0 8.7

South Eastern Sydney 11579 99.3 56 0.5 26 0.2 1 0.0 0 0.0 11662 100.0 7.0

Illawarra Shoalhaven 4391 99.3 19 0.4 13 0.3 0 0.0 0 0.0 4423 100.0 7.2

Western Sydney 14955 99.1 98 0.6 36 0.2 0 0.0 1 0.0 15090 100.0 8.9

Nepean Blue Mountains 4863 99.4 19 0.4 8 0.2 1 0.0 0 0.0 4891 100.0 5.5

Northern Sydney 10532 99.3 53 0.5 14 0.1 2 0.0 0 0.0 10601 100.0 6.3

Central Coast 3773 99.3 19 0.5 7 0.2 0 0.0 0 0.0 3799 100.0 6.8

Hunter New England 10819 99.2 57 0.5 32 0.3 2 0.0 0 0.0 10910 100.0 8.2

Northern NSW 2634 98.9 18 0.7 7 0.3 5 0.2 0 0.0 2664 100.0 9.4

Mid North Coast 2163 99.1 18 0.8 1 0.0 0 0.0 0 0.0 2182 100.0 8.7

Southern NSW 1334 99.4 7 0.5 1 0.1 0 0.0 0 0.0 1342 100.0 6.0

Murrumbidgee 2442 99.3 13 0.5 3 0.1 0 0.0 0 0.0 2458 100.0 6.5

Western NSW 3825 99.2 24 0.6 6 0.2 1 0.0 1 0.0 3857 100.0 7.8

Far West 226 97.8 5 2.2 0 0.0 0 0.0 0 0.0 231 100.0 21.6

Other–not stated 1283 98.8 8 0.6 6 0.5 2 0.2 0 0.0 1299 100.0 10.8

TOTAL 96553 99.2 534 0.5 221 0.2 15 0.0 2 0.0 97325 100.0 7.8

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Perinatal deaths include deaths reported to the PDC only. As the PDC form is completed at discharge or transfer of the baby, deaths occurring after this time may not be reported to the PDC.


Live births by statistical local areas

Local Health District–Statistical Local Area No. %

Sydney

Ashfield 536 6.3

Burwood 398 4.7

Canada Bay–Concord 739 8.7

Canada Bay–Drummoyne 560 6.6

Canterbury 2281 26.9

Leichhardt 924 10.9

Marrickville 1127 13.3

Strathfield 498 5.9

Sydney–South 889 10.5

Sydney–West 523 6.2

TOTAL 8475 100.0

South Western Sydney

Bankstown–North-East 1215 9.1

Bankstown–North-West 1089 8.2

Bankstown–South 719 5.4

Camden 1110 8.3

Campbelltown–North 1250 9.4

Campbelltown–South 1084 8.1

Fairfield–East 1797 13.5

Fairfield–West 793 6.0

Liverpool–East 2005 15.1

Liverpool–West 1248 9.4

Wingecarribee 420 3.2

Wollondilly 590 4.4

TOTAL 13320 100.0

South Eastern Sydney

Botany Bay 694 6.0

Hurstville 1188 10.2

Kogarah 881 7.6

Randwick 1926 16.6

Rockdale 1672 14.4

Sutherland Shire–East 1393 12.0

Sutherland Shire–West 1427 12.3

Sydney–East 434 3.7

Sydney–Inner 242 2.1

Waverley 1065 9.2

Woollahra 683 5.9

TOTAL 11605 100.0

Illawarra Shoalhaven

Kiama 182 4.1

Shellharbour 856 19.4

Shoalhaven–Pt A 447 10.1

Shoalhaven–Pt B 536 12.2

Wollongong–Balance 1176 26.7

Wollongong–Inner 1207 27.4

TOTAL 4404 100.0

Western Sydney

Auburn 1805 12.0

Blacktown–North 1948 13.0

Blacktown–South-East 1791 11.9

Blacktown–South-West 1931 12.9

Holroyd 2071 13.8

Parramatta–Inner 1188 7.9

Parramatta–North-East 672 4.5

Parramatta–North-West 677 4.5

Parramatta–South 856 5.7

The Hills Shire–Central 936 6.2

The Hills Shire–North 641 4.3


The Hills Shire–South 476 3.2

TOTAL 14992 100.0

Nepean Blue Mountains

Blue Mountains 767 15.7

Hawkesbury 835 17.1

Lithgow 229 4.7

Penrith–East 1700 34.9

Penrith–West 1340 27.5

TOTAL 4871 100.0

Northern Sydney

Hornsby–North 654 6.2

Hornsby–South 1163 11.0

Hunters Hill 120 1.1

Ku-ring-gai 951 9.0

Lane Cove 447 4.2

Manly 635 6.0

Mosman 317 3.0

North Sydney 1061 10.1

Pittwater 654 6.2

Ryde 1494 14.2

Warringah 2070 19.6

Willoughby 980 9.3

TOTAL 10546 100.0

Central Coast

Gosford–East 697 18.4

Gosford–West 1153 30.5

Wyong–North-East 1007 26.6

Wyong–South and West 923 24.4

TOTAL 3780 100.0

Hunter New England

Armidale Dumaresq–Balance 24 0.2

Armidale Dumaresq–City 222 2.0

Cessnock 775 7.1

Dungog 85 0.8

Glen Innes Severn 85 0.8

Gloucester 47 0.4

Great Lakes 286 2.6

Greater Taree 527 4.9

Gunnedah 184 1.7

Guyra 30 0.3

Gwydir 48 0.4

Inverell–Pt A 39 0.4

Inverell–Pt B 186 1.7

Lake Macquarie–East 634 5.8

Lake Macquarie–North 1115 10.3

Lake Macquarie–West 636 5.9

Liverpool Plains 89 0.8

Maitland 1106 10.2

Moree Plains 203 1.9

Muswellbrook 274 2.5

Narrabri 195 1.8

Newcastle–Inner City 618 5.7

Newcastle–Outer West 587 5.4

Newcastle–Throsby 722 6.7

Port Stephens 747 6.9

Singleton 328 3.0

Tamworth Regional–Pt A 706 6.5

Tamworth Regional–Pt B 91 0.8

Tenterfield 11 0.1

Upper Hunter Shire 162 1.5

TABLE 36: LIVE BIRTHS BY LOCAL HEALTH DISTRICT AND STATISTICAL LOCAL AREA OF RESIDENCE, NSW 2014#




Uralla 49 0.5

Walcha 40 0.4

TOTAL 10851 100.0

Northern NSW

Ballina 307 11.6

Byron 285 10.8

Clarence Valley–Balance 54 2.0

Clarence Valley–Coast 151 5.7

Clarence Valley–Grafton 269 10.2

Kyogle 86 3.3

Lismore–Pt A 349 13.2

Lismore–Pt B 108 4.1

Richmond Valley–Casino 178 6.7

Richmond Valley Balance 113 4.3

Tenterfield 1 0.0

Tweed–Pt B 198 7.5

Tweed–Tweed Coast 115 4.4

Tweed–Tweed-Heads 427 16.2

TOTAL 2641 100.0

Mid North Coast

Bellingen 133 6.1

Coffs Harbour–Pt A 579 26.8

Coffs Harbour–Pt B 214 9.9

Kempsey 335 15.5

Nambucca 196 9.1

Port Macquarie–Hastings–Pt A 461 21.3

Port Macquarie–Hastings–Pt B 246 11.4

TOTAL 2164 100.0

Southern NSW

Bega Valley 261 19.6

Bombala 20 1.5

Cooma–Monaro 77 5.8

Eurobodalla 274 20.5

Goulburn Mulwaree–Balance 36 2.7

Goulburn Mulwaree–Goulburn 220 16.5

Palerang–Pt A 48 3.6

Palerang–Pt B 19 1.4

Queanbeyan 264 19.8

Snowy River 53 4.0

Upper Lachlan 46 3.4

Yass Valley 17 1.3

TOTAL 1335 100.0

Murrumbidgee

Berrigan 18 0.7

Bland 65 2.7

Boorowa 10 0.4

Carrathool 37 1.5

Conargo 5 0.2

Coolamon 36 1.5

Cootamundra 77 3.1

Deniliquin 67 2.7

Greater Hume Shire–Pt A 3 0.1

Greater Hume Shire–Pt B 17 0.7

Griffith 391 16.0

Gundagai 36 1.5

Harden 31 1.3

Hay 28 1.1

Jerilderie 7 0.3

Junee 87 3.6

Lachlan 34 1.4


Leeton 130 5.3

Lockhart 34 1.4

Murray 3 0.1

Murrumbidgee 31 1.3

Narrandera 86 3.5

Temora 70 2.9

Tumbarumba 25 1.0

Tumut 130 5.3

Urana 1 0.0

Wagga Wagga–Pt A 827 33.8

Wagga Wagga–Pt B 38 1.6

Wakool 4 0.2

Young 117 4.8

TOTAL 2445 100.0

Western NSW

Bathurst Regional–Pt A 509 13.3

Bathurst Regional–Pt B 43 1.1

Blayney 89 2.3

Bogan 33 0.9

Bourke 59 1.5

Brewarrina 23 0.6

Cabonne 144 3.8

Cobar 77 2.0

Coonamble 75 2.0

Cowra 123 3.2

Dubbo–Pt A 618 16.1

Dubbo–Pt B 50 1.3

Forbes 138 3.6

Gilgandra 38 1.0

Lachlan 67 1.7

Mid-Western Regional–Pt A 267 7.0

Mid-Western Regional–Pt B 46 1.2

Narromine 104 2.7

Oberon 60 1.6

Orange 696 18.2

Parkes 189 4.9

Walgett 87 2.3

Warren 42 1.1

Warrumbungle Shire 98 2.6

Weddin 32 0.8

Wellington 125 3.3

TOTAL 3832 100.0

Far West

Broken Hill 201 88.9

Central Darling 21 9.3

Unincorporated Far West 3 1.3

Wentworth 1 0.4

TOTAL 226 100.0

Other–not stated 1289 100.0

TOTAL NSW 96776 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Statistical Local Area assigned according to the Australian Bureau of Statistics Australian Standard Geographical Classification, 2011 (Cat No. 1259.0.30.001)

TABLE 36: (Continued)


Onset and augmentation of labour Table 37 shows onset or augmentation of labour for local health districts, and Table 38 for individual hospitals by maternity service level where at least 200 mothers gave birth in 2014.

6. NSW HOSPITALS

TABLE 37: ONSET AND AUGMENTATION OF LABOUR BY LOCAL HEALTH DISTRICT OF HOSPITAL, NSW 2014


Onset and augmentation of labour


Spontaneous augmented with oxy-

tocics/ prosta-glandins†

No labour

Induced– oxytocics/

prostaglan-dins

Induced– ARM only

Induced – ARM +

oxytocics/ prostaglan-

dins

Induced–other‡ Not stated TOTAL


Sydney 2754 40.1 119 1.7 833 12.1 1203 17.5 731 10.7 134 2.0 1067 15.5 21 0.3 0 0.0 6862 100.0

South Western Sydney 4536 41.7 914 8.4 968 8.9 1680 15.4 1254 11.5 130 1.2 1367 12.6 32 0.3 2 0.0 10883 100.0

South Eastern Sydney 2992 37.5 575 7.2 686 8.6 1175 14.7 988 12.4 167 2.1 1394 17.5 10 0.1 0 0.0 7987 100.0

Illawarra Shoalhaven 1277 38.7 260 7.9 204 6.2 478 14.5 341 10.3 81 2.5 646 19.6 10 0.3 0 0.0 3297 100.0

Western Sydney 3821 38.4 738 7.4 815 8.2 1525 15.3 1157 11.6 123 1.2 1740 17.5 20 0.2 1 0.0 9940 100.0

Nepean Blue Mountains 1928 38.6 224 4.5 207 4.1 1052 21.1 643 12.9 71 1.4 861 17.2 11 0.2 0 0.0 4997 100.0

Northern Sydney 2336 40.5 337 5.8 509 8.8 889 15.4 708 12.3 96 1.7 895 15.5 3 0.1 0 0.0 5773 100.0

Central Coast 1201 43.2 149 5.4 242 8.7 404 14.5 314 11.3 39 1.4 426 15.3 6 0.2 0 0.0 2781 100.0

Hunter New England 3740 42.1 377 4.2 536 6.0 1413 15.9 1025 11.5 163 1.8 1610 18.1 29 0.3 0 0.0 8893 100.0

Northern NSW 1523 48.5 155 4.9 223 7.1 373 11.9 331 10.5 86 2.7 445 14.2 7 0.2 0 0.0 3143 100.0

Mid North Coast 979 46.0 107 5.0 118 5.5 386 18.1 207 9.7 46 2.2 283 13.3 2 0.1 0 0.0 2128 100.0

Southern NSW 661 48.2 94 6.9 110 8.0 190 13.9 145 10.6 34 2.5 137 10.0 0 0.0 0 0.0 1371 100.0

Murrumbidgee 853 43.9 97 5.0 96 4.9 304 15.6 244 12.5 59 3.0 289 14.9 3 0.2 0 0.0 1945 100.0

Western NSW 1323 37.8 188 5.4 241 6.9 629 18.0 423 12.1 100 2.9 593 16.9 5 0.1 1 0.0 3503 100.0

Far West 110 47.6 7 3.0 9 3.9 43 18.6 26 11.3 7 3.0 29 12.6 0 0.0 0 0.0 231 100.0

Private Hospitals 5256 23.8 1300 5.9 1883 8.5 7068 32.0 1806 8.2 551 2.5 4158 18.8 57 0.3 1 0.0 22080 100.0

TOTAL* 35398 36.9 5645 5.9 7680 8.0 18812 19.6 10343 10.8 1887 2.0 15940 16.6 216 0.2 5 0.0 95926 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.ARM: artificial rupture of membranes.† May include artificial rupture of membranes.‡ This category includes other forms of induction such as Foley’s catheter.* Total includes births at home assisted by independent midwives.

TABLE 38: ONSET AND AUGMENTATION OF LABOUR BY HOSPITAL AND MATERNITY SERVICE LEVEL, NSW 2014#

Maternity service level–hospital



Spontaneous augmented with oxy-

tocics/ prosta-glandins†

No labour

Induced - oxytocics/

prostaglan-dins

Induced - ARM only

Induced - ARM +

oxytocics/ prostaglan-

dins

Induced - other‡ Not stated TOTAL


Level 6

Royal Prince Alfred 2044 39.9 0 0.0 677 13.2 957 18.7 509 9.9 109 2.1 813 15.9 17 0.3 0 0.0 5126 100.0

Royal North Shore 971 35.1 156 5.6 267 9.6 499 18.0 339 12.3 50 1.8 484 17.5 1 0.0 0 0.0 2767 100.0

Royal Hospital for Women

1514 37.7 316 7.9 283 7.0 653 16.2 474 11.8 88 2.2 685 17.0 7 0.2 0 0.0 4020 100.0

Liverpool 1367 41.1 272 8.2 314 9.4 587 17.6 372 11.2 40 1.2 366 11.0 11 0.3 0 0.0 3329 100.0

Nepean 1446 38.2 167 4.4 164 4.3 796 21.0 482 12.7 43 1.1 676 17.9 10 0.3 0 0.0 3784 100.0

Westmead 1926 35.0 463 8.4 468 8.5 878 16.0 632 11.5 73 1.3 1044 19.0 13 0.2 0 0.0 5497 100.0

John Hunter 1553 39.9 149 3.8 248 6.4 629 16.1 463 11.9 66 1.7 770 19.8 19 0.5 0 0.0 3897 100.0

TOTAL 10821 38.1 1523 5.4 2421 8.5 4999 17.6 3271 11.5 469 1.7 4838 17.0 78 0.3 0 0.0 28420 100.0

Level 5

Gosford 1073 40.7 134 5.1 242 9.2 404 15.3 314 11.9 39 1.5 426 16.1 6 0.2 0 0.0 2638 100.0

St. George 900 34.4 172 6.6 282 10.8 341 13.0 360 13.7 43 1.6 519 19.8 2 0.1 0 0.0 2619 100.0

Blacktown 1296 41.8 198 6.4 204 6.6 491 15.8 347 11.2 42 1.4 515 16.6 7 0.2 0 0.0 3100 100.0

Coffs Harbour 460 43.5 55 5.2 59 5.6 228 21.6 92 8.7 28 2.6 134 12.7 1 0.1 0 0.0 1057 100.0

Lismore Base 531 45.6 65 5.6 72 6.2 161 13.8 108 9.3 42 3.6 179 15.4 6 0.5 0 0.0 1164 100.0

Tweed Heads 578 45.7 54 4.3 118 9.3 108 8.5 166 13.1 27 2.1 212 16.8 1 0.1 0 0.0 1264 100.0

Port Macquarie Base 327 42.9 38 5.0 41 5.4 134 17.6 77 10.1 11 1.4 134 17.6 1 0.1 0 0.0 763 100.0

Dubbo Base 374 30.9 88 7.3 101 8.4 202 16.7 187 15.5 37 3.1 219 18.1 1 0.1 0 0.0 1209 100.0







Spontaneous augmented

with oxytocics/

prostaglan-dins†

No labour

Induced– oxytocics/

prostaglan-dins

Induced– ARM only

Induced – ARM + oxy-

tocics/ prosta-glandins

Induced–other‡ Not stated TOTAL


Wollongong 854 36.2 201 8.5 170 7.2 343 14.6 222 9.4 54 2.3 504 21.4 9 0.4 0 0.0 2357 100.0

Maitland 625 39.5 51 3.2 85 5.4 222 14.0 227 14.3 24 1.5 342 21.6 6 0.4 0 0.0 1582 100.0

Wagga Wagga Base 319 38.7 28 3.4 54 6.5 144 17.5 92 11.2 11 1.3 177 21.5 0 0.0 0 0.0 825 100.0

TOTAL 7337 39.5 1084 5.8 1428 7.7 2778 15.0 2192 11.8 358 1.9 3361 18.1 40 0.2 0 0.0 18578 100.0

Level 4

Canterbury 710 40.9 119 6.9 156 9.0 246 14.2 222 12.8 25 1.4 254 14.6 4 0.2 0 0.0 1736 100.0

Hornsby 529 43.6 80 6.6 110 9.1 167 13.8 156 12.9 22 1.8 147 12.1 1 0.1 0 0.0 1212 100.0

Manly 435 42.8 52 5.1 87 8.6 114 11.2 136 13.4 11 1.1 180 17.7 1 0.1 0 0.0 1016 100.0

Mona Vale 288 43.9 40 6.1 45 6.9 109 16.6 77 11.7 13 2.0 84 12.8 0 0.0 0 0.0 656 100.0

Sutherland 578 42.9 87 6.5 121 9.0 181 13.4 154 11.4 36 2.7 190 14.1 1 0.1 0 0.0 1348 100.0

Auburn 599 44.6 77 5.7 143 10.6 156 11.6 178 13.3 8 0.6 181 13.5 0 0.0 1 0.1 1343 100.0

Fairfield 776 41.1 215 11.4 202 10.7 277 14.7 175 9.3 6 0.3 233 12.3 2 0.1 2 0.1 1888 100.0

Campbelltown 1242 42.5 181 6.2 207 7.1 425 14.6 397 13.6 44 1.5 415 14.2 9 0.3 0 0.0 2920 100.0

Bankstown-Lidcombe 996 43.8 190 8.4 195 8.6 311 13.7 273 12.0 33 1.5 269 11.8 8 0.4 0 0.0 2275 100.0

Hawkesbury 281 37.2 37 4.9 28 3.7 165 21.9 94 12.5 19 2.5 131 17.4 0 0.0 0 0.0 755 100.0

Grafton Base 191 44.3 20 4.6 33 7.7 59 13.7 57 13.2 17 3.9 54 12.5 0 0.0 0 0.0 431 100.0

Tamworth Base 318 33.7 60 6.4 66 7.0 174 18.5 115 12.2 13 1.4 195 20.7 2 0.2 0 0.0 943 100.0

Manning Base 297 42.1 34 4.8 51 7.2 117 16.6 65 9.2 18 2.5 124 17.6 0 0.0 0 0.0 706 100.0

Orange Base 322 31.7 36 3.5 78 7.7 219 21.6 98 9.6 30 3.0 231 22.7 2 0.2 0 0.0 1016 100.0

Goulburn Base 126 46.5 10 3.7 37 13.7 50 18.5 28 10.3 1 0.4 19 7.0 0 0.0 0 0.0 271 100.0

Griffith Base 214 44.0 26 5.3 25 5.1 70 14.4 63 13.0 24 4.9 62 12.8 2 0.4 0 0.0 486 100.0

TOTAL 7902 41.6 1264 6.7 1584 8.3 2840 14.9 2288 12.0 320 1.7 2769 14.6 32 0.2 3 0.0 19002 100.0

Level 3

Blue Mountains 135 53.1 9 3.5 7 2.8 58 22.8 25 9.8 1 0.4 19 7.5 0 0.0 0 0.0 254 100.0

Kempsey 145 55.8 14 5.4 18 6.9 24 9.2 38 14.6 6 2.3 15 5.8 0 0.0 0 0.0 260 100.0

Armidale 148 43.7 18 5.3 22 6.5 67 19.8 34 10.0 13 3.8 36 10.6 1 0.3 0 0.0 339 100.0

Inverell 61 22.2 8 2.9 35 12.7 74 26.9 36 13.1 7 2.5 54 19.6 0 0.0 0 0.0 275 100.0

Mudgee 121 49.8 10 4.1 9 3.7 38 15.6 21 8.6 10 4.1 34 14.0 0 0.0 0 0.0 243 100.0

Bathurst Base 275 48.8 20 3.5 21 3.7 110 19.5 69 12.2 10 1.8 59 10.5 0 0.0 0 0.0 564 100.0

Lithgow 66 32.4 11 5.4 8 3.9 33 16.2 42 20.6 8 3.9 35 17.2 1 0.5 0 0.0 204 100.0

Bega 120 48.4 5 2.0 29 11.7 27 10.9 28 11.3 3 1.2 36 14.5 0 0.0 0 0.0 248 100.0

Moruya 138 49.6 11 4.0 7 2.5 49 17.6 28 10.1 8 2.9 37 13.3 0 0.0 0 0.0 278 100.0

Queanbeyan 185 44.2 61 14.6 32 7.6 49 11.7 45 10.7 15 3.6 32 7.6 0 0.0 0 0.0 419 100.0

Bowral 155 32.9 56 11.9 50 10.6 80 17.0 37 7.9 7 1.5 84 17.8 2 0.4 0 0.0 471 100.0

Shoalhaven 369 42.3 52 6.0 34 3.9 133 15.3 116 13.3 27 3.1 140 16.1 1 0.1 0 0.0 872 100.0

Broken Hill Base 110 47.6 7 3.0 9 3.9 43 18.6 26 11.3 7 3.0 29 12.6 0 0.0 0 0.0 231 100.0

Other hospitals 1128 52.8 130 6.1 77 3.6 314 14.7 233 10.9 57 2.7 194 9.1 4 0.2 0 0.0 2137 100.0

TOTAL 3156 46.4 412 6.1 358 5.3 1099 16.2 778 11.4 179 2.6 804 11.8 9 0.1 0 0.0 6795 100.0

Level 2

TOTAL 802 87.3 58 6.3 4 0.4 28 3.0 7 0.8 10 1.1 10 1.1 0 0.0 0 0.0 919 100.0

Private

Mater, North Sydney 630 27.8 121 5.3 173 7.6 753 33.2 184 8.1 112 4.9 294 13.0 0 0.0 1 0.0 2268 100.0

North Shore Private 490 24.0 164 8.0 177 8.7 732 35.9 127 6.2 69 3.4 271 13.3 9 0.4 0 0.0 2039 100.0

Sydney Adventist 926 46.0 0 0.0 0 0.0 579 28.8 91 4.5 40 2.0 375 18.6 1 0.0 0 0.0 2012 100.0

North Gosford Private 130 17.1 65 8.6 68 9.0 243 32.0 52 6.9 15 2.0 185 24.4 1 0.1 0 0.0 759 100.0

Hurstville Community 180 24.7 57 7.8 90 12.4 213 29.3 51 7.0 13 1.8 123 16.9 1 0.1 0 0.0 728 100.0

Kareena Private 156 20.8 34 4.5 76 10.1 259 34.6 44 5.9 16 2.1 164 21.9 0 0.0 0 0.0 749 100.0

St. George Private 317 18.0 146 8.3 181 10.3 603 34.3 182 10.3 62 3.5 266 15.1 2 0.1 0 0.0 1759 100.0

Prince of Wales Private 552 23.7 155 6.7 150 6.4 941 40.5 175 7.5 63 2.7 287 12.3 3 0.1 0 0.0 2326 100.0

Norwest Private 353 17.1 120 5.8 212 10.3 512 24.8 202 9.8 22 1.1 628 30.5 13 0.6 0 0.0 2062 100.0

Sydney Southwest Private

220 22.0 29 2.9 146 14.6 304 30.5 93 9.3 12 1.2 190 19.0 4 0.4 0 0.0 998 100.0

Nepean Private 202 25.4 36 4.5 35 4.4 220 27.6 94 11.8 17 2.1 189 23.7 3 0.4 0 0.0 796 100.0

Westmead Private 414 18.2 197 8.6 319 14.0 672 29.5 190 8.3 24 1.1 459 20.1 4 0.2 0 0.0 2279 100.0

Figtree Private 119 13.7 66 7.6 84 9.7 266 30.7 40 4.6 18 2.1 273 31.5 0 0.0 0 0.0 866 100.0

Newcastle Private 458 24.2 97 5.1 153 8.1 542 28.6 190 10.0 36 1.9 404 21.3 15 0.8 0 0.0 1895 100.0

Calvary, Wagga Wagga 108 21.5 13 2.6 19 3.8 188 37.5 91 18.1 32 6.4 50 10.0 1 0.2 0 0.0 502 100.0

Other hospitals 1 2.4 0 0.0 0 0.0 41 97.6 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 42 100.0

TOTAL 5256 23.8 1300 5.9 1883 8.5 7068 32.0 1806 8.2 551 2.5 4158 18.8 57 0.3 1 0.0 22080 100.0

TOTAL NSW* 35398 36.9 5645 5.9 7680 8.0 18812 19.6 10343 10.8 1887 2.0 15940 16.6 216 0.2 5 0.0 95926 100.0Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.ARM: artificial rupture of membranes.# Hospitals with more than 200 births in 2014 are identified individually. Maternity service levels are described on page 82 in Appendix 2: Explanatory notes.† May include artificial rupture of membranes.‡ This category includes other forms of induction such as Foley’s catheter.* Total NSW includes births at home assisted by independent midwives and births at level 1 hospitals.


Type of birth Table 39 shows type of birth for local health districts, and Table 40 for individual hospitals by maternity service level where at least 200 mothers gave birth in 2014.

TABLE 39: TYPE OF BIRTH BY LOCAL HEALTH DISTRICT OF HOSPITAL, NSW 2014


Type of birth

Normal vaginal ForcepsVacuum

extractionVaginal breech

Elective caesarean section

Emergency caesarean section†

Not stated TOTAL


Sydney 3789 55.2 543 7.9 415 6.0 34 0.5 1203 17.5 878 12.8 0 0.0 6862 100.0




Western Sydney 5987 60.2 510 5.1 467 4.7 79 0.8 1525 15.3 1372 13.8 0 0.0 9940 100.0


Northern Sydney 3265 56.6 497 8.6 335 5.8 17 0.3 889 15.4 770 13.3 0 0.0 5773 100.0

Central Coast 1632 58.7 222 8.0 137 4.9 10 0.4 404 14.5 376 13.5 0 0.0 2781 100.0


Northern NSW 2126 67.6 120 3.8 155 4.9 12 0.4 373 11.9 357 11.4 0 0.0 3143 100.0

Mid North Coast 1308 61.5 77 3.6 86 4.0 4 0.2 386 18.1 267 12.5 0 0.0 2128 100.0

Southern NSW 866 63.2 57 4.2 102 7.4 3 0.2 190 13.9 153 11.2 0 0.0 1371 100.0

Murrumbidgee 1197 61.5 18 0.9 129 6.6 2 0.1 304 15.6 295 15.2 0 0.0 1945 100.0

Western NSW 2177 62.1 98 2.8 191 5.5 10 0.3 629 18.0 397 11.3 1 0.0 3503 100.0

Far West 150 64.9 19 8.2 1 0.4 1 0.4 43 18.6 17 7.4 0 0.0 231 100.0

Private Hospitals 9188 41.6 919 4.2 1988 9.0 58 0.3 7068 32.0 2856 12.9 3 0.0 22080 100.0

TOTAL* 53988 56.3 4489 4.7 6160 6.4 367 0.4 18812 19.6 12103 12.6 7 0.0 95926 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.† Emergency caesarean section includes caesarean sections where the onset of labour was not stated.* Total includes births at home assisted by independent midwives

TABLE 40: TYPE OF BIRTH BY HOSPITAL AND MATERNITY SERVICE LEVEL, NSW 2014#


Type of birth




Emergency caesarean section† Not stated TOTAL


Level 6

Royal Prince Alfred 2733 53.3 471 9.2 296 5.8 30 0.6 957 18.7 639 12.5 0 0.0 5126 100.0

Royal North Shore 1411 51.0 341 12.3 112 4.0 12 0.4 499 18.0 392 14.2 0 0.0 2767 100.0


2052 51.0 467 11.6 263 6.5 34 0.8 653 16.2 551 13.7 0 0.0 4020 100.0

Liverpool 2062 61.9 113 3.4 225 6.8 27 0.8 587 17.6 315 9.5 0 0.0 3329 100.0

Nepean 2059 54.4 83 2.2 224 5.9 15 0.4 796 21.0 607 16.0 0 0.0 3784 100.0

Westmead 3218 58.5 318 5.8 281 5.1 62 1.1 878 16.0 740 13.5 0 0.0 5497 100.0

John Hunter 2337 60.0 216 5.5 152 3.9 20 0.5 629 16.1 543 13.9 0 0.0 3897 100.0

TOTAL 15872 55.8 2009 7.1 1553 5.5 200 0.7 4999 17.6 3787 13.3 0 0.0 28420 100.0

Level 5

Gosford 1489 56.4 222 8.4 137 5.2 10 0.4 404 15.3 376 14.3 0 0.0 2638 100.0

St. George 1520 58.0 133 5.1 245 9.4 8 0.3 341 13.0 372 14.2 0 0.0 2619 100.0

Blacktown 1803 58.2 154 5.0 146 4.7 15 0.5 491 15.8 491 15.8 0 0.0 3100 100.0

Coffs Harbour 621 58.8 29 2.7 39 3.7 3 0.3 228 21.6 137 13.0 0 0.0 1057 100.0

Lismore Base 770 66.2 49 4.2 43 3.7 7 0.6 161 13.8 134 11.5 0 0.0 1164 100.0

Tweed Heads 832 65.8 56 4.4 90 7.1 3 0.2 108 8.5 175 13.8 0 0.0 1264 100.0

Port Macquarie Base 450 59.0 48 6.3 28 3.7 1 0.1 134 17.6 102 13.4 0 0.0 763 100.0

Dubbo Base 773 63.9 42 3.5 54 4.5 3 0.2 202 16.7 135 11.2 0 0.0 1209 100.0

Wollongong 1456 61.8 44 1.9 163 6.9 2 0.1 343 14.6 349 14.8 0 0.0 2357 100.0

Maitland 1039 65.7 65 4.1 58 3.7 1 0.1 222 14.0 197 12.5 0 0.0 1582 100.0

Wagga Wagga Base 473 57.3 8 1.0 54 6.5 2 0.2 144 17.5 144 17.5 0 0.0 825 100.0

TOTAL 11226 60.4 850 4.6 1057 5.7 55 0.3 2778 15.0 2612 14.1 0 0.0 18578 100.0

Level 4

Canterbury 1056 60.8 72 4.1 119 6.9 4 0.2 246 14.2 239 13.8 0 0.0 1736 100.0

Hornsby 781 64.4 63 5.2 55 4.5 4 0.3 167 13.8 142 11.7 0 0.0 1212 100.0

Manly 592 58.3 60 5.9 94 9.3 1 0.1 114 11.2 155 15.3 0 0.0 1016 100.0

Mona Vale 360 54.9 32 4.9 74 11.3 0 0.0 109 16.6 81 12.3 0 0.0 656 100.0





Type of birth




Emergency caesarean section† Not stated TOTAL


Sutherland 867 64.3 63 4.7 98 7.3 0 0.0 181 13.4 139 10.3 0 0.0 1348 100.0

Auburn 966 71.9 38 2.8 40 3.0 2 0.1 156 11.6 141 10.5 0 0.0 1343 100.0

Fairfield 1392 73.7 11 0.6 69 3.7 8 0.4 277 14.7 129 6.8 2 0.1 1888 100.0

Campbelltown 1942 66.5 21 0.7 216 7.4 5 0.2 425 14.6 311 10.7 0 0.0 2920 100.0

Bankstown-Lidcombe 1616 71.0 38 1.7 123 5.4 1 0.0 311 13.7 186 8.2 0 0.0 2275 100.0

Hawkesbury 418 55.4 14 1.9 46 6.1 0 0.0 165 21.9 112 14.8 0 0.0 755 100.0

Grafton Base 288 66.8 15 3.5 20 4.6 2 0.5 59 13.7 47 10.9 0 0.0 431 100.0

Tamworth Base 582 61.7 48 5.1 38 4.0 1 0.1 174 18.5 100 10.6 0 0.0 943 100.0

Manning Base 455 64.4 8 1.1 79 11.2 4 0.6 117 16.6 43 6.1 0 0.0 706 100.0

Orange Base 567 55.8 30 3.0 72 7.1 3 0.3 219 21.6 125 12.3 0 0.0 1016 100.0

Goulburn Base 166 61.3 24 8.9 12 4.4 1 0.4 50 18.5 18 6.6 0 0.0 271 100.0

Griffith Base 291 59.9 2 0.4 41 8.4 0 0.0 70 14.4 82 16.9 0 0.0 486 100.0

TOTAL 12339 64.9 539 2.8 1196 6.3 36 0.2 2840 14.9 2050 10.8 2 0.0 19002 100.0

Level 3

Blue Mountains 163 64.2 0 0.0 15 5.9 0 0.0 58 22.8 18 7.1 0 0.0 254 100.0

Kempsey 195 75.0 0 0.0 13 5.0 0 0.0 24 9.2 28 10.8 0 0.0 260 100.0

Armidale 179 52.8 14 4.1 22 6.5 0 0.0 67 19.8 57 16.8 0 0.0 339 100.0

Inverell 160 58.2 5 1.8 12 4.4 1 0.4 74 26.9 23 8.4 0 0.0 275 100.0

Mudgee 164 67.5 3 1.2 12 4.9 2 0.8 38 15.6 24 9.9 0 0.0 243 100.0

Bathurst Base 345 61.2 19 3.4 25 4.4 0 0.0 110 19.5 65 11.5 0 0.0 564 100.0

Lithgow 130 63.7 1 0.5 7 3.4 1 0.5 33 16.2 32 15.7 0 0.0 204 100.0

Bega 160 64.5 6 2.4 18 7.3 1 0.4 27 10.9 36 14.5 0 0.0 248 100.0

Moruya 181 65.1 8 2.9 9 3.2 0 0.0 49 17.6 31 11.2 0 0.0 278 100.0

Queanbeyan 244 58.2 19 4.5 57 13.6 0 0.0 49 11.7 50 11.9 0 0.0 419 100.0

Bowral 279 59.2 31 6.6 18 3.8 1 0.2 80 17.0 62 13.2 0 0.0 471 100.0

Shoalhaven 563 64.6 28 3.2 25 2.9 2 0.2 133 15.3 121 13.9 0 0.0 872 100.0

Broken Hill Base 150 64.9 19 8.2 1 0.4 1 0.4 43 18.6 17 7.4 0 0.0 231 100.0

Other hospitals 1472 68.9 17 0.8 102 4.8 7 0.3 314 14.7 225 10.5 0 0.0 2137 100.0

TOTAL 4385 64.5 170 2.5 336 4.9 16 0.2 1099 16.2 789 11.6 0 0.0 6795 100.0

Level 2

TOTAL 848 92.3 2 0.2 30 3.3 2 0.2 28 3.0 9 1.0 0 0.0 919 100.0

Private

Mater, North Sydney 881 38.8 93 4.1 205 9.0 8 0.4 753 33.2 325 14.3 3 0.1 2268 100.0

North Shore Private 699 34.3 119 5.8 164 8.0 4 0.2 732 35.9 321 15.7 0 0.0 2039 100.0

Sydney Adventist 1037 51.5 62 3.1 109 5.4 3 0.1 579 28.8 222 11.0 0 0.0 2012 100.0

North Gosford Private 298 39.3 24 3.2 89 11.7 3 0.4 243 32.0 102 13.4 0 0.0 759 100.0

Hurstville Community 320 44.0 11 1.5 81 11.1 4 0.5 213 29.3 99 13.6 0 0.0 728 100.0

Kareena Private 272 36.3 64 8.5 67 8.9 2 0.3 259 34.6 85 11.3 0 0.0 749 100.0

St. George Private 633 36.0 84 4.8 199 11.3 2 0.1 603 34.3 238 13.5 0 0.0 1759 100.0

Prince of Wales Private 793 34.1 83 3.6 212 9.1 9 0.4 941 40.5 288 12.4 0 0.0 2326 100.0

Norwest Private 1031 50.0 109 5.3 181 8.8 7 0.3 512 24.8 222 10.8 0 0.0 2062 100.0


465 46.6 44 4.4 100 10.0 0 0.0 304 30.5 85 8.5 0 0.0 998 100.0

Nepean Private 381 47.9 13 1.6 78 9.8 1 0.1 220 27.6 103 12.9 0 0.0 796 100.0

Westmead Private 985 43.2 174 7.6 116 5.1 4 0.2 672 29.5 328 14.4 0 0.0 2279 100.0

Figtree Private 363 41.9 6 0.7 104 12.0 1 0.1 266 30.7 126 14.5 0 0.0 866 100.0

Newcastle Private 834 44.0 33 1.7 232 12.2 8 0.4 542 28.6 246 13.0 0 0.0 1895 100.0

Calvary, Wagga Wagga 195 38.8 0 0.0 51 10.2 2 0.4 188 37.5 66 13.1 0 0.0 502 100.0

Other hospitals 1 2.4 0 0.0 0 0.0 0 0.0 41 97.6 0 0.0 0 0.0 42 100.0

TOTAL 9188 41.6 919 4.2 1988 9.0 58 0.3 7068 32.0 2856 12.9 3 0.0 22080 100.0

TOTAL NSW* 53988 56.3 4489 4.7 6160 6.4 367 0.4 18812 19.6 12103 12.6 7 0.0 95926 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Hospitals with more than 200 births in 2014 are identified individually. Maternity service levels are described on page 82 in Appendix 2: Explanatory notes.† Emergency caesarean section includes caesarean sections where the onset of labour was not stated.* Total NSW includes births at home assisted by independent midwives and births at level 1 hospitals.


Pain relief Table 41 shows type of pain relief provided to women during labour or delivery for local health districts, and Table 42 for individual hospitals by maternity service level where at least 200 mothers gave birth in 2014.

In addition to the types of pain relief shown in the tables, in 2014 a further 25,861 (27.0%) women were reported to have received local anaesthetic to the perineum, and 786 (0.8%) received a pudendal block.

TABLE 41: PAIN RELIEF BY LOCAL HEALTH DISTRICT OF HOSPITAL, NSW 2014


Pain Relief

Epidural-spinal† General anaesthetic IM narcotics Nitrous oxide Nil TOTAL‡

No. % No. % No. % No. % No. % No. %

Sydney 3459 50.4 305 4.4 440 6.4 3232 47.1 773 11.3 6862 100.0




Western Sydney 4555 45.8 399 4.0 1014 10.2 4827 48.6 582 5.9 9940 100.0


Northern Sydney 2839 49.2 140 2.4 570 9.9 2561 44.4 319 5.5 5773 100.0

Central Coast 1281 46.1 74 2.7 506 18.2 1275 45.8 269 9.7 2781 100.0


Northern NSW 1170 37.2 93 3.0 416 13.2 1461 46.5 395 12.6 3143 100.0

Mid North Coast 899 42.2 79 3.7 252 11.8 956 44.9 218 10.2 2128 100.0

Southern NSW 473 34.5 27 2.0 224 16.3 721 52.6 225 16.4 1371 100.0

Murrumbidgee 700 36.0 56 2.9 475 24.4 963 49.5 272 14.0 1945 100.0

Western NSW 1384 39.5 148 4.2 629 18.0 1735 49.5 283 8.1 3503 100.0

Far West 77 33.3 7 3.0 39 16.9 101 43.7 33 14.3 231 100.0

Private Hospitals 16581 75.1 312 1.4 1327 6.0 5845 26.5 999 4.5 22080 100.0

TOTAL* 48241 50.3 3219 3.4 12266 12.8 41412 43.2 8094 8.4 95926 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.† The category ‘Epidural-spinal’ includes epidural, spinal, combined epidural and spinal, and caudal pain relief.‡ Row percentages do not sum to 100 per cent as one woman may have more than one type of analgesia.* Total includes births at home assisted by independent midwives

TABLE 42: PAIN RELIEF BY HOSPITAL AND MATERNITY SERVICE LEVEL, NSW 2014#


Pain Relief


No. % No. % No. % No. % No. % No. %

Level 6

Royal Prince Alfred 2786 54.4 221 4.3 275 5.4 2320 45.3 579 11.3 5126 100.0

Royal North Shore 1599 57.8 62 2.2 256 9.3 1266 45.8 87 3.1 2767 100.0


2365 58.8 64 1.6 484 12.0 1752 43.6 218 5.4 4020 100.0

Liverpool 1331 40.0 166 5.0 1055 31.7 1481 44.5 286 8.6 3329 100.0

Nepean 1793 47.4 279 7.4 604 16.0 1869 49.4 269 7.1 3784 100.0

Westmead 2847 51.8 219 4.0 539 9.8 2499 45.5 215 3.9 5497 100.0

John Hunter 1618 41.5 292 7.5 799 20.5 1874 48.1 293 7.5 3897 100.0

TOTAL 14339 50.5 1303 4.6 4012 14.1 13061 46.0 1947 6.9 28420 100.0

Level 5

Gosford 1281 48.6 73 2.8 506 19.2 1239 47.0 235 8.9 2638 100.0

St. George 1282 48.9 78 3.0 438 16.7 1404 53.6 164 6.3 2619 100.0

Blacktown 1305 42.1 150 4.8 332 10.7 1596 51.5 230 7.4 3100 100.0

Coffs Harbour 485 45.9 42 4.0 99 9.4 443 41.9 94 8.9 1057 100.0

Lismore Base 489 42.0 36 3.1 110 9.5 529 45.4 152 13.1 1164 100.0

Tweed Heads 482 38.1 41 3.2 217 17.2 664 52.5 123 9.7 1264 100.0

Port Macquarie Base 346 45.3 26 3.4 68 8.9 346 45.3 69 9.0 763 100.0

Dubbo Base 461 38.1 80 6.6 269 22.2 607 50.2 93 7.7 1209 100.0

Wollongong 1091 46.3 80 3.4 168 7.1 1211 51.4 205 8.7 2357 100.0

Maitland 533 33.7 67 4.2 231 14.6 839 53.0 198 12.5 1582 100.0

Wagga Wagga Base 369 44.7 29 3.5 162 19.6 392 47.5 91 11.0 825 100.0

TOTAL 8124 43.7 702 3.8 2600 14.0 9270 49.9 1654 8.9 18578 100.0

Level 4

Canterbury 673 38.8 84 4.8 165 9.5 912 52.5 194 11.2 1736 100.0

Hornsby 493 40.7 29 2.4 111 9.2 617 50.9 70 5.8 1212 100.0

Manly 458 45.1 23 2.3 111 10.9 375 36.9 93 9.2 1016 100.0

Mona Vale 288 43.9 26 4.0 91 13.9 283 43.1 42 6.4 656 100.0

Sutherland 615 45.6 54 4.0 99 7.3 710 52.7 111 8.2 1348 100.0





Pain Relief


No. % No. % No. % No. % No. % No. %

Auburn 403 30.0 30 2.2 143 10.6 732 54.5 137 10.2 1343 100.0

Fairfield 402 21.3 75 4.0 316 16.7 886 46.9 342 18.1 1888 100.0

Campbelltown 983 33.7 103 3.5 580 19.9 1510 51.7 517 17.7 2920 100.0

Bankstown-Lidcombe 696 30.6 74 3.3 405 17.8 1304 57.3 289 12.7 2275 100.0

Hawkesbury 324 42.9 30 4.0 123 16.3 331 43.8 87 11.5 755 100.0

Grafton Base 151 35.0 15 3.5 84 19.5 230 53.4 55 12.8 431 100.0

Tamworth Base 444 47.1 42 4.5 131 13.9 480 50.9 88 9.3 943 100.0

Manning Base 209 29.6 28 4.0 233 33.0 405 57.4 78 11.0 706 100.0

Orange Base 506 49.8 48 4.7 173 17.0 494 48.6 51 5.0 1016 100.0

Goulburn Base 99 36.5 5 1.8 56 20.7 167 61.6 20 7.4 271 100.0

Griffith Base 166 34.2 18 3.7 179 36.8 269 55.3 55 11.3 486 100.0

TOTAL 6910 36.4 684 3.6 3000 15.8 9705 51.1 2229 11.7 19002 100.0

Level 3

Blue Mountains 92 36.2 7 2.8 17 6.7 87 34.3 21 8.3 254 100.0

Kempsey 68 26.2 11 4.2 78 30.0 143 55.0 39 15.0 260 100.0

Armidale 137 40.4 8 2.4 99 29.2 153 45.1 26 7.7 339 100.0

Inverell 97 35.3 3 1.1 51 18.5 108 39.3 42 15.3 275 100.0

Mudgee 72 29.6 2 0.8 22 9.1 117 48.1 26 10.7 243 100.0

Bathurst Base 224 39.7 16 2.8 41 7.3 243 43.1 62 11.0 564 100.0

Lithgow 87 42.6 7 3.4 38 18.6 102 50.0 30 14.7 204 100.0

Bega 88 35.5 4 1.6 68 27.4 144 58.1 35 14.1 248 100.0

Moruya 93 33.5 6 2.2 33 11.9 121 43.5 52 18.7 278 100.0

Queanbeyan 157 37.5 5 1.2 45 10.7 212 50.6 89 21.2 419 100.0

Bowral 190 40.3 22 4.7 155 32.9 178 37.8 68 14.4 471 100.0

Shoalhaven 327 37.5 32 3.7 192 22.0 509 58.4 68 7.8 872 100.0

Broken Hill Base 77 33.3 7 3.0 39 16.9 101 43.7 33 14.3 231 100.0

Other hospitals 533 24.9 82 3.8 398 18.6 1055 49.4 336 15.7 2137 100.0

TOTAL 2242 33.0 212 3.1 1276 18.8 3273 48.2 927 13.6 6795 100.0

Level 2

TOTAL 45 4.9 6 0.7 50 5.4 254 27.6 221 24.0 919 100.0

Private

Mater, North Sydney 1668 73.5 29 1.3 151 6.7 652 28.7 91 4.0 2268 100.0

North Shore Private 1622 79.5 19 0.9 53 2.6 472 23.1 51 2.5 2039 100.0

Sydney Adventist 1438 71.5 31 1.5 152 7.6 564 28.0 66 3.3 2012 100.0

North Gosford Private 530 69.8 9 1.2 37 4.9 192 25.3 52 6.9 759 100.0

Hurstville Community 562 77.2 7 1.0 35 4.8 194 26.6 40 5.5 728 100.0

Kareena Private 637 85.0 10 1.3 8 1.1 124 16.6 24 3.2 749 100.0

St. George Private 1446 82.2 35 2.0 40 2.3 376 21.4 59 3.4 1759 100.0

Prince of Wales Private 1981 85.2 26 1.1 41 1.8 474 20.4 101 4.3 2326 100.0

Norwest Private 1515 73.5 34 1.6 122 5.9 586 28.4 107 5.2 2062 100.0


625 62.6 16 1.6 232 23.2 265 26.6 104 10.4 998 100.0

Nepean Private 484 60.8 14 1.8 115 14.4 323 40.6 45 5.7 796 100.0

Westmead Private 1697 74.5 39 1.7 125 5.5 658 28.9 39 1.7 2279 100.0

Figtree Private 691 79.8 13 1.5 3 0.3 222 25.6 31 3.6 866 100.0

Newcastle Private 1344 70.9 16 0.8 157 8.3 602 31.8 106 5.6 1895 100.0

Calvary, Wagga Wagga 300 59.8 12 2.4 56 11.2 141 28.1 83 16.5 502 100.0

Other hospitals 41 97.6 2 4.8 0 0.0 0 0.0 0 0.0 42 100.0

TOTAL 16581 75.1 312 1.4 1327 6.0 5845 26.5 999 4.5 22080 100.0

TOTAL NSW* 48241 50.3 3219 3.4 12266 12.8 41412 43.2 8094 8.4 95926 100.0Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Hospitals with more than 200 births in 2014 are identified individually. Maternity service levels are described on page 82 in Appendix 2: Explanatory notes.† The category ‘Epidural-spinal’ includes epidural, spinal, combined epidural and spinal, and caudal pain relief. ‡ Row percentages do not sum to 100 per cent as one woman may have more than one type of analgesia.* Total NSW includes births at home assisted by independent midwives and births at level 1 hospitals


Perineal status Table 43 shows the perineal status in vaginal births for local health districts, and Table 44 for individual hospitals by maternity service level where at least 200 mothers gave birth in 2014.

In 2014, there were 1,909 cases of third degree tear and 117 cases of fourth degree tear reported among women who gave birth vaginally in 2014, including tears associated with an episiotomy.

TABLE 43: PERINEAL STATUS AMONG VAGINAL BIRTHS BY LOCAL HEALTH DISTRICT OF HOSPITAL, NSW 2014


Perineal status

Intact1st degree tear/

graze2nd degree tear

3rd or 4th degree tear

EpisiotomyCombined tear and episiotomy

Other Not stated TOTAL


Sydney 701 14.7 979 20.5 1675 35.0 177 3.7 880 18.4 233 4.9 136 2.8 0 0.0 4781 100.0

South Western Sydney 2069 25.2 1930 23.5 2177 26.6 216 2.6 1329 16.2 147 1.8 330 4.0 0 0.0 8198 100.0

South Eastern Sydney 846 14.7 1579 27.5 1622 28.2 194 3.4 1113 19.4 357 6.2 39 0.7 0 0.0 5750 100.0

Illawarra Shoalhaven 612 26.1 895 38.2 502 21.4 34 1.4 235 10.0 45 1.9 23 1.0 0 0.0 2346 100.0

Western Sydney 1201 17.1 2014 28.6 1763 25.0 98 1.4 1431 20.3 466 6.6 70 1.0 0 0.0 7043 100.0

Nepean Blue Mountains 662 20.8 1310 41.2 693 21.8 74 2.3 312 9.8 103 3.2 22 0.7 0 0.0 3176 100.0

Northern Sydney 576 14.0 1281 31.1 1278 31.1 139 3.4 565 13.7 255 6.2 20 0.5 0 0.0 4114 100.0

Central Coast 426 21.3 769 38.4 449 22.4 47 2.3 179 8.9 104 5.2 27 1.3 0 0.0 2001 100.0

Hunter New England 1534 23.9 2564 39.9 1294 20.1 153 2.4 607 9.5 204 3.2 66 1.0 0 0.0 6422 100.0

Northern NSW 593 24.6 925 38.3 579 24.0 45 1.9 186 7.7 74 3.1 11 0.5 0 0.0 2413 100.0

Mid North Coast 372 25.2 565 38.3 334 22.6 34 2.3 112 7.6 47 3.2 11 0.7 0 0.0 1475 100.0

Southern NSW 335 32.6 314 30.5 209 20.3 18 1.8 101 9.8 29 2.8 22 2.1 0 0.0 1028 100.0

Murrumbidgee 428 31.8 463 34.4 275 20.4 22 1.6 105 7.8 45 3.3 8 0.6 0 0.0 1346 100.0

Western NSW 656 26.5 954 38.5 493 19.9 43 1.7 250 10.1 67 2.7 13 0.5 0 0.0 2476 100.0

Far West 54 31.6 79 46.2 22 12.9 0 0.0 14 8.2 1 0.6 1 0.6 0 0.0 171 100.0

Private Hospitals 2236 18.4 2190 18.0 3586 29.5 85 0.7 3245 26.7 352 2.9 457 3.8 2 0.0 12153 100.0

TOTAL* 13352 20.5 18844 29.0 16970 26.1 1380 2.1 10664 16.4 2529 3.9 1258 1.9 7 0.0 65004 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.* Total includes births at home assisted by independent midwives.

TABLE 44: PERINEAL STATUS AMONG VAGINAL BIRTHS BY HOSPITAL AND MATERNITY SERVICE LEVEL, NSW 2014#


Perineal status







Level 6

Royal Prince Alfred 454 12.9 745 21.1 1259 35.7 139 3.9 646 18.3 193 5.5 94 2.7 0 0.0 3530 100.0

Royal North Shore 188 10.0 545 29.1 570 30.4 66 3.5 340 18.1 162 8.6 5 0.3 0 0.0 1876 100.0


365 13.0 803 28.5 803 28.5 64 2.3 599 21.3 158 5.6 24 0.9 0 0.0 2816 100.0

Liverpool 544 22.4 571 23.5 629 25.9 68 2.8 447 18.4 52 2.1 116 4.8 0 0.0 2427 100.0

Nepean 464 19.5 1000 42.0 517 21.7 55 2.3 240 10.1 94 3.9 11 0.5 0 0.0 2381 100.0

Westmead 634 16.3 989 25.5 966 24.9 49 1.3 877 22.6 317 8.2 47 1.2 0 0.0 3879 100.0

John Hunter 497 18.2 1108 40.7 610 22.4 86 3.2 281 10.3 116 4.3 27 1.0 0 0.0 2725 100.0

TOTAL 3146 16.0 5761 29.3 5354 27.3 527 2.7 3430 17.5 1092 5.6 324 1.7 0 0.0 19634 100.0

Level 5

Gosford 378 20.3 700 37.7 428 23.0 45 2.4 177 9.5 104 5.6 26 1.4 0 0.0 1858 100.0

St. George 305 16.0 447 23.5 575 30.2 94 4.9 340 17.8 139 7.3 6 0.3 0 0.0 1906 100.0

Blacktown 318 15.0 710 33.5 503 23.7 31 1.5 424 20.0 113 5.3 19 0.9 0 0.0 2118 100.0

Coffs Harbour 156 22.5 265 38.3 171 24.7 17 2.5 56 8.1 20 2.9 7 1.0 0 0.0 692 100.0

Lismore Base 204 23.5 361 41.5 171 19.7 18 2.1 83 9.6 24 2.8 8 0.9 0 0.0 869 100.0

Tweed Heads 230 23.4 317 32.3 283 28.8 21 2.1 82 8.4 47 4.8 1 0.1 0 0.0 981 100.0

Port Macquarie Base 122 23.1 196 37.2 116 22.0 14 2.7 51 9.7 25 4.7 3 0.6 0 0.0 527 100.0

Dubbo Base 275 31.5 290 33.3 167 19.2 9 1.0 112 12.8 14 1.6 5 0.6 0 0.0 872 100.0

Wollongong 380 22.8 621 37.3 396 23.8 26 1.6 190 11.4 38 2.3 14 0.8 0 0.0 1665 100.0

Maitland 308 26.5 463 39.8 243 20.9 22 1.9 83 7.1 35 3.0 9 0.8 0 0.0 1163 100.0

Wagga Wagga Base 143 26.6 201 37.4 112 20.9 11 2.0 47 8.8 21 3.9 2 0.4 0 0.0 537 100.0

TOTAL 2819 21.4 4571 34.7 3165 24.0 308 2.3 1645 12.5 580 4.4 100 0.8 0 0.0 13188 100.0

Level 4

Canterbury 247 19.7 234 18.7 416 33.3 38 3.0 234 18.7 40 3.2 42 3.4 0 0.0 1251 100.0

Hornsby 146 16.2 280 31.0 321 35.5 35 3.9 93 10.3 23 2.5 5 0.6 0 0.0 903 100.0

Manly 128 17.1 231 30.9 228 30.5 21 2.8 89 11.9 44 5.9 6 0.8 0 0.0 747 100.0

Mona Vale 78 16.7 171 36.7 129 27.7 17 3.6 42 9.0 25 5.4 4 0.9 0 0.0 466 100.0

Sutherland 176 17.1 329 32.0 244 23.7 36 3.5 174 16.9 60 5.8 9 0.9 0 0.0 1028 100.0





Perineal status







Auburn 249 23.8 315 30.1 294 28.1 18 1.7 130 12.4 36 3.4 4 0.4 0 0.0 1046 100.0

Fairfield 502 33.9 289 19.5 361 24.4 48 3.2 218 14.7 21 1.4 41 2.8 0 0.0 1480 100.0

Campbelltown 514 23.5 565 25.9 659 30.2 58 2.7 298 13.6 19 0.9 71 3.3 0 0.0 2184 100.0

Bankstown-Lidcombe 418 23.5 440 24.7 440 24.7 37 2.1 309 17.4 52 2.9 82 4.6 0 0.0 1778 100.0

Hawkesbury 116 24.3 174 36.4 124 25.9 11 2.3 46 9.6 6 1.3 1 0.2 0 0.0 478 100.0

Grafton Base 103 31.7 128 39.4 66 20.3 5 1.5 18 5.5 3 0.9 2 0.6 0 0.0 325 100.0

Tamworth Base 184 27.5 272 40.7 97 14.5 11 1.6 82 12.3 19 2.8 4 0.6 0 0.0 669 100.0

Manning Base 131 24.0 249 45.6 111 20.3 12 2.2 25 4.6 6 1.1 12 2.2 0 0.0 546 100.0

Orange Base 124 18.5 278 41.4 141 21.0 18 2.7 72 10.7 37 5.5 2 0.3 0 0.0 672 100.0

Goulburn Base 56 27.6 51 25.1 35 17.2 4 2.0 40 19.7 8 3.9 9 4.4 0 0.0 203 100.0

Griffith Base 101 30.2 125 37.4 64 19.2 2 0.6 31 9.3 9 2.7 2 0.6 0 0.0 334 100.0

TOTAL 3273 23.2 4131 29.3 3730 26.4 371 2.6 1901 13.5 408 2.9 296 2.1 0 0.0 14110 100.0

Level 3

Blue Mountains 46 25.8 73 41.0 36 20.2 8 4.5 6 3.4 1 0.6 8 4.5 0 0.0 178 100.0

Kempsey 78 37.5 81 38.9 38 18.3 3 1.4 5 2.4 2 1.0 1 0.5 0 0.0 208 100.0

Armidale 48 22.3 75 34.9 38 17.7 2 0.9 41 19.1 10 4.7 1 0.5 0 0.0 215 100.0

Inverell 61 34.3 54 30.3 18 10.1 1 0.6 41 23.0 3 1.7 0 0.0 0 0.0 178 100.0

Mudgee 53 29.3 58 32.0 52 28.7 1 0.6 14 7.7 3 1.7 0 0.0 0 0.0 181 100.0

Bathurst Base 80 20.6 190 48.8 69 17.7 10 2.6 32 8.2 5 1.3 3 0.8 0 0.0 389 100.0

Lithgow 36 25.9 63 45.3 16 11.5 0 0.0 20 14.4 2 1.4 2 1.4 0 0.0 139 100.0

Bega 56 30.3 58 31.4 42 22.7 4 2.2 18 9.7 4 2.2 3 1.6 0 0.0 185 100.0

Moruya 68 34.3 82 41.4 28 14.1 5 2.5 10 5.1 4 2.0 1 0.5 0 0.0 198 100.0

Queanbeyan 109 34.1 82 25.6 79 24.7 3 0.9 27 8.4 12 3.8 8 2.5 0 0.0 320 100.0

Bowral 91 27.7 65 19.8 88 26.7 5 1.5 57 17.3 3 0.9 20 6.1 0 0.0 329 100.0

Shoalhaven 211 34.1 243 39.3 97 15.7 8 1.3 45 7.3 6 1.0 8 1.3 0 0.0 618 100.0

Broken Hill Base 54 31.6 79 46.2 22 12.9 0 0.0 14 8.2 1 0.6 1 0.6 0 0.0 171 100.0

Other hospitals 538 33.7 571 35.7 311 19.5 29 1.8 93 5.8 38 2.4 18 1.1 0 0.0 1598 100.0

TOTAL 1529 31.2 1774 36.2 934 19.0 79 1.6 423 8.6 94 1.9 74 1.5 0 0.0 4907 100.0

Level 2

TOTAL 283 32.1 383 43.4 181 20.5 9 1.0 19 2.2 3 0.3 4 0.5 0 0.0 882 100.0

Private

Mater, North Sydney 209 17.6 233 19.6 312 26.3 7 0.6 326 27.5 55 4.6 43 3.6 2 0.2 1187 100.0

North Shore Private 161 16.3 184 18.7 327 33.2 7 0.7 264 26.8 7 0.7 36 3.7 0 0.0 986 100.0

Sydney Adventist 246 20.3 315 26.0 349 28.8 6 0.5 263 21.7 12 1.0 20 1.7 0 0.0 1211 100.0

North Gosford Private 105 25.4 67 16.2 108 26.1 1 0.2 109 26.3 12 2.9 12 2.9 0 0.0 414 100.0

Hurstville Community 87 20.9 87 20.9 125 30.0 3 0.7 101 24.3 6 1.4 7 1.7 0 0.0 416 100.0

Kareena Private 69 17.0 75 18.5 145 35.8 4 1.0 97 24.0 1 0.2 14 3.5 0 0.0 405 100.0

St. George Private 174 19.0 198 21.6 341 37.1 13 1.4 174 19.0 3 0.3 15 1.6 0 0.0 918 100.0

Prince of Wales Private 203 18.5 165 15.0 287 26.2 3 0.3 326 29.7 60 5.5 53 4.8 0 0.0 1097 100.0

Norwest Private 266 20.0 206 15.5 431 32.5 9 0.7 303 22.8 43 3.2 70 5.3 0 0.0 1328 100.0


108 17.7 83 13.6 106 17.4 3 0.5 243 39.9 14 2.3 52 8.5 0 0.0 609 100.0

Nepean Private 82 17.3 56 11.8 149 31.5 2 0.4 154 32.6 12 2.5 18 3.8 0 0.0 473 100.0

Westmead Private 156 12.2 203 15.9 292 22.8 3 0.2 576 45.0 5 0.4 44 3.4 0 0.0 1279 100.0

Figtree Private 63 13.3 84 17.7 164 34.6 2 0.4 155 32.7 0 0.0 6 1.3 0 0.0 474 100.0

Newcastle Private 245 22.1 191 17.3 369 33.3 19 1.7 102 9.2 117 10.6 64 5.8 0 0.0 1107 100.0

Calvary, Wagga Wagga 61 24.6 43 17.3 81 32.7 3 1.2 52 21.0 5 2.0 3 1.2 0 0.0 248 100.0

Other hospitals 1 100.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 100.0

TOTAL 2236 18.4 2190 18.0 3586 29.5 85 0.7 3245 26.7 352 2.9 457 3.8 2 0.0 12153 100.0

TOTAL NSW* 13352 20.5 18844 29.0 16970 26.1 1380 2.1 10664 16.4 2529 3.9 1258 1.9 7 0.0 65004 100.0Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Hospitals with more than 200 births in 2014 are identified individually. Maternity service levels are described on page 82 in Appendix 2: Explanatory notes.* Total NSW includes births at home assisted by independent midwives and births at level 1 hospitals.


Birth weight Table 45 shows the birth weight of babies for local health districts, and Table 46 for individual hospitals by maternity service level where at least 200 mothers gave birth in 2014.

TABLE 45: BIRTHS BY BIRTH WEIGHT AND LOCAL HEALTH DISTRICT OF HOSPITAL, NSW 2014


Birth weight

Less than 1,000 1,000–1,499 1,500–2,499 2,500+ Not stated TOTAL

No. % No. % No. % No. % No. % No. %

Sydney 74 1.1 63 0.9 373 5.3 6451 92.5 12 0.2 6973 100.0




Western Sydney 107 1.1 78 0.8 597 5.9 9315 92.2 7 0.1 10104 100.0


Northern Sydney 64 1.1 54 0.9 271 4.6 5465 93.3 2 0.0 5856 100.0

Central Coast 7 0.2 4 0.1 150 5.3 2648 94.2 3 0.1 2812 100.0


Northern NSW 22 0.7 3 0.1 142 4.5 3010 94.6 4 0.1 3181 100.0

Mid North Coast 5 0.2 8 0.4 103 4.8 2037 94.6 1 0.0 2154 100.0

Southern NSW 4 0.3 2 0.1 41 3.0 1326 96.6 0 0.0 1373 100.0

Murrumbidgee 5 0.3 6 0.3 91 4.6 1859 94.8 1 0.1 1962 100.0

Western NSW 10 0.3 8 0.2 165 4.7 3358 94.8 2 0.1 3543 100.0

Far West 2 0.9 0 0.0 12 5.2 217 93.5 1 0.4 232 100.0


TOTAL* 658 0.7 552 0.6 4935 5.1 91111 93.6 69 0.1 97325 100.0


TABLE 46: BIRTHS BY BIRTH WEIGHT, HOSPITAL AND MATERNITY SERVICE LEVEL, NSW 2014#


Birth weight


No. % No. % No. % No. % No. % No. %

Level 6




61 1.5 69 1.7 284 6.9 3714 89.9 4 0.1 4132 100.0

Liverpool 68 2.0 65 1.9 285 8.3 2994 87.6 4 0.1 3416 100.0

Nepean 56 1.4 51 1.3 305 7.9 3453 89.3 1 0.0 3866 100.0

Westmead 80 1.4 70 1.2 393 7.0 5075 90.3 4 0.1 5622 100.0

John Hunter 68 1.7 88 2.2 360 9.0 3500 87.1 1 0.0 4017 100.0

TOTAL 454 1.6 458 1.6 2115 7.3 26063 89.5 27 0.1 29117 100.0

Level 5

Gosford 7 0.3 4 0.1 149 5.6 2506 93.9 3 0.1 2669 100.0

St. George 17 0.6 1 0.0 152 5.7 2500 93.6 0 0.0 2670 100.0

Blacktown 20 0.6 8 0.3 167 5.3 2933 93.7 3 0.1 3131 100.0

Coffs Harbour 2 0.2 3 0.3 53 4.9 1013 94.5 1 0.1 1072 100.0

Lismore Base 14 1.2 0 0.0 68 5.8 1095 92.8 3 0.3 1180 100.0

Tweed Heads 8 0.6 3 0.2 57 4.5 1211 94.6 1 0.1 1280 100.0


Dubbo Base 2 0.2 3 0.2 79 6.4 1142 93.1 0 0.0 1226 100.0

Wollongong 6 0.3 17 0.7 158 6.6 2211 92.4 0 0.0 2392 100.0

Maitland 5 0.3 3 0.2 69 4.3 1524 95.2 0 0.0 1601 100.0

Wagga Wagga Base 2 0.2 3 0.4 56 6.7 775 92.6 1 0.1 837 100.0

TOTAL 85 0.5 49 0.3 1047 5.6 17639 93.7 12 0.1 18832 100.0

Level 4

Canterbury 3 0.2 1 0.1 66 3.8 1669 95.9 1 0.1 1740 100.0

Hornsby 4 0.3 0 0.0 46 3.8 1171 95.9 0 0.0 1221 100.0

Manly 8 0.8 0 0.0 34 3.3 980 95.9 0 0.0 1022 100.0

Mona Vale 2 0.3 1 0.2 10 1.5 647 98.0 0 0.0 660 100.0

Sutherland 5 0.4 0 0.0 23 1.7 1320 97.9 0 0.0 1348 100.0

Auburn 7 0.5 0 0.0 37 2.7 1307 96.7 0 0.0 1351 100.0

Fairfield 3 0.2 2 0.1 83 4.4 1805 95.3 1 0.1 1894 100.0

Campbelltown 9 0.3 5 0.2 124 4.2 2811 95.3 1 0.0 2950 100.0






Birth weight


No. % No. % No. % No. % No. % No. %

Hawkesbury 0 0.0 1 0.1 28 3.7 733 96.2 0 0.0 762 100.0

Grafton Base 0 0.0 0 0.0 16 3.7 421 96.3 0 0.0 437 100.0

Tamworth Base 5 0.5 4 0.4 73 7.5 882 91.2 3 0.3 967 100.0

Manning Base 8 1.1 1 0.1 25 3.5 682 95.3 0 0.0 716 100.0

Orange Base 0 0.0 3 0.3 58 5.6 972 94.1 0 0.0 1033 100.0

Goulburn Base 1 0.4 0 0.0 9 3.3 262 96.3 0 0.0 272 100.0

Griffith Base 2 0.4 3 0.6 26 5.3 460 93.7 0 0.0 491 100.0

TOTAL 65 0.3 22 0.1 751 3.9 18311 95.6 7 0.0 19156 100.0

Level 3

Blue Mountains 0 0.0 0 0.0 3 1.2 251 98.8 0 0.0 254 100.0

Kempsey 1 0.4 1 0.4 10 3.8 248 95.4 0 0.0 260 100.0

Armidale 3 0.9 1 0.3 28 8.0 318 90.9 0 0.0 350 100.0

Inverell 0 0.0 0 0.0 12 4.3 265 95.7 0 0.0 277 100.0

Mudgee 3 1.2 0 0.0 2 0.8 238 97.9 0 0.0 243 100.0

Bathurst Base 2 0.4 2 0.4 16 2.8 548 96.3 1 0.2 569 100.0

Lithgow 0 0.0 1 0.5 9 4.3 197 95.2 0 0.0 207 100.0

Bega 0 0.0 1 0.4 8 3.2 239 96.4 0 0.0 248 100.0

Moruya 2 0.7 1 0.4 11 3.9 265 95.0 0 0.0 279 100.0

Queanbeyan 0 0.0 0 0.0 8 1.9 411 98.1 0 0.0 419 100.0

Bowral 0 0.0 1 0.2 12 2.5 461 97.1 1 0.2 475 100.0

Shoalhaven 2 0.2 1 0.1 20 2.3 852 97.1 2 0.2 877 100.0

Broken Hill Base 2 0.9 0 0.0 12 5.2 217 93.5 1 0.4 232 100.0

Other hospitals 4 0.2 2 0.1 39 1.8 2092 97.8 1 0.0 2138 100.0

TOTAL 19 0.3 11 0.2 190 2.8 6602 96.7 6 0.1 6828 100.0

Level 2

TOTAL 0 0.0 0 0.0 12 1.3 907 98.7 0 0.0 919 100.0

Private






Kareena Private 2 0.3 1 0.1 33 4.3 727 95.3 0 0.0 763 100.0



Norwest Private 4 0.2 1 0.0 94 4.5 1982 95.1 3 0.1 2084 100.0


1 0.1 0 0.0 30 3.0 976 96.9 0 0.0 1007 100.0

Nepean Private 0 0.0 0 0.0 22 2.7 783 97.3 0 0.0 805 100.0


Figtree Private 2 0.2 0 0.0 22 2.5 853 97.3 0 0.0 877 100.0



Other hospitals 0 0.0 0 0.0 0 0.0 42 100.0 0 0.0 42 100.0

TOTAL 34 0.2 12 0.1 814 3.6 21468 96.1 13 0.1 22341 100.0

TOTAL NSW* 658 0.7 552 0.6 4935 5.1 91111 93.6 69 0.1 97325 100.0Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Hospitals with more than 200 births in 2014 are identified individually. Maternity service levels are described on page 82 in Appendix 2: Explanatory notes.* Total NSW includes births at home assisted by independent midwives and births at level 1 hospitals.


Gestational age Table 47 shows the gestational age of babies for local health districts, and Table 48 for individual hospitals by maternity service level where at least 200 mothers gave birth in 2014.

TABLE 47: BIRTHS BY GESTATIONAL AGE AND LOCAL HEALTH DISTRICT OF HOSPITAL, NSW 2014


Gestational age

<32 32–33 34–36 37+ Not stated TOTAL

No. % No. % No. % No. % No. % No. %

Sydney 161 2.3 85 1.2 342 4.9 6385 91.6 0 0.0 6973 100.0




Western Sydney 204 2.0 124 1.2 503 5.0 9273 91.8 0 0.0 10104 100.0


Northern Sydney 121 2.1 46 0.8 270 4.6 5419 92.5 0 0.0 5856 100.0

Central Coast 16 0.6 17 0.6 155 5.5 2624 93.3 0 0.0 2812 100.0


Northern NSW 32 1.0 9 0.3 170 5.3 2970 93.4 0 0.0 3181 100.0

Mid North Coast 15 0.7 12 0.6 116 5.4 2011 93.4 0 0.0 2154 100.0

Southern NSW 5 0.4 4 0.3 48 3.5 1316 95.8 0 0.0 1373 100.0

Murrumbidgee 14 0.7 15 0.8 93 4.7 1840 93.8 0 0.0 1962 100.0

Western NSW 22 0.6 16 0.5 233 6.6 3271 92.3 1 0.0 3543 100.0

Far West 4 1.7 1 0.4 2 0.9 225 97.0 0 0.0 232 100.0


TOTAL* 1355 1.4 911 0.9 5229 5.4 89826 92.3 4 0.0 97325 100.0


TABLE 48: BIRTHS BY GESTATIONAL AGE, HOSPITAL AND MATERNITY SERVICE LEVEL, NSW 2014#


Gestational age

<32 32–33 34–36 37+ Not stated TOTAL

No. % No. % No. % No. % No. % No. %

Level 6



Royal Hospital for Women 146 3.5 79 1.9 219 5.3 3688 89.3 0 0.0 4132 100.0

Liverpool 145 4.2 86 2.5 210 6.1 2975 87.1 0 0.0 3416 100.0

Nepean 122 3.2 83 2.1 290 7.5 3371 87.2 0 0.0 3866 100.0

Westmead 166 3.0 104 1.8 309 5.5 5043 89.7 0 0.0 5622 100.0

John Hunter 184 4.6 127 3.2 328 8.2 3378 84.1 0 0.0 4017 100.0

TOTAL 1024 3.5 605 2.1 1794 6.2 25694 88.2 0 0.0 29117 100.0

Level 5

Gosford 16 0.6 17 0.6 154 5.8 2482 93.0 0 0.0 2669 100.0

St. George 17 0.6 21 0.8 154 5.8 2478 92.8 0 0.0 2670 100.0

Blacktown 31 1.0 20 0.6 154 4.9 2926 93.5 0 0.0 3131 100.0

Coffs Harbour 5 0.5 4 0.4 63 5.9 1000 93.3 0 0.0 1072 100.0

Lismore Base 19 1.6 6 0.5 81 6.9 1074 91.0 0 0.0 1180 100.0

Tweed Heads 12 0.9 3 0.2 70 5.5 1195 93.4 0 0.0 1280 100.0


Dubbo Base 8 0.7 10 0.8 109 8.9 1099 89.6 0 0.0 1226 100.0

Wollongong 13 0.5 47 2.0 176 7.4 2156 90.1 0 0.0 2392 100.0

Maitland 6 0.4 3 0.2 94 5.9 1498 93.6 0 0.0 1601 100.0

Wagga Wagga Base 8 1.0 10 1.2 55 6.6 764 91.3 0 0.0 837 100.0

TOTAL 143 0.8 149 0.8 1152 6.1 17388 92.3 0 0.0 18832 100.0

Level 4

Canterbury 5 0.3 1 0.1 57 3.3 1677 96.4 0 0.0 1740 100.0

Hornsby 5 0.4 0 0.0 55 4.5 1161 95.1 0 0.0 1221 100.0

Manly 8 0.8 1 0.1 49 4.8 964 94.3 0 0.0 1022 100.0

Mona Vale 3 0.5 3 0.5 13 2.0 641 97.1 0 0.0 660 100.0

Sutherland 5 0.4 3 0.2 41 3.0 1299 96.4 0 0.0 1348 100.0

Auburn 7 0.5 0 0.0 40 3.0 1304 96.5 0 0.0 1351 100.0

Fairfield 4 0.2 5 0.3 85 4.5 1800 95.0 0 0.0 1894 100.0

Campbelltown 15 0.5 8 0.3 158 5.4 2769 93.9 0 0.0 2950 100.0






Gestational age

<32 32–33 34–36 37+ Not stated TOTAL

No. % No. % No. % No. % No. % No. %

Hawkesbury 1 0.1 0 0.0 38 5.0 723 94.9 0 0.0 762 100.0

Grafton Base 1 0.2 0 0.0 19 4.3 417 95.4 0 0.0 437 100.0

Tamworth Base 14 1.4 8 0.8 97 10.0 847 87.6 1 0.1 967 100.0

Manning Base 10 1.4 1 0.1 45 6.3 659 92.0 1 0.1 716 100.0

Orange Base 4 0.4 5 0.5 83 8.0 941 91.1 0 0.0 1033 100.0

Goulburn Base 1 0.4 0 0.0 12 4.4 259 95.2 0 0.0 272 100.0

Griffith Base 5 1.0 3 0.6 29 5.9 454 92.5 0 0.0 491 100.0

TOTAL 99 0.5 44 0.2 909 4.7 18102 94.5 2 0.0 19156 100.0

Level 3

Blue Mountains 0 0.0 0 0.0 2 0.8 252 99.2 0 0.0 254 100.0

Kempsey 2 0.8 0 0.0 9 3.5 249 95.8 0 0.0 260 100.0

Armidale 3 0.9 2 0.6 25 7.1 320 91.4 0 0.0 350 100.0

Inverell 0 0.0 2 0.7 22 7.9 253 91.3 0 0.0 277 100.0

Mudgee 3 1.2 0 0.0 2 0.8 238 97.9 0 0.0 243 100.0

Bathurst Base 3 0.5 0 0.0 22 3.9 544 95.6 0 0.0 569 100.0

Lithgow 1 0.5 0 0.0 11 5.3 195 94.2 0 0.0 207 100.0

Bega 1 0.4 1 0.4 9 3.6 237 95.6 0 0.0 248 100.0

Moruya 2 0.7 3 1.1 10 3.6 264 94.6 0 0.0 279 100.0

Queanbeyan 0 0.0 0 0.0 7 1.7 412 98.3 0 0.0 419 100.0

Bowral 2 0.4 4 0.8 13 2.7 456 96.0 0 0.0 475 100.0

Shoalhaven 6 0.7 1 0.1 33 3.8 837 95.4 0 0.0 877 100.0

Broken Hill Base 4 1.7 1 0.4 2 0.9 225 97.0 0 0.0 232 100.0

Other hospitals 7 0.3 4 0.2 52 2.4 2075 97.1 0 0.0 2138 100.0

TOTAL 34 0.5 18 0.3 219 3.2 6557 96.0 0 0.0 6828 100.0

Level 2

TOTAL 1 0.1 1 0.1 6 0.7 911 99.1 0 0.0 919 100.0

Private






Kareena Private 2 0.3 9 1.2 58 7.6 694 91.0 0 0.0 763 100.0



Norwest Private 7 0.3 12 0.6 97 4.7 1968 94.4 0 0.0 2084 100.0


1 0.1 0 0.0 49 4.9 957 95.0 0 0.0 1007 100.0

Nepean Private 1 0.1 0 0.0 51 6.3 753 93.5 0 0.0 805 100.0


Figtree Private 2 0.2 0 0.0 45 5.1 830 94.6 0 0.0 877 100.0



Other hospitals 0 0.0 0 0.0 0 0.0 42 100.0 0 0.0 42 100.0

TOTAL 53 0.2 94 0.4 1146 5.1 21047 94.2 1 0.0 22341 100.0

TOTAL NSW* 1355 1.4 911 0.9 5229 5.4 89826 92.3 4 0.0 97325 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Hospitals with more than 200 births in 2014 are identified individually. Maternity service levels are described on page 82 in Appendix 2: Explanatory notes.* Total NSW includes births at home assisted by independent midwives and births at level 1 hospitals.


Neonatal resuscitation Table 49 shows the type of neonatal resuscitation for local health districts, and Table 50 for individual hospitals by maternity service level where at least 200 mothers gave birth in 2014.

TABLE 49: BIRTHS BY TYPE OF RESUSCITATION AND LOCAL HEALTH DISTRICT OF HOSPITAL, NSW 2014


Resuscitation of baby

None/Minimal Suction O2 Therapy IPPR by maskIntubation and

IPPR

External cardiac massage and ventilation

Not stated TOTAL


Sydney 5752 82.5 145 2.1 269 3.9 677 9.7 85 1.2 45 0.6 0 0.0 6973 100.0




Western Sydney 7925 78.4 945 9.4 225 2.2 812 8.0 149 1.5 48 0.5 0 0.0 10104 100.0


Northern Sydney 4727 80.7 294 5.0 165 2.8 607 10.4 50 0.9 13 0.2 0 0.0 5856 100.0

Central Coast 2284 81.2 144 5.1 67 2.4 307 10.9 1 0.0 9 0.3 0 0.0 2812 100.0


Northern NSW 2674 84.1 100 3.1 69 2.2 316 9.9 12 0.4 10 0.3 0 0.0 3181 100.0

Mid North Coast 1836 85.2 42 1.9 38 1.8 219 10.2 4 0.2 15 0.7 0 0.0 2154 100.0

Southern NSW 1209 88.1 18 1.3 38 2.8 97 7.1 0 0.0 11 0.8 0 0.0 1373 100.0

Murrumbidgee 1642 83.7 63 3.2 61 3.1 174 8.9 8 0.4 14 0.7 0 0.0 1962 100.0

Western NSW 3052 86.1 67 1.9 68 1.9 333 9.4 8 0.2 15 0.4 0 0.0 3543 100.0

Far West 178 76.7 14 6.0 2 0.9 34 14.7 0 0.0 4 1.7 0 0.0 232 100.0

Private Hospitals 19510 87.3 842 3.8 1222 5.5 726 3.2 19 0.1 20 0.1 2 0.0 22341 100.0

TOTAL* 80985 83.2 4269 4.4 3506 3.6 7587 7.8 569 0.6 406 0.4 3 0.0 97325 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.IPPR: Intermittent positive pressure respiration.* Total includes births at home assisted by independent midwives.

TABLE 50: BIRTHS BY TYPE OF RESUSCITATION, HOSPITAL AND MATERNITY SERVICE LEVEL, NSW 2014#




IPPR


Not stated TOTAL


Level 6

Royal Prince Alfred 4215 80.5 109 2.1 173 3.3 625 11.9 84 1.6 27 0.5 0 0.0 5233 100.0

Royal North Shore 2177 76.9 199 7.0 59 2.1 346 12.2 44 1.6 6 0.2 0 0.0 2831 100.0

Royal Hospital for Women 2960 71.6 468 11.3 119 2.9 489 11.8 73 1.8 23 0.6 0 0.0 4132 100.0

Liverpool 2887 84.5 102 3.0 110 3.2 288 8.4 18 0.5 11 0.3 0 0.0 3416 100.0

Nepean 2678 69.3 379 9.8 243 6.3 473 12.2 70 1.8 23 0.6 0 0.0 3866 100.0

Westmead 4325 76.9 456 8.1 88 1.6 588 10.5 140 2.5 25 0.4 0 0.0 5622 100.0

John Hunter 3049 75.9 123 3.1 81 2.0 705 17.6 36 0.9 23 0.6 0 0.0 4017 100.0

TOTAL 22291 76.6 1836 6.3 873 3.0 3514 12.1 465 1.6 138 0.5 0 0.0 29117 100.0

Level 5

Gosford 2144 80.3 144 5.4 67 2.5 304 11.4 1 0.0 9 0.3 0 0.0 2669 100.0

St. George 2289 85.7 70 2.6 85 3.2 209 7.8 2 0.1 15 0.6 0 0.0 2670 100.0

Blacktown 2353 75.2 473 15.1 105 3.4 174 5.6 9 0.3 17 0.5 0 0.0 3131 100.0

Coffs Harbour 940 87.7 21 2.0 20 1.9 85 7.9 3 0.3 3 0.3 0 0.0 1072 100.0

Lismore Base 987 83.6 34 2.9 28 2.4 122 10.3 2 0.2 7 0.6 0 0.0 1180 100.0

Tweed Heads 1041 81.3 62 4.8 25 2.0 143 11.2 8 0.6 1 0.1 0 0.0 1280 100.0

Port Macquarie Base 633 81.8 20 2.6 13 1.7 101 13.0 1 0.1 6 0.8 0 0.0 774 100.0

Dubbo Base 1048 85.5 39 3.2 18 1.5 118 9.6 0 0.0 3 0.2 0 0.0 1226 100.0

Wollongong 2032 84.9 68 2.8 87 3.6 186 7.8 5 0.2 14 0.6 0 0.0 2392 100.0

Maitland 1364 85.2 33 2.1 28 1.7 166 10.4 3 0.2 7 0.4 0 0.0 1601 100.0

Wagga Wagga Base 672 80.3 43 5.1 12 1.4 100 11.9 4 0.5 6 0.7 0 0.0 837 100.0

TOTAL 15503 82.3 1007 5.3 488 2.6 1708 9.1 38 0.2 88 0.5 0 0.0 18832 100.0

Level 4

Canterbury 1537 88.3 36 2.1 96 5.5 52 3.0 1 0.1 18 1.0 0 0.0 1740 100.0

Hornsby 1006 82.4 49 4.0 49 4.0 113 9.3 2 0.2 2 0.2 0 0.0 1221 100.0

Manly 866 84.7 20 2.0 45 4.4 84 8.2 2 0.2 5 0.5 0 0.0 1022 100.0

Mona Vale 565 85.6 26 3.9 11 1.7 56 8.5 2 0.3 0 0.0 0 0.0 660 100.0

Sutherland 1166 86.5 66 4.9 27 2.0 78 5.8 5 0.4 6 0.4 0 0.0 1348 100.0

Auburn 1247 92.3 16 1.2 32 2.4 50 3.7 0 0.0 6 0.4 0 0.0 1351 100.0







IPPR


Not stated TOTAL


Fairfield 1763 93.1 38 2.0 50 2.6 31 1.6 2 0.1 10 0.5 0 0.0 1894 100.0

Campbelltown 2668 90.4 40 1.4 72 2.4 142 4.8 3 0.1 25 0.8 0 0.0 2950 100.0

Bankstown-Lidcombe 2100 91.6 37 1.6 63 2.7 76 3.3 2 0.1 14 0.6 0 0.0 2292 100.0

Hawkesbury 649 85.2 35 4.6 50 6.6 23 3.0 1 0.1 4 0.5 0 0.0 762 100.0

Grafton Base 392 89.7 3 0.7 6 1.4 32 7.3 2 0.5 2 0.5 0 0.0 437 100.0

Tamworth Base 786 81.3 18 1.9 29 3.0 126 13.0 3 0.3 5 0.5 0 0.0 967 100.0

Manning Base 631 88.1 11 1.5 8 1.1 58 8.1 2 0.3 6 0.8 0 0.0 716 100.0

Orange Base 887 85.9 12 1.2 21 2.0 103 10.0 6 0.6 4 0.4 0 0.0 1033 100.0

Goulburn Base 213 78.3 13 4.8 19 7.0 25 9.2 0 0.0 2 0.7 0 0.0 272 100.0

Griffith Base 402 81.9 7 1.4 35 7.1 38 7.7 3 0.6 6 1.2 0 0.0 491 100.0

TOTAL 16878 88.1 427 2.2 613 3.2 1087 5.7 36 0.2 115 0.6 0 0.0 19156 100.0

Level 3

Blue Mountains 232 91.3 9 3.5 8 3.1 5 2.0 0 0.0 0 0.0 0 0.0 254 100.0

Kempsey 221 85.0 1 0.4 4 1.5 28 10.8 0 0.0 6 2.3 0 0.0 260 100.0

Armidale 296 84.6 7 2.0 31 8.9 14 4.0 0 0.0 2 0.6 0 0.0 350 100.0

Inverell 136 49.1 27 9.7 97 35.0 15 5.4 1 0.4 1 0.4 0 0.0 277 100.0

Mudgee 226 93.0 0 0.0 0 0.0 15 6.2 1 0.4 1 0.4 0 0.0 243 100.0

Bathurst Base 477 83.8 12 2.1 17 3.0 59 10.4 0 0.0 4 0.7 0 0.0 569 100.0

Lithgow 168 81.2 5 2.4 10 4.8 22 10.6 2 1.0 0 0.0 0 0.0 207 100.0

Bega 222 89.5 0 0.0 6 2.4 18 7.3 0 0.0 2 0.8 0 0.0 248 100.0

Moruya 263 94.3 2 0.7 2 0.7 10 3.6 0 0.0 2 0.7 0 0.0 279 100.0

Queanbeyan 373 89.0 2 0.5 10 2.4 31 7.4 0 0.0 3 0.7 0 0.0 419 100.0

Bowral 408 85.9 6 1.3 36 7.6 20 4.2 0 0.0 5 1.1 0 0.0 475 100.0

Shoalhaven 759 86.5 26 3.0 22 2.5 63 7.2 3 0.3 4 0.5 0 0.0 877 100.0

Broken Hill Base 178 76.7 14 6.0 2 0.9 34 14.7 0 0.0 4 1.7 0 0.0 232 100.0

Other hospitals 1876 87.7 38 1.8 41 1.9 169 7.9 4 0.2 10 0.5 0 0.0 2138 100.0

TOTAL 5835 85.5 149 2.2 286 4.2 503 7.4 11 0.2 44 0.6 0 0.0 6828 100.0

Level 2

TOTAL 846 92.1 6 0.7 18 2.0 48 5.2 0 0.0 1 0.1 0 0.0 919 100.0

Private

Mater, North Sydney 1972 86.0 80 3.5 150 6.5 85 3.7 0 0.0 5 0.2 0 0.0 2292 100.0

North Shore Private 1817 87.8 99 4.8 106 5.1 46 2.2 1 0.0 1 0.0 0 0.0 2070 100.0

Sydney Adventist 1917 94.2 6 0.3 41 2.0 67 3.3 1 0.0 4 0.2 0 0.0 2036 100.0

North Gosford Private 678 87.4 18 2.3 55 7.1 23 3.0 2 0.3 0 0.0 0 0.0 776 100.0

Hurstville Community 574 78.1 56 7.6 79 10.7 26 3.5 0 0.0 0 0.0 0 0.0 735 100.0

Kareena Private 635 83.2 34 4.5 59 7.7 35 4.6 0 0.0 0 0.0 0 0.0 763 100.0

St. George Private 1369 76.4 96 5.4 291 16.2 33 1.8 1 0.1 1 0.1 1 0.1 1792 100.0

Prince of Wales Private 2004 85.6 118 5.0 118 5.0 93 4.0 7 0.3 2 0.1 0 0.0 2342 100.0

Norwest Private 1897 91.0 16 0.8 96 4.6 72 3.5 0 0.0 3 0.1 0 0.0 2084 100.0


976 96.9 7 0.7 18 1.8 3 0.3 1 0.1 1 0.1 1 0.1 1007 100.0

Nepean Private 687 85.3 21 2.6 82 10.2 14 1.7 1 0.1 0 0.0 0 0.0 805 100.0

Westmead Private 2070 89.9 97 4.2 59 2.6 74 3.2 0 0.0 2 0.1 0 0.0 2302 100.0

Figtree Private 664 75.7 158 18.0 38 4.3 17 1.9 0 0.0 0 0.0 0 0.0 877 100.0

Newcastle Private 1751 91.6 27 1.4 24 1.3 105 5.5 3 0.2 1 0.1 0 0.0 1911 100.0

Calvary, Wagga Wagga 459 90.5 8 1.6 5 1.0 33 6.5 2 0.4 0 0.0 0 0.0 507 100.0

Other hospitals 40 95.2 1 2.4 1 2.4 0 0.0 0 0.0 0 0.0 0 0.0 42 100.0

TOTAL 19510 87.3 842 3.8 1222 5.5 726 3.2 19 0.1 20 0.1 2 0.0 22341 100.0

TOTAL NSW* 80985 83.2 4269 4.4 3506 3.6 7587 7.8 569 0.6 406 0.4 3 0.0 97325 100.0Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.IPPR: intermittent positive pressure respiration.# Hospitals with more than 200 births in 2014 are identified individually. Maternity service levels are described on page 82 in Appendix 2: Explanatory notes.* Total NSW includes births at home assisted by independent midwives and births at level 1 hospitals.


Admission to special care or neonatal intensive care Table 51 shows admissions of live born babies to special care or neonatal intensive care for local health districts, and Table 52 for individual hospitals by maternity service level where at least 200 mothers gave birth in 2014.

TABLE 51: LIVE BIRTHS BY ADMISSION TO SPECIAL CARE OR NEONATAL INTENSIVE CARE AND LOCAL HEALTH DISTRICT OF HOSPITAL, NSW 2014


Admission to special care or NICU


No. % No. % No. % No. %

Sydney 6099 88.1 827 11.9 0 0.0 6926 100.0




Western Sydney 8006 79.9 2016 20.1 0 0.0 10022 100.0


Northern Sydney 4959 85.2 859 14.8 0 0.0 5818 100.0

Central Coast 2241 80.1 558 19.9 0 0.0 2799 100.0


Northern NSW 2511 79.5 647 20.5 0 0.0 3158 100.0

Mid North Coast 1771 82.8 369 17.2 0 0.0 2140 100.0

Southern NSW 1251 91.6 115 8.4 0 0.0 1366 100.0

Murrumbidgee 1597 81.9 353 18.1 0 0.0 1950 100.0

Western NSW 2948 83.6 577 16.4 0 0.0 3525 100.0

Far West 209 92.1 18 7.9 0 0.0 227 100.0

Private Hospitals 20659 92.7 1621 7.3 0 0.0 22280 100.0

TOTAL* 83008 85.8 13767 14.2 1 0.0 96776 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.NICU: neonatal intensive care unit.* Total includes births at home assisted by independent midwives.

TABLE 52: LIVE BIRTHS BY ADMISSION TO SPECIAL CARE OR NEONATAL INTENSIVE CARE, HOSPITAL AND MATERNITY SERVICE LEVEL, NSW 2014#




No. % No. % No. % No. %

Level 6

Royal Prince Alfred 4582 88.3 609 11.7 0 0.0 5191 100.0

Royal North Shore 2427 86.4 382 13.6 0 0.0 2809 100.0

Royal Hospital for Women 3316 81.0 777 19.0 0 0.0 4093 100.0

Liverpool 3021 89.3 362 10.7 0 0.0 3383 100.0

Nepean 3010 78.3 834 21.7 0 0.0 3844 100.0

Westmead 4359 78.3 1210 21.7 0 0.0 5569 100.0

John Hunter 3108 78.0 875 22.0 0 0.0 3983 100.0

TOTAL 23823 82.5 5049 17.5 0 0.0 28872 100.0

Level 5

Gosford 2102 79.1 554 20.9 0 0.0 2656 100.0

St. George 2137 80.3 522 19.6 1 0.0 2660 100.0

Blacktown 2540 81.7 569 18.3 0 0.0 3109 100.0

Coffs Harbour 861 80.8 204 19.2 0 0.0 1065 100.0

Lismore Base 950 81.3 218 18.7 0 0.0 1168 100.0

Tweed Heads 945 74.4 325 25.6 0 0.0 1270 100.0

Port Macquarie Base 653 85.0 115 15.0 0 0.0 768 100.0

Dubbo Base 981 80.2 242 19.8 0 0.0 1223 100.0

Wollongong 1931 81.1 451 18.9 0 0.0 2382 100.0

Maitland 1279 80.1 317 19.9 0 0.0 1596 100.0

Wagga Wagga Base 598 71.8 235 28.2 0 0.0 833 100.0

TOTAL 14977 80.0 3752 20.0 1 0.0 18730 100.0

Level 4

Canterbury 1517 87.4 218 12.6 0 0.0 1735 100.0

Hornsby 1046 85.9 171 14.1 0 0.0 1217 100.0

Manly 797 78.6 217 21.4 0 0.0 1014 100.0

Mona Vale 567 86.4 89 13.6 0 0.0 656 100.0

Sutherland 1074 80.2 265 19.8 0 0.0 1339 100.0

Auburn 1107 82.4 237 17.6 0 0.0 1344 100.0

Fairfield 1673 88.8 212 11.2 0 0.0 1885 100.0







No. % No. % No. % No. %

Campbelltown 2793 95.0 146 5.0 0 0.0 2939 100.0

Bankstown-Lidcombe 2010 88.2 269 11.8 0 0.0 2279 100.0

Hawkesbury 620 81.5 141 18.5 0 0.0 761 100.0

Grafton Base 345 78.9 92 21.1 0 0.0 437 100.0

Tamworth Base 720 75.1 239 24.9 0 0.0 959 100.0

Manning Base 581 81.7 130 18.3 0 0.0 711 100.0

Orange Base 816 79.3 213 20.7 0 0.0 1029 100.0

Goulburn Base 231 84.9 41 15.1 0 0.0 272 100.0

Griffith Base 384 79.3 100 20.7 0 0.0 484 100.0

TOTAL 16281 85.4 2780 14.6 0 0.0 19061 100.0

Level 3

Blue Mountains 242 95.7 11 4.3 0 0.0 253 100.0

Kempsey 210 81.1 49 18.9 0 0.0 259 100.0

Armidale 285 82.6 60 17.4 0 0.0 345 100.0

Inverell 256 93.1 19 6.9 0 0.0 275 100.0

Mudgee 230 95.4 11 4.6 0 0.0 241 100.0

Bathurst Base 471 83.5 93 16.5 0 0.0 564 100.0

Lithgow 191 92.3 16 7.7 0 0.0 207 100.0

Bega 205 83.3 41 16.7 0 0.0 246 100.0

Moruya 261 94.6 15 5.4 0 0.0 276 100.0

Queanbeyan 405 96.7 14 3.3 0 0.0 419 100.0

Bowral 448 94.5 26 5.5 0 0.0 474 100.0

Shoalhaven 779 89.2 94 10.8 0 0.0 873 100.0

Broken Hill Base 209 92.1 18 7.9 0 0.0 227 100.0

Other hospitals 2063 96.8 68 3.2 0 0.0 2131 100.0

TOTAL 6255 92.1 535 7.9 0 0.0 6790 100.0

Level 2

TOTAL 889 96.8 29 3.2 0 0.0 918 100.0

Private

Mater, North Sydney 1997 87.1 295 12.9 0 0.0 2292 100.0

North Shore Private 2048 99.3 14 0.7 0 0.0 2062 100.0

Sydney Adventist 1771 87.2 259 12.8 0 0.0 2030 100.0

North Gosford Private 688 88.9 86 11.1 0 0.0 774 100.0

Hurstville Community 639 87.1 95 12.9 0 0.0 734 100.0

Kareena Private 752 99.1 7 0.9 0 0.0 759 100.0

St. George Private 1784 99.9 1 0.1 0 0.0 1785 100.0

Prince of Wales Private 2096 89.7 241 10.3 0 0.0 2337 100.0

Norwest Private 1869 90.1 205 9.9 0 0.0 2074 100.0

Sydney Southwest Private 979 97.5 25 2.5 0 0.0 1004 100.0

Nepean Private 634 78.9 170 21.1 0 0.0 804 100.0

Westmead Private 2288 99.7 6 0.3 0 0.0 2294 100.0

Figtree Private 875 99.8 2 0.2 0 0.0 877 100.0

Newcastle Private 1787 93.8 119 6.2 0 0.0 1906 100.0

Calvary, Wagga Wagga 410 81.0 96 19.0 0 0.0 506 100.0

Other hospitals 42 100.0 0 0.0 0 0.0 42 100.0

TOTAL 20659 92.7 1621 7.3 0 0.0 22280 100.0

TOTAL NSW* 83008 85.8 13767 14.2 1 0.0 96776 100.0Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.NICU: neonatal intensive care unit.# Hospitals with more than 200 births in 2014 are identified individually. Maternity service levels are described on page 82 in Appendix 2: Explanatory notes.* Total NSW includes births at home assisted by independent midwives and births at level 1 hospitals.


Infant feeding Table 53 shows infant feeding at discharge from the hospital of birth for local health districts, and Table 54 for individual hospitals by maternity service level where at least 200 mothers gave birth in 2014.

TABLE 53: LIVE BIRTHS BY TYPE OF INFANT FEEDING AND LOCAL HEALTH DISTRICT OF HOSPITAL, NSW 2014


Infant feeding


No. % No. % No. % No. % No. %

Sydney 5711 82.5 840 12.1 309 4.5 66 1.0 6926 100.0




Western Sydney 7784 77.7 1210 12.1 861 8.6 167 1.7 10022 100.0


Northern Sydney 5134 88.2 446 7.7 188 3.2 50 0.9 5818 100.0

Central Coast 2281 81.5 185 6.6 307 11.0 26 0.9 2799 100.0


Northern NSW 2822 89.4 98 3.1 198 6.3 40 1.3 3158 100.0

Mid North Coast 1812 84.7 93 4.3 203 9.5 32 1.5 2140 100.0

Southern NSW 1163 85.1 61 4.5 120 8.8 22 1.6 1366 100.0

Murrumbidgee 1426 73.1 139 7.1 364 18.7 21 1.1 1950 100.0

Western NSW 2773 78.7 156 4.4 547 15.5 49 1.4 3525 100.0

Far West 171 75.3 10 4.4 41 18.1 5 2.2 227 100.0

Private Hospitals 17765 79.7 2935 13.2 1504 6.8 76 0.3 22280 100.0

TOTAL* 76018 78.6 10132 10.5 9577 9.9 1049 1.1 96776 100.0


TABLE 54: LIVE BIRTHS BY TYPE OF INFANT FEEDING, HOSPITAL AND MATERNITY SERVICE LEVEL, NSW 2014#


Infant feeding


No. % No. % No. % No. % No. %

Level 6

Royal Prince Alfred 4287 82.6 655 12.6 203 3.9 46 0.9 5191 100.0

Royal North Shore 2466 87.8 228 8.1 94 3.3 21 0.7 2809 100.0

Royal Hospital for Women 3394 82.9 496 12.1 174 4.3 29 0.7 4093 100.0

Liverpool 2053 60.7 606 17.9 556 16.4 168 5.0 3383 100.0

Nepean 2632 68.5 409 10.6 775 20.2 28 0.7 3844 100.0

Westmead 4346 78.0 641 11.5 460 8.3 122 2.2 5569 100.0

John Hunter 3103 77.9 255 6.4 596 15.0 29 0.7 3983 100.0

TOTAL 22281 77.2 3290 11.4 2858 9.9 443 1.5 28872 100.0

Level 5

Gosford 2145 80.8 185 7.0 301 11.3 25 0.9 2656 100.0

St. George 2123 79.8 354 13.3 162 6.1 21 0.8 2660 100.0

Blacktown 2444 78.6 296 9.5 332 10.7 37 1.2 3109 100.0

Coffs Harbour 919 86.3 51 4.8 83 7.8 12 1.1 1065 100.0

Lismore Base 1014 86.8 56 4.8 80 6.8 18 1.5 1168 100.0

Tweed Heads 1168 92.0 27 2.1 65 5.1 10 0.8 1270 100.0

Port Macquarie Base 645 84.0 36 4.7 80 10.4 7 0.9 768 100.0

Dubbo Base 899 73.5 51 4.2 257 21.0 16 1.3 1223 100.0

Wollongong 1813 76.1 118 5.0 436 18.3 15 0.6 2382 100.0

Maitland 1201 75.3 99 6.2 278 17.4 18 1.1 1596 100.0

Wagga Wagga Base 603 72.4 59 7.1 160 19.2 11 1.3 833 100.0

TOTAL 14974 79.9 1332 7.1 2234 11.9 190 1.0 18730 100.0

Level 4

Canterbury 1424 82.1 185 10.7 106 6.1 20 1.2 1735 100.0

Hornsby 1038 85.3 118 9.7 50 4.1 11 0.9 1217 100.0

Manly 929 91.6 56 5.5 19 1.9 10 1.0 1014 100.0

Mona Vale 579 88.3 44 6.7 25 3.8 8 1.2 656 100.0

Sutherland 1196 89.3 61 4.6 73 5.5 9 0.7 1339 100.0

Auburn 994 74.0 273 20.3 69 5.1 8 0.6 1344 100.0

Fairfield 1003 53.2 544 28.9 318 16.9 20 1.1 1885 100.0

Campbelltown 1944 66.1 364 12.4 587 20.0 44 1.5 2939 100.0

Bankstown-Lidcombe 1649 72.4 362 15.9 244 10.7 24 1.1 2279 100.0

Hawkesbury 618 81.2 33 4.3 104 13.7 6 0.8 761 100.0





Infant feeding


No. % No. % No. % No. % No. %

Grafton Base 367 84.0 10 2.3 49 11.2 11 2.5 437 100.0

Tamworth Base 734 76.5 57 5.9 152 15.8 16 1.7 959 100.0

Manning Base 574 80.7 43 6.0 84 11.8 10 1.4 711 100.0

Orange Base 821 79.8 72 7.0 122 11.9 14 1.4 1029 100.0

Goulburn Base 217 79.8 11 4.0 41 15.1 3 1.1 272 100.0

Griffith Base 327 67.6 57 11.8 92 19.0 8 1.7 484 100.0

TOTAL 14414 75.6 2290 12.0 2135 11.2 222 1.2 19061 100.0

Level 3

Blue Mountains 223 88.1 11 4.3 17 6.7 2 0.8 253 100.0

Kempsey 205 79.2 6 2.3 36 13.9 12 4.6 259 100.0

Armidale 294 85.2 15 4.3 34 9.9 2 0.6 345 100.0

Inverell 213 77.5 22 8.0 38 13.8 2 0.7 275 100.0

Mudgee 199 82.6 4 1.7 35 14.5 3 1.2 241 100.0

Bathurst Base 479 84.9 15 2.7 64 11.3 6 1.1 564 100.0

Lithgow 150 72.5 14 6.8 38 18.4 5 2.4 207 100.0

Bega 206 83.7 14 5.7 19 7.7 7 2.8 246 100.0

Moruya 242 87.7 2 0.7 25 9.1 7 2.5 276 100.0

Queanbeyan 370 88.3 27 6.4 19 4.5 3 0.7 419 100.0

Bowral 386 81.4 20 4.2 56 11.8 12 2.5 474 100.0

Shoalhaven 743 85.1 32 3.7 84 9.6 14 1.6 873 100.0

Broken Hill Base 171 75.3 10 4.4 41 18.1 5 2.2 227 100.0

Other hospitals 1735 81.4 87 4.1 291 13.7 18 0.8 2131 100.0

TOTAL 5616 82.7 279 4.1 797 11.7 98 1.4 6790 100.0

Level 2

TOTAL 862 93.9 3 0.3 43 4.7 10 1.1 918 100.0

Private

Mater, North Sydney 1706 74.4 507 22.1 74 3.2 5 0.2 2292 100.0

North Shore Private 1561 75.7 395 19.2 97 4.7 9 0.4 2062 100.0

Sydney Adventist 1979 97.5 0 0.0 43 2.1 8 0.4 2030 100.0

North Gosford Private 650 84.0 60 7.8 57 7.4 7 0.9 774 100.0

Hurstville Community 508 69.2 152 20.7 72 9.8 2 0.3 734 100.0

Kareena Private 643 84.7 44 5.8 72 9.5 0 0.0 759 100.0

St. George Private 1066 59.7 528 29.6 177 9.9 14 0.8 1785 100.0

Prince of Wales Private 2052 87.8 218 9.3 65 2.8 2 0.1 2337 100.0

Norwest Private 1685 81.2 184 8.9 204 9.8 1 0.0 2074 100.0


867 86.4 2 0.2 135 13.4 0 0.0 1004 100.0

Nepean Private 642 79.9 78 9.7 83 10.3 1 0.1 804 100.0

Westmead Private 1489 64.9 610 26.6 189 8.2 6 0.3 2294 100.0

Figtree Private 705 80.4 61 7.0 104 11.9 7 0.8 877 100.0

Newcastle Private 1710 89.7 95 5.0 90 4.7 11 0.6 1906 100.0

Calvary, Wagga Wagga 465 91.9 0 0.0 38 7.5 3 0.6 506 100.0

Other hospitals 37 88.1 1 2.4 4 9.5 0 0.0 42 100.0

TOTAL 17765 79.7 2935 13.2 1504 6.8 76 0.3 22280 100.0

TOTAL NSW* 76018 78.6 10132 10.5 9577 9.9 1049 1.1 96776 100.0Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Hospitals with more than 200 births in 2014 are identified individually. Maternity service levels are described on page 82 in Appendix 2: Explanatory notes.* Total NSW includes births at home assisted by independent midwives and births at level 1 hospitals.


Baby discharge status Table 55 shows the discharge status of babies for local health districts, and Table 56 for individual hospitals by maternity service level where at least 200 mothers gave birth in 2014.

TABLE 55: BABY DISCHARGE STATUS BY HOSPITAL AND LOCAL HEALTH DISTRICT OF HOSPITAL, NSW 2014


Baby discharge status

Discharged Transferred Stillborn Died Transferred and died Not stated TOTAL

No. % No. % No. % No. % No. % No. % No. %

Sydney 6726 96.5 175 2.5 47 0.7 25 0.4 0 0.0 0 0.0 6973 100.0

South Western Sydney 10615 96.3 303 2.7 67 0.6 42 0.4 0 0.0 0 0.0 11027 100.0

South Eastern Sydney 7875 96.6 188 2.3 58 0.7 29 0.4 0 0.0 0 0.0 8150 100.0

Illawarra Shoalhaven 3244 97.2 73 2.2 14 0.4 6 0.2 0 0.0 0 0.0 3337 100.0

Western Sydney 9607 95.1 378 3.7 81 0.8 37 0.4 0 0.0 1 0.0 10104 100.0

Nepean Blue Mountains 4872 95.7 175 3.4 23 0.5 18 0.4 0 0.0 1 0.0 5089 100.0

Northern Sydney 5673 96.9 128 2.2 38 0.6 17 0.3 0 0.0 0 0.0 5856 100.0

Central Coast 2747 97.7 48 1.7 13 0.5 4 0.1 0 0.0 0 0.0 2812 100.0

Hunter New England 8476 93.4 507 5.6 60 0.7 36 0.4 0 0.0 0 0.0 9079 100.0

Northern NSW 3024 95.1 128 4.0 20 0.6 6 0.2 0 0.0 3 0.1 3181 100.0

Mid North Coast 2020 93.8 119 5.5 14 0.6 1 0.0 0 0.0 0 0.0 2154 100.0

Southern NSW 1320 96.1 45 3.3 7 0.5 1 0.1 0 0.0 0 0.0 1373 100.0

Murrumbidgee 1867 95.2 83 4.2 12 0.6 0 0.0 0 0.0 0 0.0 1962 100.0

Western NSW 3212 90.7 311 8.8 17 0.5 1 0.0 1 0.0 1 0.0 3543 100.0

Far West 222 95.7 5 2.2 5 2.2 0 0.0 0 0.0 0 0.0 232 100.0

Private Hospitals 22102 98.9 162 0.7 58 0.3 15 0.1 1 0.0 3 0.0 22341 100.0

TOTAL* 93707 96.3 2829 2.9 534 0.5 238 0.2 2 0.0 15 0.0 97325 100.0


TABLE 56: BABY DISCHARGE STATUS BY HOSPITAL AND MATERNITY SERVICE LEVEL, NSW 2014#




No. % No. % No. % No. % No. % No. % No. %

Level 6

Royal Prince Alfred 5020 95.9 147 2.8 42 0.8 24 0.5 0 0.0 0 0.0 5233 100.0

Royal North Shore 2704 95.5 88 3.1 22 0.8 17 0.6 0 0.0 0 0.0 2831 100.0

Royal Hospital for Women 3937 95.3 137 3.3 39 0.9 19 0.5 0 0.0 0 0.0 4132 100.0

Liverpool 3154 92.3 197 5.8 33 1.0 32 0.9 0 0.0 0 0.0 3416 100.0

Nepean 3673 95.0 153 4.0 22 0.6 18 0.5 0 0.0 0 0.0 3866 100.0

Westmead 5207 92.6 338 6.0 52 0.9 24 0.4 0 0.0 1 0.0 5622 100.0

John Hunter 3711 92.4 246 6.1 34 0.8 26 0.6 0 0.0 0 0.0 4017 100.0

TOTAL 27406 94.1 1306 4.5 244 0.8 160 0.5 0 0.0 1 0.0 29117 100.0

Level 5

Gosford 2615 98.0 37 1.4 13 0.5 4 0.1 0 0.0 0 0.0 2669 100.0

St. George 2612 97.8 39 1.5 10 0.4 9 0.3 0 0.0 0 0.0 2670 100.0

Blacktown 3066 97.9 32 1.0 22 0.7 11 0.4 0 0.0 0 0.0 3131 100.0

Coffs Harbour 998 93.1 67 6.3 7 0.7 0 0.0 0 0.0 0 0.0 1072 100.0

Lismore Base 1151 97.5 13 1.1 10 0.8 4 0.3 0 0.0 2 0.2 1180 100.0

Tweed Heads 1178 92.0 92 7.2 10 0.8 0 0.0 0 0.0 0 0.0 1280 100.0

Port Macquarie Base 740 95.6 28 3.6 6 0.8 0 0.0 0 0.0 0 0.0 774 100.0

Dubbo Base 1034 84.3 189 15.4 3 0.2 0 0.0 0 0.0 0 0.0 1226 100.0

Wollongong 2336 97.7 43 1.8 10 0.4 3 0.1 0 0.0 0 0.0 2392 100.0

Maitland 1437 89.8 157 9.8 5 0.3 2 0.1 0 0.0 0 0.0 1601 100.0

Wagga Wagga Base 788 94.1 45 5.4 4 0.5 0 0.0 0 0.0 0 0.0 837 100.0

TOTAL 17955 95.3 742 3.9 100 0.5 33 0.2 0 0.0 2 0.0 18832 100.0

Level 4

Canterbury 1706 98.0 28 1.6 5 0.3 1 0.1 0 0.0 0 0.0 1740 100.0

Hornsby 1205 98.7 12 1.0 4 0.3 0 0.0 0 0.0 0 0.0 1221 100.0

Manly 1003 98.1 11 1.1 8 0.8 0 0.0 0 0.0 0 0.0 1022 100.0

Mona Vale 645 97.7 11 1.7 4 0.6 0 0.0 0 0.0 0 0.0 660 100.0

Sutherland 1326 98.4 12 0.9 9 0.7 1 0.1 0 0.0 0 0.0 1348 100.0

Auburn 1334 98.7 8 0.6 7 0.5 2 0.1 0 0.0 0 0.0 1351 100.0

Fairfield 1866 98.5 18 1.0 9 0.5 1 0.1 0 0.0 0 0.0 1894 100.0

Campbelltown 2889 97.9 44 1.5 11 0.4 6 0.2 0 0.0 0 0.0 2950 100.0

Bankstown-Lidcombe 2248 98.1 29 1.3 13 0.6 2 0.1 0 0.0 0 0.0 2292 100.0

Hawkesbury 752 98.7 9 1.2 1 0.1 0 0.0 0 0.0 0 0.0 762 100.0







No. % No. % No. % No. % No. % No. % No. %

Grafton Base 424 97.0 11 2.5 0 0.0 2 0.5 0 0.0 0 0.0 437 100.0

Tamworth Base 906 93.7 50 5.2 8 0.8 3 0.3 0 0.0 0 0.0 967 100.0

Manning Base 701 97.9 6 0.8 5 0.7 4 0.6 0 0.0 0 0.0 716 100.0

Orange Base 958 92.7 71 6.9 4 0.4 0 0.0 0 0.0 0 0.0 1033 100.0

Goulburn Base 268 98.5 3 1.1 0 0.0 1 0.4 0 0.0 0 0.0 272 100.0

Griffith Base 461 93.9 23 4.7 7 1.4 0 0.0 0 0.0 0 0.0 491 100.0

TOTAL 18692 97.6 346 1.8 95 0.5 23 0.1 0 0.0 0 0.0 19156 100.0

Level 3

Blue Mountains 250 98.4 3 1.2 0 0.0 0 0.0 0 0.0 1 0.4 254 100.0

Kempsey 239 91.9 19 7.3 1 0.4 1 0.4 0 0.0 0 0.0 260 100.0

Armidale 339 96.9 6 1.7 5 1.4 0 0.0 0 0.0 0 0.0 350 100.0

Inverell 271 97.8 4 1.4 2 0.7 0 0.0 0 0.0 0 0.0 277 100.0

Mudgee 234 96.3 7 2.9 2 0.8 0 0.0 0 0.0 0 0.0 243 100.0

Bathurst Base 557 97.9 5 0.9 5 0.9 1 0.2 1 0.2 0 0.0 569 100.0

Lithgow 197 95.2 10 4.8 0 0.0 0 0.0 0 0.0 0 0.0 207 100.0

Bega 237 95.6 9 3.6 2 0.8 0 0.0 0 0.0 0 0.0 248 100.0

Moruya 263 94.3 13 4.7 3 1.1 0 0.0 0 0.0 0 0.0 279 100.0

Queanbeyan 403 96.2 16 3.8 0 0.0 0 0.0 0 0.0 0 0.0 419 100.0

Bowral 458 96.4 15 3.2 1 0.2 1 0.2 0 0.0 0 0.0 475 100.0

Shoalhaven 844 96.2 26 3.0 4 0.5 3 0.3 0 0.0 0 0.0 877 100.0

Broken Hill Base 222 95.7 5 2.2 5 2.2 0 0.0 0 0.0 0 0.0 232 100.0

Other hospitals 2063 96.5 68 3.2 7 0.3 0 0.0 0 0.0 0 0.0 2138 100.0

TOTAL 6577 96.3 206 3.0 37 0.5 6 0.1 1 0.0 1 0.0 6828 100.0

Level 2

TOTAL 867 94.3 50 5.4 0 0.0 1 0.1 0 0.0 1 0.1 919 100.0

Private

Mater, North Sydney 2284 99.7 6 0.3 0 0.0 2 0.1 0 0.0 0 0.0 2292 100.0

North Shore Private 2050 99.0 10 0.5 8 0.4 2 0.1 0 0.0 0 0.0 2070 100.0

Sydney Adventist 2018 99.1 9 0.4 6 0.3 2 0.1 1 0.0 0 0.0 2036 100.0

North Gosford Private 769 99.1 5 0.6 2 0.3 0 0.0 0 0.0 0 0.0 776 100.0

Hurstville Community 730 99.3 2 0.3 1 0.1 2 0.3 0 0.0 0 0.0 735 100.0

Kareena Private 750 98.3 9 1.2 4 0.5 0 0.0 0 0.0 0 0.0 763 100.0

St. George Private 1768 98.7 15 0.8 7 0.4 2 0.1 0 0.0 0 0.0 1792 100.0

Prince of Wales Private 2331 99.5 6 0.3 4 0.2 0 0.0 0 0.0 1 0.0 2342 100.0

Norwest Private 2062 98.9 11 0.5 10 0.5 1 0.0 0 0.0 0 0.0 2084 100.0


995 98.8 9 0.9 3 0.3 0 0.0 0 0.0 0 0.0 1007 100.0

Nepean Private 791 98.3 12 1.5 1 0.1 1 0.1 0 0.0 0 0.0 805 100.0

Westmead Private 2281 99.1 13 0.6 8 0.3 0 0.0 0 0.0 0 0.0 2302 100.0

Figtree Private 865 98.6 10 1.1 0 0.0 2 0.2 0 0.0 0 0.0 877 100.0

Newcastle Private 1864 97.5 41 2.1 3 0.2 1 0.1 0 0.0 2 0.1 1911 100.0

Calvary, Wagga Wagga 503 99.2 3 0.6 1 0.2 0 0.0 0 0.0 0 0.0 507 100.0

Other hospitals 41 97.6 1 2.4 0 0.0 0 0.0 0 0.0 0 0.0 42 100.0

TOTAL 22102 98.9 162 0.7 58 0.3 15 0.1 1 0.0 3 0.0 22341 100.0

TOTAL NSW* 93707 96.3 2829 2.9 534 0.5 238 0.2 2 0.0 15 0.0 97325 100.0Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Hospitals with more than 200 births in 2014 are identified individually. Maternity service levels are described on page 82 in Appendix 2: Explanatory notes.* Total NSW includes births at home assisted by independent midwives and births at level 1 hospitals.


Postnatal length of stay Table 57 shows the mother’s postnatal length of stay in the hospital of birth for hospitals where at least 200 mothers gave birth in 2014.

Local Health District–HospitalAverage postnatal length of stay (days)

2010 2011 2012 2013 2014

Sydney

Canterbury 2.9 2.7 2.8 2.6 2.6

Royal Prince Alfred 3.3 3.3 3.2 3.1 3.1

TOTAL 3.2 3.2 3.1 3.0 3.0


Fairfield 2.2 2.3 2.3 2.3 2.3

Liverpool 2.8 2.8 2.9 2.9 2.9

Campbelltown 2.5 2.4 2.3 2.3 2.3

Bankstown-Lidcombe 2.5 2.4 2.4 2.6 2.4

Bowral 2.6 2.7 2.7 2.8 2.8

TOTAL 2.5 2.5 2.5 2.6 2.5


St. George 2.9 2.8 2.8 2.8 2.5

Sutherland 2.8 2.6 2.7 2.6 2.6

Royal Hospital for Women 3.3 3.3 3.1 3.0 2.9

Other hospitals 0.0 0.0 0.0 4.0 0.0

TOTAL 3.1 3.0 2.9 2.9 2.7


Shoalhaven 2.5 2.7 2.6 2.2 2.0

Wollongong 2.6 2.5 2.5 2.5 2.5


TOTAL 2.6 2.6 2.5 2.4 2.3

Western Sydney

Auburn 1.9 1.8 1.8 1.9 1.9

Blacktown 2.7 2.6 2.4 2.2 2.2

Westmead 2.2 2.3 2.2 2.1 2.0

TOTAL 2.4 2.3 2.2 2.1 2.0


Blue Mountains 3.2 2.7 2.6 2.2 2.0

Nepean 2.4 2.2 2.0 2.0 2.0

Hawkesbury 3.2 3.0 3.1 3.0 3.0

Lithgow 3.0 3.4 2.7 3.0 2.8

TOTAL 2.6 2.4 2.2 2.2 2.2

Northern Sydney

Hornsby 2.3 2.3 2.2 2.0 2.0

Manly 2.5 2.3 2.3 2.4 2.2

Mona Vale 0.0 0.0 2.4 2.5 2.5

Royal North Shore 2.8 2.7 2.7 2.8 2.7


TOTAL 2.5 2.5 2.4 2.5 2.4

Central Coast

Gosford 2.2 2.1 2.1 2.2 2.1


TOTAL 2.1 2.0 2.1 2.1 2.0

Hunter New England

Armidale 3.1 3.2 3.0 2.4 2.4

Inverell 3.0 3.1 2.9 2.8 3.3

Tamworth Base 2.7 2.9 2.7 2.7 2.3

Manning Base 2.9 2.9 3.0 2.7 2.6

Maitland 2.3 2.4 2.4 2.1 2.2

John Hunter 2.7 2.7 2.6 2.6 2.5


TOTAL 2.6 2.7 2.6 2.5 2.4

Local Health District–HospitalAverage postnatal length of stay (days)

2010 2011 2012 2013 2014

Northern NSW

Grafton Base 3.3 3.2 3.4 3.1 3.3

Lismore Base 3.0 3.0 2.8 2.8 2.6

Tweed Heads 2.5 2.3 2.4 2.6 2.6


TOTAL 2.8 2.6 2.6 2.7 2.7

Mid North Coast

Coffs Harbour 3.2 3.2 3.1 2.8 2.5

Kempsey 2.9 2.8 3.0 2.6 2.5

Port Macquarie Base 3.2 3.6 3.5 2.8 2.6


TOTAL 3.2 3.2 3.2 2.8 2.6

Southern NSW

Bega 2.4 2.3 2.4 2.1 2.3

Goulburn Base 3.3 3.3 3.0 2.8 2.6

Moruya 2.4 2.5 2.4 2.4 2.2

Queanbeyan 3.2 2.7 2.8 2.7 2.8


TOTAL 2.9 2.8 2.7 2.6 2.6

Murrumbidgee

Griffith Base 3.0 2.9 2.9 2.8 2.9

Wagga Wagga Base 2.5 2.3 2.6 2.6 2.5


TOTAL 2.9 2.8 2.8 2.8 2.8

Western NSW

Dubbo Base 2.5 2.4 2.5 2.5 2.2

Mudgee 2.5 2.8 2.8 3.0 2.8

Bathurst Base 2.7 2.7 2.9 2.6 2.5

Orange Base 2.8 2.5 2.6 2.5 2.5


TOTAL 2.6 2.5 2.7 2.6 2.4

Far West

Broken Hill Base 3.3 2.9 3.0 2.5 2.8

TOTAL 3.3 2.9 3.0 2.5 2.8

Private Hospitals

Mater, North Sydney 4.4 4.4 4.4 4.6 4.7

North Shore Private 4.4 4.5 4.5 4.5 4.5

Sydney Adventist 4.6 4.7 4.7 4.6 4.7

North Gosford Private 4.5 5.0 4.4 4.8 4.9

Hurstville Community 4.4 4.1 4.4 4.3 4.4

Kareena Private 4.4 4.4 4.5 4.3 4.4

St. George Private 4.3 4.3 4.4 4.4 4.4

Prince of Wales Private 4.6 4.4 4.5 4.6 4.6

Norwest Private 4.5 4.3 4.3 4.4 4.5

Sydney Southwest Private 4.5 4.4 4.4 4.4 4.2

Nepean Private 4.9 4.7 4.6 4.5 4.3

Westmead Private 4.2 4.3 4.3 4.3 4.3

Figtree Private 5.2 5.2 5.3 5.2 5.2

Newcastle Private 4.0 4.1 4.1 4.3 4.3

Calvary, Wagga Wagga 4.4 4.1 5.0 4.5 4.8


TOTAL 4.4 4.4 4.5 4.5 4.5

TOTAL NSW* 3.2 3.1 3.1 3.0 3.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Hospitals with more than 200 births in 2014 are identified individually.* Total NSW includes births at home assisted by independent midwives.

TABLE 57: AVERAGE MATERNAL POSTNATAL LENGTH OF STAY IN HOSPITAL OF BIRTH, NSW 2010–2014#


Selected clinical indicators for obstetrics are reported in this section. The definitions of the clinical indicators follow those described in Version 7.2 of the Australian Council on Healthcare Standards Clinical Indicator User’s Manual for data collected in 2014.1

Outcome of selected primiparaIndicator 1.1 Definition: The total number of selected primipara who have a spontaneous vaginal birth as a percentage of the total number of selected primipara who give birth.

A selected primipara is defined as a woman who is 20–34 years of age at the time of giving birth; giving birth for the first time at 20 weeks or greater gestation; singleton pregnancy; cephalic presentation; and at 370 to 406 weeks gestation. Spontaneous vaginal birth is defined as a vaginal birth (regardless of onset of labour) that is not assisted by forceps or vacuum and not a vaginal breech delivery.

Table 58 shows information for hospitals where at least 200 mothers gave birth in 2014, totals for hospitals for each local health district, and the NSW total.

7. CLINICAL INDICATORS FOR OBSTETRICS

Reference

1. Australian Council on Healthcare Standards. Obstetrics Indicator Users’ Manual 2014. Obstetrics version 7.2. Sydney: ACHS, 2014.

Local Health District–Hospital2010 2011 2012 2013 2014

% % % % %

Sydney

Canterbury 51.3 55.2 52.6 54.4 51.7


Total 50.9 52.1 53.8 53.3 52.2


Fairfield 76.0 77.5 79.2 79.9 76.4

Liverpool 65.0 66.1 62.7 63.2 58.8

Campbelltown 63.3 65.8 65.4 65.7 62.1


Bowral 53.4 55.0 57.7 57.1 45.3

TOTAL 64.9 67.8 66.3 66.7 63.2


St. George 56.5 52.7 53.0 52.6 50.7

Sutherland 65.8 64.4 58.8 57.9 57.9


TOTAL 55.2 51.7 53.9 52.5 50.9


Shoalhaven 57.1 46.8 57.7 52.6 57.8

Wollongong 59.5 59.7 61.9 52.0 50.6

Other hospitals 51.9 53.3 50.0 50.0 88.2

TOTAL 58.6 56.3 60.3 52.1 53.2

Western Sydney

Auburn 59.4 64.7 71.2 64.2 66.0

Blacktown 47.4 43.8 48.2 48.3 48.9

Westmead 47.7 52.3 51.8 50.0 52.6

TOTAL 49.2 52.0 53.8 51.6 53.5


Blue Mountains 52.0 45.3 73.7 46.7 75.8

Nepean 50.5 44.2 45.3 44.9 45.7

Hawkesbury 45.6 45.7 43.5 43.4 44.2

Lithgow 50.0 52.2 65.9 61.0 55.3

TOTAL 49.7 44.8 47.1 45.5 47.3

Northern Sydney

Hornsby 54.9 52.7 58.9 61.5 59.7

Manly 52.6 52.0 51.9 53.2 48.9

Mona Vale 0.0 0.0 43.4 43.4 53.4


% % % % %


Other hospitals 100.0 100.0 100.0 100.0 97.3

TOTAL 51.2 50.1 53.7 50.9 52.6

Central Coast

Gosford 42.1 37.5 44.6 44.0 44.1

Other hospitals 100.0 100.0 100.0 100.0 100.0

TOTAL 44.3 40.2 47.4 47.6 46.1

Hunter New England

Armidale 58.0 49.1 57.4 62.6 39.2

Inverell 51.7 36.5 46.7 35.6 46.9

Tamworth Base 53.1 57.3 56.9 50.8 57.1

Manning Base 55.4 53.6 56.4 56.6 54.8

Maitland 48.9 45.5 56.2 56.3 61.3

John Hunter 52.6 56.9 51.9 54.2 54.2

Other hospitals 69.8 64.1 67.9 66.0 67.5

TOTAL 54.5 54.4 55.8 55.6 56.4

Northern NSW

Grafton Base 57.6 67.8 63.0 52.4 60.3

Lismore Base 64.0 64.2 63.3 56.0 59.1

Tweed Heads 62.0 61.9 65.1 61.6 53.8

Other hospitals 97.1 93.1 90.1 96.5 98.4

TOTAL 64.7 65.7 66.9 60.8 59.8

Mid North Coast

Coffs Harbour 60.0 56.1 51.9 54.3 54.6

Kempsey 57.7 72.1 63.0 70.5 60.3


Other hospitals 100.0 90.0 91.7 66.7 63.6

TOTAL 57.1 58.6 55.1 56.9 53.9

Southern NSW

Bega 55.3 44.6 45.6 48.8 48.5

Goulburn Base 52.3 52.9 56.4 65.1 62.7

Moruya 62.9 61.2 55.0 52.0 44.6

Queanbeyan 73.0 67.5 56.8 57.5 73.2

Other hospitals 59.5 55.8 53.5 53.5 53.4

TOTAL 57.6 59.5 55.8 53.5 53.5

TABLE 58: 1.1 SELECTED PRIMIPARA WHO HAVE A SPONTANEOUS VAGINAL BIRTH BY LOCAL HEALTH DISTRICT AND HOSPITAL, NSW 2010–2014#




% % % % %



Kareena Private 33.3 33.9 31.0 34.9 27.9



Norwest Private 40.5 40.0 43.3 40.4 46.4


Nepean Private 51.3 44.8 41.7 31.6 40.8


Figtree Private 36.9 33.8 33.0 35.1 33.9



Other hospitals 44.2 48.1 37.0 40.0 0.0

TOTAL 37.1 37.1 36.9 37.4 36.6

TOTAL NSW* 50.6 50.6 51.4 50.6 50.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Hospitals with more than 200 births in 2014 are identified individually* TOTAL NSW includes births at home assisted by independent midwives


% % % % %

Murrumbidgee

Griffith Base 50.4 51.8 43.0 52.1 44.4

Wagga Wagga Base 50.9 59.1 48.3 53.0 52.3

Other hospitals 57.1 49.1 66.1 65.2 62.7

TOTAL 53.0 53.3 51.0 56.4 53.8

Western NSW

Dubbo Base 64.7 67.6 62.2 51.7 48.8

Mudgee 49.2 67.9 73.1 73.2 59.0

Bathurst Base 61.5 53.2 57.7 57.0 50.7

Orange Base 54.6 54.5 52.6 46.7 48.7

Other hospitals 67.3 61.1 57.0 58.3 56.9

TOTAL 60.7 60.7 58.8 53.7 50.9

Far West

Broken Hill Base 50.9 58.0 56.0 46.5 65.0

TOTAL 50.9 58.0 56.0 46.5 65.0

Private Hospitals






Indicator 1.2 Definition: The total number of selected primipara who undergo induction of labour as a percentage of the total number of selected primipara who give birth.

A selected primipara is defined as a woman who is 20–34 years of age at the time of giving birth; giving birth for the first time at 20 weeks or greater gestation; singleton pregnancy; cephalic presentation; and at 370 to 406 weeks gestation. Induction of labour is defined as surgical and/or medical induction.

Table 59 shows information for hospitals where at least 200 mothers gave birth in 2014, totals for hospitals for each local health district, and the NSW total.TABLE 59: 1.2 SELECTED PRIMIPARA WHO UNDERGO INDUCTION OF LABOUR BY LOCAL HEALTH DISTRICT AND HOSPITAL, NSW 2010–2014#


% % % % %

Sydney

Canterbury 25.8 25.1 37.8 39.7 44.8


TOTAL 28.0 28.2 35.1 35.7 38.4


Fairfield 26.1 25.6 24.6 25.9 30.4

Liverpool 27.6 28.0 30.8 33.0 33.2

Campbelltown 33.8 32.5 34.5 40.9 36.2


Bowral 25.3 24.0 30.1 38.8 33.3

TOTAL 29.4 29.9 30.9 34.6 33.7


St. George 34.9 40.4 40.5 44.9 47.2

Sutherland 32.1 29.0 35.1 36.5 38.7


TOTAL 34.3 35.6 36.7 41.9 42.4


Shoalhaven 36.6 45.9 34.6 47.0 41.3

Wollongong 39.3 41.1 36.3 38.2 46.4

Other hospitals 33.3 26.7 21.9 18.8 11.8

TOTAL 38.4 41.8 35.3 39.7 44.4

Western Sydney

Auburn 29.7 31.4 31.8 34.1 38.8

Blacktown 43.9 43.7 45.0 46.0 43.9

Westmead 45.9 40.8 40.0 45.2 48.2

TOTAL 43.0 40.0 40.1 43.8 45.7


Blue Mountains 22.0 17.0 26.3 35.0 27.3

Nepean 38.8 40.0 43.6 45.5 48.4

Hawkesbury 34.4 42.9 32.5 47.3 47.0

Lithgow 39.5 41.3 34.1 59.3 53.2

TOTAL 37.3 39.7 40.5 46.0 47.3

Northern Sydney

Hornsby 38.9 35.5 34.2 31.6 37.8

Manly 35.2 39.3 43.0 43.6 42.3

Mona Vale 0.0 0.0 34.0 37.4 30.8



TOTAL 36.3 36.3 39.1 40.5 40.6

Central Coast

Gosford 40.5 46.0 44.2 45.5 42.7


TOTAL 39.0 44.1 41.9 42.5 41.2

Hunter New England

Armidale 41.0 37.7 37.5 39.6 32.0

Inverell 37.9 40.4 53.3 28.8 39.1

Tamworth Base 39.6 44.7 44.6 48.8 45.6

Manning Base 34.4 44.0 34.6 42.8 40.1

Maitland 41.9 45.9 42.1 48.0 43.9

John Hunter 34.4 39.3 43.0 43.1 46.0

Other hospitals 25.2 24.8 21.9 25.2 25.7

TOTAL 35.6 39.7 39.4 42.0 42.2


% % % % %

Northern NSW

Grafton Base 35.4 40.0 32.0 41.9 39.7

Lismore Base 27.6 30.7 31.0 34.0 33.0

Tweed Heads 26.6 33.0 26.2 33.4 39.8


TOTAL 25.9 30.6 25.5 32.7 34.6

Mid North Coast

Coffs Harbour 29.1 25.7 31.2 37.4 34.3

Kempsey 29.6 34.4 17.4 36.4 27.6


Other hospitals 0.0 0.0 0.0 16.7 0.0

TOTAL 27.1 29.5 31.8 38.0 35.2

Southern NSW

Bega 27.1 32.1 30.8 23.0 30.6

Goulburn Base 9.2 18.1 27.8 30.5 31.8

Moruya 25.6 19.1 29.5 30.2 27.1

Queanbeyan 15.5 19.8 18.1 23.7 30.6

Other hospitals 27.0 25.0 22.7 27.5 28.6

TOTAL 19.7 22.3 24.4 26.4 30.0

Murrumbidgee

Griffith Base 36.2 29.5 35.2 30.7 41.0

Wagga Wagga Base 37.1 46.1 40.5 43.5 44.8

Other hospitals 28.0 21.1 26.8 30.3 28.0

TOTAL 33.5 32.0 35.5 35.5 38.7

Western NSW

Dubbo Base 39.2 43.5 48.1 43.8 51.2

Mudgee 35.4 50.9 35.9 40.8 32.8

Bathurst Base 27.7 29.0 32.4 30.3 38.2

Orange Base 41.3 35.3 41.5 48.3 45.8

Other hospitals 31.8 26.9 27.3 23.3 33.0

TOTAL 36.7 37.1 39.2 40.2 43.7

Far West

Broken Hill Base 29.1 26.0 30.0 25.6 46.7

TOTAL 29.1 26.0 30.0 25.6 46.7

Private Hospitals






Kareena Private 33.9 33.0 26.7 33.6 31.4



Norwest Private 50.8 44.7 46.3 49.8 49.2


Nepean Private 38.2 48.8 47.4 45.3 53.8


Figtree Private 53.1 47.5 47.6 47.9 50.0



Other hospitals 36.5 42.6 42.5 30.0 0.0

TOTAL 34.6 34.2 33.9 36.4 36.7

TOTAL NSW* 34.2 34.9 35.6 38.6 39.5Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Hospitals with more than 200 births in 2014 are identified individually* TOTAL NSW includes births at home assisted by independent midwives


Indicator 1.3 Definition: The total number of selected primipara who undergo an instrumental vaginal birth as a percentage of the total number of selected primipara who give birth.

A selected primipara is defined as a woman who is 20–34 years of age at the time of giving birth; giving birth for the first time at 20 weeks or greater gestation; singleton pregnancy; cephalic presentation; and at 370 to 406 weeks gestation. Instrumental vaginal birth is defined as forceps or vacuum.


TABLE 60: 1.3 SELECTED PRIMIPARA WHO UNDERGO AN INSTRUMENTAL VAGINAL BIRTH BY LOCAL HEALTH DISTRICT AND HOSPITAL, NSW 2010–2014#


% % % % %

Sydney

Canterbury 22.5 24.5 19.1 19.9 22.8


TOTAL 24.2 24.4 24.4 23.5 24.9


Fairfield 10.8 12.1 8.8 7.6 8.4

Liverpool 19.0 17.3 19.1 19.1 22.4

Campbelltown 17.0 14.6 13.8 13.4 14.3


Bowral 30.1 27.9 25.2 19.7 22.6

TOTAL 18.5 15.8 15.8 14.6 16.2


St. George 25.2 28.0 26.8 24.7 26.8

Sutherland 15.9 21.3 24.9 23.2 23.9


TOTAL 24.4 29.2 28.3 27.4 28.8


Shoalhaven 16.1 17.9 20.5 22.8 15.7

Wollongong 17.6 19.0 17.8 21.0 21.0

Other hospitals 29.6 33.3 25.0 25.0 0.0

TOTAL 17.6 19.2 18.8 21.6 19.2

Western Sydney

Auburn 21.7 14.7 15.0 17.5 13.4

Blacktown 28.3 25.4 25.7 22.1 21.2

Westmead 28.5 24.1 23.0 26.9 23.2

TOTAL 27.5 22.9 22.5 24.1 21.2


Blue Mountains 14.0 30.2 12.3 18.3 9.1

Nepean 24.1 23.2 19.9 22.4 21.0

Hawkesbury 17.7 13.0 19.0 19.0 18.6

Lithgow 10.5 8.7 12.2 6.8 6.4

TOTAL 22.1 21.0 19.1 20.8 19.5

Northern Sydney

Hornsby 20.5 21.7 20.4 18.4 22.2

Manly 22.1 30.5 32.9 25.3 26.3

Mona Vale 0.0 0.0 26.4 32.3 27.3



TOTAL 23.0 24.4 23.9 24.6 26.6

Central Coast

Gosford 27.3 28.2 28.4 30.8 29.0


TOTAL 26.3 27.0 27.0 28.8 27.9

Hunter New England

Armidale 17.0 21.7 15.4 13.2 23.7

Inverell 15.5 30.8 18.3 11.9 10.9

Tamworth Base 21.3 25.6 17.8 25.6 26.7

Manning Base 22.9 23.2 24.0 26.4 30.6

Maitland 19.2 19.5 17.0 17.2 15.3

John Hunter 22.6 19.1 24.0 19.9 21.7

Other hospitals 15.8 15.3 14.7 16.7 13.7

TOTAL 20.6 20.0 20.3 19.6 20.5


% % % % %

Northern NSW

Grafton Base 15.2 11.3 13.0 15.2 16.4

Lismore Base 15.7 14.2 17.3 23.6 18.3

Tweed Heads 19.9 17.3 20.9 18.4 21.2


TOTAL 16.9 14.6 17.8 18.8 18.0

Mid North Coast

Coffs Harbour 13.7 17.6 19.3 16.5 17.5

Kempsey 18.3 14.8 15.2 11.4 15.5


Other hospitals 0.0 10.0 8.3 33.3 36.4

TOTAL 17.7 18.1 18.7 19.6 19.6

Southern NSW

Bega 21.4 19.2 17.3 24.6 18.1

Goulburn Base 22.4 30.1 38.0 28.0 27.3

Moruya 25.6 26.5 24.4 12.7 15.3

Queanbeyan 15.5 21.6 23.5 29.6 29.3

Other hospitals 5.4 10.0 13.6 10.0 8.9

TOTAL 19.2 22.6 24.6 23.9 22.2

Murrumbidgee

Griffith Base 28.3 25.9 32.4 25.7 23.9

Wagga Wagga Base 17.4 15.6 17.6 20.8 15.4

Other hospitals 18.5 21.1 13.4 13.6 15.5

TOTAL 20.8 20.4 21.1 20.2 17.3

Western NSW

Dubbo Base 16.3 13.3 9.1 21.7 23.0

Mudgee 16.9 7.5 14.1 11.3 19.7

Bathurst Base 15.4 22.6 15.5 12.7 20.1

Orange Base 19.3 24.1 26.1 23.4 23.9

Other hospitals 13.6 13.9 14.1 12.6 16.5

TOTAL 16.6 17.5 16.5 18.7 21.7

Far West

Broken Hill Base 9.1 14.0 14.0 30.2 23.3

TOTAL 9.1 14.0 14.0 30.2 23.3

Private Hospitals






Kareena Private 26.0 28.6 28.7 26.2 32.8



Norwest Private 34.7 35.3 29.9 31.2 27.1


Nepean Private 17.2 22.6 19.8 25.9 26.5


Figtree Private 33.4 29.8 35.0 31.1 25.0



Other hospitals 26.9 29.6 30.1 10.0 0.0

TOTAL 28.5 27.6 25.6 26.2 24.7



Indicator 1.4 Definition: The total number of selected primipara undergoing caesarean section birth as a percentage of the total number of selected primipara who give birth.

A selected primipara is defined as a woman who is 20–34 years of age at the time of giving birth; giving birth for the first time at 20 weeks or greater gestation; singleton pregnancy; cephalic presentation; and at 370 to 406 weeks gestation.



% % % % %

Sydney

Canterbury 26.2 20.3 28.2 25.4 25.5


TOTAL 24.9 23.5 21.8 23.1 22.8


Fairfield 13.3 10.4 12.0 12.5 15.2

Liverpool 16.1 16.5 18.2 17.7 18.8

Campbelltown 19.7 19.5 20.8 20.9 23.6


Bowral 16.4 17.1 17.1 23.1 32.1

TOTAL 16.6 16.3 17.9 18.7 20.6


St. George 18.3 19.3 20.2 22.7 22.5

Sutherland 18.2 14.3 16.3 18.9 18.2


TOTAL 20.4 19.1 17.8 20.1 20.3


Shoalhaven 26.8 35.3 21.8 24.7 26.5

Wollongong 22.9 21.3 20.4 27.0 28.4

Other hospitals 18.5 13.3 25.0 25.0 11.8

TOTAL 23.8 24.4 20.9 26.3 27.6

Western Sydney

Auburn 19.0 20.7 13.8 18.3 20.6

Blacktown 24.3 30.8 26.1 29.7 29.9

Westmead 23.9 23.6 25.1 23.1 24.2

TOTAL 23.3 25.1 23.6 24.3 25.3


Blue Mountains 34.0 24.5 14.0 35.0 15.2

Nepean 25.4 32.6 34.8 32.7 33.3

Hawkesbury 36.7 41.3 37.5 37.6 37.2

Lithgow 39.5 39.1 22.0 32.2 38.3

TOTAL 28.2 34.2 33.8 33.7 33.2

Northern Sydney

Hornsby 24.5 25.6 20.7 20.1 18.1

Manly 25.4 17.5 15.1 21.5 24.9

Mona Vale 0.0 0.0 30.2 24.2 19.4



TOTAL 25.8 25.5 22.4 24.5 20.9

Central Coast

Gosford 30.5 34.2 27.0 25.2 26.9


TOTAL 29.4 32.8 25.6 23.6 26.0

Hunter New England

Armidale 25.0 29.2 27.2 24.2 37.1

Inverell 32.8 32.7 35.0 52.5 42.2

Tamworth Base 25.6 17.1 25.2 23.6 16.1

Manning Base 21.7 23.2 19.6 17.0 14.6

Maitland 31.9 35.1 26.8 26.5 23.4

John Hunter 24.8 24.0 24.1 25.9 24.1

Other hospitals 14.4 20.6 17.4 17.4 18.9

TOTAL 24.9 25.6 23.9 24.7 23.0


% % % % %

Northern NSW

Grafton Base 27.3 20.9 24.0 32.4 23.3

Lismore Base 20.3 21.7 19.4 20.4 22.6

Tweed Heads 18.0 20.9 14.0 20.0 24.9


TOTAL 18.4 19.7 15.3 20.4 22.2

Mid North Coast

Coffs Harbour 26.3 26.4 28.8 29.1 27.9

Kempsey 23.9 13.1 21.7 18.2 24.1



TOTAL 25.2 23.3 26.2 23.5 26.5

Southern NSW

Bega 18.6 24.4 28.8 26.2 27.8

Goulburn Base 22.4 25.3 16.5 23.2 24.2

Moruya 22.1 20.6 19.2 22.2 22.0

Queanbeyan 20.7 14.7 21.5 18.4 26.1

Other hospitals 21.6 22.5 29.5 32.5 17.9

TOTAL 21.0 20.8 21.9 22.6 24.4

Murrumbidgee

Griffith Base 21.3 22.3 24.6 22.1 31.6

Wagga Wagga Base 31.7 25.3 34.1 26.2 32.4

Other hospitals 24.4 29.7 19.6 21.2 21.7

TOTAL 26.2 26.3 27.7 23.4 28.9

Western NSW

Dubbo Base 19.0 19.1 28.6 26.6 28.2

Mudgee 33.8 24.5 12.8 15.5 21.3

Bathurst Base 23.1 24.2 26.8 30.3 29.2

Orange Base 26.1 21.4 21.3 29.9 27.3

Other hospitals 19.1 25.0 28.9 29.1 26.6

TOTAL 22.7 21.7 24.7 27.6 27.4

Far West

Broken Hill Base 40.0 28.0 30.0 23.3 11.7

TOTAL 40.0 28.0 30.0 23.3 11.7

Private Hospitals






Kareena Private 39.5 37.4 39.9 38.4 39.3



Norwest Private 24.9 24.6 26.6 28.1 26.2


Nepean Private 31.5 32.5 38.5 42.5 32.8


Figtree Private 29.7 36.5 32.0 33.8 41.1



Other hospitals 28.8 22.2 32.9 50.0 100.0

TOTAL 34.2 35.2 37.4 36.3 38.5


TABLE 61: 1.4 SELECTED PRIMIPARA UNDERGOING CAESAREAN SECTION BY LOCAL HEALTH DISTRICT AND HOSPITAL, NSW 2010–2014#


Vaginal birth following caesarean sectionIndicator 2.1 Definition: Total number of women delivering vaginally following a previous primary caesarean section at 20 weeks or greater gestation as a percentage of the total number of women delivering by any route who have had a previous primary caesarean section at 20 weeks or greater gestation and no intervening pregnancies.



% % % % %

Sydney

Canterbury 17.6 13.4 7.4 8.2 10.9


TOTAL 14.4 11.7 11.5 13.5 11.2


Fairfield 2.2 4.0 1.6 1.9 4.6

Liverpool 26.2 21.5 24.4 13.8 14.8

Campbelltown 10.8 17.4 25.2 20.1 20.6


Bowral 17.0 18.9 10.5 5.4 15.2

TOTAL 15.9 17.6 19.7 14.2 16.0


St. George 18.3 24.9 18.3 14.6 17.9

Sutherland 3.9 0.0 0.0 0.0 3.4



TOTAL 13.9 14.4 12.2 11.6 11.9


Shoalhaven 7.0 9.0 14.3 16.1 19.8

Wollongong 22.0 17.8 15.6 12.3 13.6

Other hospitals 10.0 10.0 0.0 0.0 0.0

TOTAL 16.9 15.0 14.9 13.5 15.5

Western Sydney

Auburn 4.9 0.0 1.2 2.8 1.2

Blacktown 13.5 13.8 11.8 13.0 11.0

Westmead 17.5 17.4 14.3 15.9 15.1

TOTAL 15.0 14.6 12.4 14.0 12.7


Blue Mountains 0.0 0.0 0.0 12.5 6.5

Nepean 16.6 12.8 10.3 12.0 9.3

Hawkesbury 10.9 12.4 12.0 10.7 5.1

Lithgow 4.5 0.0 0.0 6.3 10.0

TOTAL 14.4 12.0 10.0 11.6 8.5

Northern Sydney

Hornsby 17.1 16.0 12.5 12.9 14.4

Manly 12.6 16.9 16.9 16.0 8.4

Mona Vale 0.0 0.0 7.7 5.6 4.1


TOTAL 13.4 12.2 13.4 11.3 11.1

Central Coast

Gosford 10.1 12.6 9.0 14.2 11.9

TOTAL 10.1 12.6 9.0 14.2 11.9

Hunter New England

Armidale 7.9 13.0 7.8 18.2 7.1

Inverell 11.8 20.0 13.3 11.1 11.4

Tamworth Base 20.0 19.5 14.8 18.9 4.3

Manning Base 27.0 21.9 20.5 22.6 14.5

Maitland 14.9 14.4 13.6 17.1 20.1

John Hunter 23.0 18.9 18.1 19.4 17.8

Other hospitals 17.4 16.5 23.1 11.5 12.0

TOTAL 19.5 17.6 16.9 18.0 15.3


% % % % %

Northern NSW

Grafton Base 17.7 20.0 7.1 16.3 11.8

Lismore Base 22.1 23.2 18.9 16.2 20.6

Tweed Heads 19.8 26.0 16.4 21.1 35.2


TOTAL 19.4 21.4 14.2 16.6 22.8

Mid North Coast

Coffs Harbour 11.1 4.0 14.3 5.9 5.8

Kempsey 11.8 16.7 27.8 30.0 27.3


TOTAL 13.1 9.3 16.9 11.9 12.2

Southern NSW

Bega 17.6 13.3 15.4 5.3 18.8

Goulburn Base 8.7 28.9 13.2 15.6 32.5

Moruya 16.0 6.1 20.0 10.3 8.6

Queanbeyan 12.0 12.1 6.7 3.2 11.8

Other hospitals 20.0 11.8 15.4 9.1 16.7

TOTAL 14.5 15.4 14.1 9.0 18.3

Murrumbidgee

Griffith Base 13.9 15.2 9.8 20.5 20.8

Wagga Wagga Base 10.7 18.4 21.3 6.9 5.3

Other hospitals 8.0 12.7 1.6 7.5 10.2

TOTAL 10.3 15.7 11.9 10.1 10.4

Western NSW

Dubbo Base 18.4 15.5 13.3 17.8 9.7

Mudgee 0.0 9.7 8.7 3.7 4.3

Bathurst Base 4.8 20.4 18.5 12.0 8.8

Orange Base 22.9 13.3 9.5 13.2 14.5

Other hospitals 27.9 12.8 27.5 8.5 28.9

TOTAL 17.2 14.6 14.3 12.8 13.3

Far West

Broken Hill Base 12.1 15.4 8.3 16.0 6.7

TOTAL 12.1 15.4 8.3 16.0 6.7

Private Hospitals






Kareena Private 4.2 2.1 3.2 7.9 4.7



Norwest Private 9.1 6.8 7.4 5.0 5.9


Nepean Private 11.4 8.8 5.6 5.2 6.0






TOTAL 5.9 5.2 5.6 5.2 4.3


TABLE 62: 2.1 VAGINAL DELIVERY AFTER PREVIOUS PRIMARY CAESAREAN SECTION BY LOCAL HEALTH DISTRICT AND HOSPITAL, NSW 2010–2014#


Major perineal tears and surgical repair of the perineumIndicator 3.1 Definition: Total number of selected primipara with an intact perineum (other than superficial grazes) while giving birth vaginally as a percentage of the total number of selected primipara delivering vaginally.




% % % % %

Sydney

Canterbury 8.8 9.5 9.5 10.5 6.2


TOTAL 12.0 11.9 11.5 9.8 8.2


Fairfield 21.4 24.4 23.4 24.6 21.0

Liverpool 13.8 11.4 13.0 11.4 15.4

Campbelltown 19.6 20.9 22.0 23.6 20.4


Bowral 30.3 21.5 20.6 28.3 21.3

TOTAL 17.5 17.0 17.9 18.8 17.9


St. George 12.7 13.5 12.2 9.9 8.3

Sutherland 25.6 16.7 21.7 13.0 11.9


TOTAL 14.7 12.8 13.9 11.2 9.6


Shoalhaven 34.1 37.6 35.5 40.1 38.4

Wollongong 15.1 12.9 12.7 13.7 10.1

Other hospitals 63.6 42.3 20.8 25.0 40.0

TOTAL 21.3 19.1 19.0 20.7 18.1

Western Sydney

Auburn 19.5 17.3 15.3 16.2 10.3

Blacktown 10.1 9.5 10.0 6.8 6.3

Westmead 11.5 10.9 9.0 7.3 7.7

TOTAL 12.3 11.7 10.4 8.6 7.7


Blue Mountains 27.3 27.5 36.7 15.4 19.6

Nepean 14.7 13.3 15.0 12.1 10.5

Hawkesbury 22.1 30.9 26.4 25.5 28.1

Lithgow 17.4 35.7 15.6 15.0 24.1

TOTAL 16.4 17.8 18.2 14.8 14.3

Northern Sydney

Hornsby 18.0 16.1 14.4 15.4 11.4

Manly 19.8 13.1 17.6 11.0 15.6

Mona Vale 0.0 0.0 27.0 15.3 22.1


Other hospitals 54.3 45.2 35.9 51.6 48.6

TOTAL 17.6 12.4 13.9 12.5 12.3

Central Coast

Gosford 13.7 11.9 16.8 9.6 11.7

Other hospitals 15.4 31.3 51.4 49.0 44.8

TOTAL 13.8 13.1 19.1 13.0 13.3

Hunter New England

Armidale 22.7 20.0 24.2 24.6 16.4

Inverell 48.7 34.3 23.1 42.9 37.8

Tamworth Base 21.4 18.8 17.2 21.1 18.1

Manning Base 25.2 27.1 26.4 30.3 20.1

Maitland 14.4 15.0 20.2 24.3 22.4

John Hunter 17.9 13.0 14.4 12.6 11.8

Other hospitals 28.2 32.7 32.4 28.8 26.2

TOTAL 20.5 18.1 19.9 19.9 17.4


% % % % %

Northern NSW

Grafton Base 41.7 39.6 43.4 39.4 39.3

Lismore Base 26.8 28.8 20.7 25.7 27.8

Tweed Heads 25.1 27.2 24.5 25.5 17.3

Other hospitals 46.4 33.8 34.0 42.9 46.7

TOTAL 29.1 29.8 26.3 28.0 26.5

Mid North Coast

Coffs Harbour 18.1 17.4 16.2 14.4 15.3

Kempsey 38.9 49.1 30.6 36.1 31.8


Other hospitals 25.0 50.0 33.3 33.3 36.4

TOTAL 20.1 22.9 17.8 19.2 15.5

Southern NSW

Bega 21.1 20.3 27.0 37.8 28.8

Goulburn Base 5.1 8.1 12.1 14.3 12.0

Moruya 38.8 29.6 34.9 32.7 32.6

Queanbeyan 50.5 38.8 33.3 29.8 35.3

Other hospitals 65.5 45.2 38.7 48.1 45.7

TOTAL 35.0 28.0 29.0 29.9 31.6

Murrumbidgee

Griffith Base 35.0 33.3 28.0 34.9 28.8

Wagga Wagga Base 28.9 32.2 23.0 25.8 25.8

Other hospitals 38.6 31.7 32.6 43.3 37.3

TOTAL 34.3 32.3 27.2 34.1 30.4

Western NSW

Dubbo Base 30.6 27.1 33.1 23.5 25.7

Mudgee 27.9 22.5 22.1 21.7 25.0

Bathurst Base 31.0 36.2 26.0 23.2 17.6

Orange Base 24.2 20.5 19.6 14.2 12.1

Other hospitals 33.7 33.3 37.4 27.4 28.8

TOTAL 29.3 27.1 27.1 20.9 20.9

Far West

Broken Hill Base 36.4 52.8 31.4 21.2 45.3

TOTAL 36.4 52.8 31.4 21.2 45.3

Private Hospitals






Kareena Private 8.4 19.7 11.6 7.8 7.2



Norwest Private 11.0 7.5 7.9 12.3 12.0


Nepean Private 10.9 7.6 9.9 6.3 3.8





Other hospitals 13.5 14.3 10.2 0.0 0.0

TOTAL 11.2 11.7 11.2 10.7 10.7


TABLE 63: 3.1 SELECTED PRIMIPARA DELIVERING VAGINALLY WITH AN INTACT PERINEUM BY LOCAL HEALTH DISTRICT AND HOSPITAL, NSW 2010–2014#


Indicator 3.2 Definition: Total number of selected primipara undergoing episiotomy and no perineal tear (other than superficial grazes) while giving birth vaginally as a percentage of the total number of selected primipara delivering vaginally.




% % % % %

Sydney

Canterbury 21.7 22.3 24.5 28.9 36.4


TOTAL 17.0 18.4 21.2 24.7 29.3


Fairfield 27.7 25.5 25.0 24.6 30.7

Liverpool 27.8 26.8 30.7 33.2 30.4

Campbelltown 26.0 22.2 21.3 19.1 24.1


Bowral 21.3 26.2 24.5 17.7 33.3

TOTAL 28.4 25.8 26.9 26.5 29.1


St. George 22.0 22.5 19.4 25.1 31.2

Sutherland 14.5 20.0 21.1 23.5 32.0


TOTAL 22.8 22.8 24.3 26.2 31.8


Shoalhaven 17.7 20.6 24.6 27.8 18.9

Wollongong 14.2 16.4 16.0 20.6 26.3

Other hospitals 22.7 19.2 4.2 4.2 0.0

TOTAL 15.4 17.4 17.8 21.8 23.7

Western Sydney

Auburn 29.7 20.4 21.3 27.7 26.3

Blacktown 36.1 36.4 37.8 32.8 39.1

Westmead 36.5 36.1 36.0 37.9 42.7

TOTAL 35.4 33.4 33.9 34.9 39.3


Blue Mountains 9.1 10.0 4.1 2.6 8.9

Nepean 26.5 25.6 24.7 28.1 22.5

Hawkesbury 24.3 14.8 26.4 26.2 23.0

Lithgow 8.7 10.7 18.8 32.5 17.2

TOTAL 25.0 22.4 23.5 26.8 21.5

Northern Sydney

Hornsby 16.3 20.7 16.8 14.0 17.7

Manly 11.0 18.3 22.9 22.0 19.8

Mona Vale 0.0 0.0 13.5 20.0 12.7



TOTAL 18.5 20.4 21.7 21.5 21.7

Central Coast

Gosford 13.3 17.3 15.6 23.2 21.5


TOTAL 12.8 16.4 14.5 21.3 20.6

Hunter New England

Armidale 25.3 32.0 25.3 17.4 42.6

Inverell 35.9 48.6 51.3 28.6 37.8

Tamworth Base 21.4 23.0 17.9 26.3 27.5

Manning Base 17.9 19.4 12.5 15.9 9.0

Maitland 18.2 14.3 17.6 12.3 11.5

John Hunter 15.9 16.2 18.7 23.1 22.0

Other hospitals 10.1 13.5 16.0 16.3 17.3

TOTAL 17.0 17.8 18.6 19.9 20.2


% % % % %

Northern NSW

Grafton Base 13.9 12.1 18.4 15.5 10.1

Lismore Base 11.8 12.7 17.3 23.7 19.4

Tweed Heads 12.4 7.9 16.0 13.1 17.7


TOTAL 11.6 9.7 15.1 15.9 15.7

Mid North Coast

Coffs Harbour 13.8 12.8 17.1 18.3 20.8

Kempsey 11.1 11.3 5.6 8.3 9.1


Other hospitals 0.0 0.0 8.3 16.7 0.0

TOTAL 15.4 14.2 14.6 17.1 18.9

Southern NSW

Bega 22.8 13.6 10.8 17.8 13.5

Goulburn Base 66.1 75.8 59.1 52.4 40.0

Moruya 17.9 16.7 12.7 14.3 15.2

Queanbeyan 5.5 7.1 12.0 12.1 17.2

Other hospitals 6.9 12.9 16.1 7.4 10.9

TOTAL 23.4 24.7 22.3 21.1 19.0

Murrumbidgee

Griffith Base 27.0 25.3 29.0 18.3 26.3

Wagga Wagga Base 21.9 11.3 16.3 13.7 18.4

Other hospitals 17.3 25.2 23.6 12.5 11.1

TOTAL 21.7 20.3 22.4 14.8 17.6

Western NSW

Dubbo Base 23.8 21.8 24.4 28.1 33.0

Mudgee 11.6 5.0 14.7 16.7 20.8

Bathurst Base 15.0 21.3 10.6 11.1 25.5

Orange Base 14.3 16.5 19.1 18.6 25.4

Other hospitals 9.0 11.1 15.4 17.8 13.8

TOTAL 17.2 17.7 18.1 20.1 26.1

Far West

Broken Hill Base 18.2 13.9 14.3 30.3 22.6

TOTAL 18.2 13.9 14.3 30.3 22.6

Private Hospitals






Kareena Private 28.0 26.1 29.7 31.2 31.7



Norwest Private 32.6 37.5 30.3 36.4 35.5


Nepean Private 49.7 57.1 53.9 57.0 60.0


Figtree Private 54.4 52.1 48.1 55.0 49.4



Other hospitals 48.6 54.8 49.0 20.0 0.0

TOTAL 40.3 40.1 39.2 39.0 40.4


TABLE 64: 3.2 SELECTED PRIMIPARA UNDERGOING EPISIOTOMY AND NO PERINEAL TEAR BY LOCAL HEALTH DISTRICT AND HOSPITAL, NSW 2010–2014#


Indicator 3.3 Definition: Total number of selected primipara sustaining a perineal tear and no episiotomy while giving birth vaginally as a percentage of the total number of selected primipara delivering vaginally.




% % % % %

Sydney

Canterbury 60.2 64.0 58.6 59.2 51.4


TOTAL 67.5 65.6 64.1 60.5 55.6


Fairfield 57.2 56.3 58.0 54.2 50.8

Liverpool 56.4 55.7 54.8 53.9 53.0

Campbelltown 58.2 61.4 63.6 63.7 61.5


Bowral 54.9 50.5 58.8 58.4 43.5

TOTAL 55.4 57.1 57.2 55.8 53.5


St. George 59.1 55.6 55.8 56.1 51.0

Sutherland 68.2 61.3 58.9 57.8 49.9


TOTAL 61.4 57.7 56.0 57.1 52.2


Shoalhaven 68.3 61.0 60.1 56.2 63.4

Wollongong 67.0 68.8 72.0 61.8 61.9

Other hospitals 40.9 50.0 75.0 75.0 80.0

TOTAL 66.5 66.5 69.0 60.9 62.7

Western Sydney

Auburn 54.4 60.9 64.5 57.7 60.9

Blacktown 51.3 48.3 46.6 50.7 44.6

Westmead 46.8 45.2 47.6 43.5 35.9

TOTAL 49.3 48.8 50.3 47.7 42.0


Blue Mountains 66.7 77.5 73.5 87.2 69.6

Nepean 57.2 59.5 59.2 56.0 62.5

Hawkesbury 62.5 61.1 56.8 56.7 61.5

Lithgow 65.2 46.4 53.1 52.5 62.1

TOTAL 58.6 60.2 59.5 57.5 62.8

Northern Sydney

Hornsby 67.1 61.4 65.0 69.6 70.9

Manly 72.6 60.2 57.5 59.6 58.9

Mona Vale 0.0 0.0 67.6 66.0 69.6


Other hospitals 97.1 83.9 82.1 96.8 81.1

TOTAL 62.6 58.6 60.3 61.4 61.2

Central Coast

Gosford 66.2 61.3 64.9 57.4 59.9

Other hospitals 84.6 84.4 73.0 86.3 86.2

TOTAL 67.1 62.7 65.4 59.8 61.1

Hunter New England

Armidale 52.0 48.0 53.5 65.2 41.0

Inverell 38.5 28.6 30.8 57.1 45.9

Tamworth Base 58.4 60.0 62.3 59.3 54.9

Manning Base 63.4 63.6 69.4 66.7 72.4

Maitland 67.0 69.7 67.4 70.8 70.7

John Hunter 64.3 67.8 65.6 61.9 63.0

Other hospitals 71.4 68.3 62.9 60.1 64.4

TOTAL 64.0 65.5 64.2 63.4 63.3


% % % % %

Northern NSW

Grafton Base 58.3 65.9 56.6 56.3 73.0

Lismore Base 63.2 70.0 67.9 59.3 69.0

Tweed Heads 66.8 73.1 67.7 69.9 62.5

Other hospitals 60.9 77.5 81.0 78.6 91.7

TOTAL 64.4 71.6 68.3 65.9 68.8

Mid North Coast

Coffs Harbour 71.4 70.2 63.3 65.0 67.3

Kempsey 64.8 62.3 77.8 69.4 77.3


Other hospitals 75.0 60.0 75.0 66.7 100.0

TOTAL 64.0 66.1 65.0 65.0 68.9

Southern NSW

Bega 63.2 69.5 78.4 60.0 57.7

Goulburn Base 18.6 11.3 24.2 30.2 46.0

Moruya 53.7 53.7 49.2 69.4 71.7

Queanbeyan 65.9 60.2 70.1 67.7 50.9

Other hospitals 44.8 64.5 54.8 63.0 60.9

TOTAL 51.5 51.3 55.7 58.8 55.8

Murrumbidgee

Griffith Base 51.0 56.3 52.3 65.1 56.3

Wagga Wagga Base 61.4 71.3 63.7 67.7 61.3

Other hospitals 52.0 46.3 46.1 55.8 59.5

TOTAL 54.8 57.8 55.3 63.2 59.6

Western NSW

Dubbo Base 51.6 54.7 51.7 49.5 44.7

Mudgee 55.8 72.5 67.6 75.0 58.3

Bathurst Base 68.0 59.6 72.1 76.8 63.7

Orange Base 64.0 67.6 57.3 61.7 57.2

Other hospitals 66.3 64.2 61.5 61.6 58.8

TOTAL 59.6 61.5 59.9 61.5 54.4

Far West

Broken Hill Base 60.6 61.1 71.4 51.5 66.0

TOTAL 60.6 61.1 71.4 51.5 66.0

Private Hospitals






Kareena Private 63.6 54.2 58.1 56.0 56.1



Norwest Private 45.6 47.8 53.7 43.9 40.1


Nepean Private 34.4 24.7 28.3 28.2 25.0


Figtree Private 38.2 40.5 42.4 38.1 43.6



Other hospitals 43.2 28.6 34.7 60.0 0.0

TOTAL 44.9 44.9 46.0 45.2 41.4


TABLE 65: 3.3 SELECTED PRIMIPARA SUSTAINING A PERINEAL TEAR AND NO EPISIOTOMY BY LOCAL HEALTH DISTRICT AND HOSPITAL, NSW 2010–2014#


Indicator 3.4 Definition: Total number of selected primipara undergoing episiotomy and sustaining a perineal tear while giving birth vaginally as a percentage of the total number of selected primipara delivering vaginally.




% % % % %

Sydney

Canterbury 8.31 6.25 6.43 4.53 6.87


TOTAL 6.72 7.48 6.39 7.77 9.14


Fairfield 3.26 2.13 1.92 3.63 2.47

Liverpool 4.06 6.49 5.60 4.53 4.43

Campbelltown 1.75 3.09 1.94 3.16 1.77


Bowral 3.28 1.87 0.98 1.77 1.85

TOTAL 4.10 4.61 4.22 4.55 3.67


St. George 11.14 12.22 15.99 13.30 13.76

Sutherland 3.90 6.41 7.78 10.23 10.85


TOTAL 7.84 10.80 10.88 9.93 10.91


Shoalhaven 3.05 3.55 2.19 1.23 1.83

Wollongong 8.66 4.87 5.11 7.94 5.03

Other hospitals 0.00 3.85 8.33 4.17 0.00

TOTAL 7.00 4.56 4.45 6.13 4.09

Western Sydney

Auburn 9.31 8.77 7.55 8.09 7.43

Blacktown 9.50 10.30 7.77 13.00 12.01

Westmead 10.20 11.16 10.67 13.98 16.10

TOTAL 9.86 10.52 9.34 12.76 13.71


Blue Mountains 9.09 2.50 2.04 5.13 1.79

Nepean 6.89 8.25 9.06 8.10 10.39

Hawkesbury 5.15 6.04 6.40 3.55 2.22

Lithgow 8.70 25.00 12.50 10.00 6.90

TOTAL 6.74 8.15 8.33 7.25 8.44

Northern Sydney

Hornsby 6.36 6.67 10.18 8.03 4.01

Manly 6.60 13.08 10.20 12.65 12.55

Mona Vale 0.00 0.00 5.41 6.67 7.84


Other hospitals 0.00 3.23 2.56 0.00 2.70

TOTAL 10.83 14.06 10.53 11.80 10.84

Central Coast

Gosford 14.16 16.04 10.18 13.79 12.39

Other hospitals 3.85 0.00 0.00 0.00 0.00

TOTAL 13.63 15.04 9.48 12.62 11.79

Hunter New England

Armidale 9.33 10.67 8.08 10.14 11.48

Inverell 0.00 2.86 5.13 3.57 2.70

Tamworth Base 8.44 6.67 8.61 4.64 8.24

Manning Base 3.25 5.43 4.17 2.27 4.48

Maitland 7.90 10.33 4.11 7.69 7.48

John Hunter 11.76 8.17 9.54 9.04 9.87

Other hospitals 7.14 7.21 5.09 8.15 3.96

TOTAL 9.14 8.08 7.25 7.67 8.08


% % % % %

Northern NSW

Grafton Base 2.78 1.10 1.32 2.82 3.37

Lismore Base 9.21 6.54 5.91 6.32 3.70

Tweed Heads 3.80 5.95 5.66 6.80 10.25

Other hospitals 1.45 5.63 3.00 0.00 0.00

TOTAL 5.10 5.55 5.02 5.81 6.17

Mid North Coast

Coffs Harbour 5.71 6.88 10.00 6.67 6.44

Kempsey 1.85 3.77 2.78 0.00 0.00


Other hospitals 0.00 0.00 0.00 0.00 0.00

TOTAL 7.11 6.74 9.49 7.42 6.22

Southern NSW

Bega 5.26 5.08 5.41 2.22 7.69

Goulburn Base 5.08 1.61 4.55 7.94 6.00

Moruya 2.99 9.26 3.17 0.00 8.70

Queanbeyan 1.10 4.08 5.13 3.23 8.62

Other hospitals 3.45 0.00 9.68 7.41 2.17

TOTAL 3.30 4.28 5.10 3.90 7.10

Murrumbidgee

Griffith Base 4.00 8.05 5.61 1.83 7.50

Wagga Wagga Base 3.51 4.35 5.93 5.65 6.75

Other hospitals 3.94 3.25 4.49 5.77 6.35

TOTAL 3.81 4.92 5.44 4.45 6.78

Western NSW

Dubbo Base 6.85 6.22 2.33 7.14 4.85

Mudgee 11.63 12.50 4.41 3.33 6.25

Bathurst Base 5.00 6.38 7.69 4.04 2.94

Orange Base 11.80 9.66 14.57 15.30 13.29

Other hospitals 8.99 7.41 3.30 6.85 6.25

TOTAL 8.42 7.79 7.41 8.67 7.22

Far West

Broken Hill Base 3.03 2.78 5.71 9.09 1.89

TOTAL 3.03 2.78 5.71 9.09 1.89

Private Hospitals






Kareena Private 0.00 0.70 1.29 0.71 0.72



Norwest Private 3.26 2.40 4.44 4.57 4.99


Nepean Private 2.19 5.88 3.29 4.23 5.63


Figtree Private 0.00 0.53 0.48 0.00 0.00



Other hospitals 5.41 11.90 8.16 0.00 0.00

TOTAL 2.72 2.54 2.73 2.22 3.93


TABLE 66: 3.4 SELECTED PRIMIPARA UNDERGOING EPISIOTOMY AND SUSTAINING A PERINEAL TEAR BY LOCAL HEALTH DISTRICT AND HOSPITAL, NSW 2010–2014#



% % % % %

Sydney

Canterbury 10.83 9.75 6.90 10.26 5.54


TOTAL 7.15 7.68 7.48 7.08 7.49


Fairfield 2.65 3.29 7.69 8.87 6.79

Liverpool 5.65 7.65 6.58 5.96 6.77

Campbelltown 4.47 3.09 5.26 2.65 5.58


Bowral 3.28 0.00 5.88 4.42 2.78

TOTAL 3.90 4.80 6.14 5.21 5.97


St. George 9.59 7.87 11.01 9.12 11.80

Sutherland 4.18 5.13 8.61 8.95 7.75


TOTAL 7.50 7.55 7.89 7.29 7.60


Shoalhaven 1.83 2.84 2.19 1.85 3.66

Wollongong 4.12 5.85 7.57 3.43 4.60

Other hospitals 0.00 0.00 0.00 4.17 0.00

TOTAL 3.43 5.00 5.89 3.07 4.25

Western Sydney

Auburn 6.31 4.98 5.03 4.44 5.43

Blacktown 5.85 6.64 4.93 8.72 4.93

Westmead 5.88 6.47 5.92 6.99 4.80

TOTAL 5.93 6.25 5.50 7.04 4.93


Blue Mountains 18.18 2.50 10.20 7.69 12.50

Nepean 4.49 4.60 6.62 6.03 6.36

Hawkesbury 3.68 4.70 6.40 4.96 4.44

Lithgow 0.00 3.57 0.00 0.00 3.45

TOTAL 4.77 4.49 6.54 5.63 6.36

Northern Sydney

Hornsby 5.65 5.96 7.49 5.02 8.36

Manly 5.35 4.94 1.98 8.57 6.84

Mona Vale 0.00 0.00 2.70 6.00 8.33


Other hospitals 2.86 3.23 2.56 0.00 2.70

TOTAL 7.36 7.79 6.78 8.81 9.19

Central Coast

Gosford 9.51 7.29 7.19 9.62 6.98

Other hospitals 0.00 0.00 0.00 5.88 6.90

TOTAL 9.02 6.84 6.69 9.30 6.98

Hunter New England

Armidale 0.00 0.00 2.02 4.35 3.28

Inverell 0.00 0.00 2.56 0.00 2.70

Tamworth Base 5.19 5.45 3.97 5.15 5.49

Manning Base 2.44 3.88 6.25 2.27 3.73

Maitland 7.56 10.00 7.33 7.69 6.23

John Hunter 10.07 8.42 8.09 8.06 10.11

Other hospitals 2.52 6.25 4.73 3.86 4.46

TOTAL 6.88 7.27 6.55 6.44 7.39


% % % % %

Northern NSW

Grafton Base 2.78 4.40 2.63 0.00 0.00

Lismore Base 4.82 1.92 2.95 2.37 5.09

Tweed Heads 3.80 6.52 4.25 5.58 5.65

Other hospitals 1.45 1.41 2.00 3.57 0.00

TOTAL 3.80 4.26 3.46 3.91 4.17

Mid North Coast

Coffs Harbour 4.29 3.67 6.19 6.11 5.94

Kempsey 3.70 1.89 0.00 5.56 4.55


Other hospitals 0.00 0.00 0.00 0.00 0.00

TOTAL 4.50 4.72 6.81 8.70 6.74

Southern NSW

Bega 5.26 1.69 5.41 4.44 5.77

Goulburn Base 3.39 3.23 1.52 1.59 4.00

Moruya 1.49 5.56 12.70 8.16 10.87

Queanbeyan 3.30 3.06 0.00 3.23 4.31

Other hospitals 0.00 6.45 6.45 7.41 4.35

TOTAL 2.97 3.62 4.14 4.22 5.48

Murrumbidgee

Griffith Base 1.00 2.30 2.80 1.83 2.50

Wagga Wagga Base 1.75 2.61 8.89 8.06 7.36

Other hospitals 1.57 0.81 4.49 3.85 4.76

TOTAL 1.47 1.85 5.74 4.75 5.42

Western NSW

Dubbo Base 2.42 3.11 4.65 2.04 3.40

Mudgee 2.33 2.50 1.47 0.00 6.25

Bathurst Base 3.00 3.19 9.62 4.04 5.88

Orange Base 9.32 12.50 10.55 9.29 10.40

Other hospitals 12.36 6.17 5.49 4.11 8.75

TOTAL 5.62 6.17 7.10 4.58 6.73

Far West

Broken Hill Base 6.06 0.00 0.00 3.03 0.00

TOTAL 6.06 0.00 0.00 3.03 0.00

Private Hospitals






Kareena Private 2.80 1.41 1.29 3.55 2.16



Norwest Private 3.51 3.37 2.22 2.91 3.39


Nepean Private 3.28 5.29 1.97 2.82 0.63


Figtree Private 0.98 1.58 0.95 0.99 0.58



Other hospitals 2.70 2.38 2.04 0.00 0.00

TOTAL 2.37 2.34 1.78 2.33 2.04


TABLE 67: 3.5 SELECTED PRIMIPARA UNDERGOING SURGICAL REPAIR OF THE PERINEUM FOR THIRD DEGREE TEAR BY LOCAL HEALTH DISTRICT AND HOSPITAL, NSW 2010–2014#

Indicator 3.5 Definition: Total number of selected primipara undergoing surgical repair of the perineum for third degree tear while giving birth vaginally as a percentage of the total number of selected primipara delivering vaginally.

A selected primipara is defined as a woman who is 20–34 years of age at the time of giving birth; giving birth for the first time at 20 weeks or greater gestation; singleton pregnancy; cephalic presentation; and at 370 to 406 weeks gestation. Surgical repair is defined as suture of the perineum following delivery.

Table 67 shows information for hospitals where at least 200 mothers gave birth in 2014, totals for hospitals for each local health district, and the NSW total


Indicator 3.6 Definition: Total number of selected primipara undergoing surgical repair of the perineum for fourth degree tear while giving birth vaginally as a percentage of the total number of selected primipara delivering vaginally.

A selected primipara is defined as a woman who is 20–34 years of age at the time of giving birth; giving birth for the first time at 20 weeks or greater gestation; singleton pregnancy; cephalic presentation; and at 370 to 406 weeks gestation. Surgical repair is defined as suture of the perineum following delivery.



% % % % %

Sydney

Canterbury 1.26 0.75 0.24 0.95 0.22


TOTAL 0.37 0.36 0.45 0.48 0.31


Fairfield 0.41 0.58 0.70 0.00 0.21

Liverpool 0.58 0.29 0.42 0.26 0.12

Campbelltown 0.16 0.29 0.28 0.25 0.25


Bowral 0.00 0.00 0.00 0.00 0.93

TOTAL 0.32 0.35 0.44 0.22 0.25


St. George 0.56 0.00 0.39 0.15 0.28

Sutherland 0.00 0.26 0.28 0.26 0.00


TOTAL 0.39 0.14 0.61 0.32 0.27


Shoalhaven 0.00 0.00 1.09 0.62 0.00

Wollongong 0.00 0.78 0.20 0.43 0.00

Other hospitals 0.00 0.00 0.00 0.00 0.00

TOTAL 0.00 0.59 0.43 0.46 0.00

Western Sydney

Auburn 0.30 0.00 0.23 0.26 0.57

Blacktown 0.29 0.17 0.45 1.27 1.15

Westmead 0.24 0.45 0.22 0.45 0.44

TOTAL 0.27 0.30 0.28 0.64 0.65


Blue Mountains 0.00 0.00 0.00 0.00 0.00

Nepean 0.45 0.32 0.87 0.52 0.62

Hawkesbury 0.00 0.00 0.00 0.00 0.00

Lithgow 0.00 0.00 0.00 2.50 0.00

TOTAL 0.35 0.24 0.64 0.50 0.46

Northern Sydney

Hornsby 1.06 0.35 0.90 0.00 0.67

Manly 0.00 0.29 0.28 0.00 0.38

Mona Vale 0.00 0.00 0.00 0.67 0.00


Other hospitals 0.00 0.00 0.00 0.00 0.00

TOTAL 0.58 0.40 0.64 0.07 0.51

Central Coast

Gosford 0.63 0.63 0.80 0.18 1.05

Other hospitals 0.00 0.00 0.00 3.92 0.00

TOTAL 0.60 0.59 0.74 0.50 1.00

Hunter New England

Armidale 0.00 0.00 0.00 0.00 0.00

Inverell 0.00 0.00 0.00 0.00 0.00

Tamworth Base 1.30 0.00 0.00 0.52 1.10

Manning Base 0.00 0.78 0.00 0.00 0.75

Maitland 0.00 1.00 0.29 0.62 1.25

John Hunter 0.52 0.37 0.36 0.61 0.61

Other hospitals 0.42 0.00 0.00 0.43 0.99

TOTAL 0.42 0.41 0.21 0.50 0.80


% % % % %

Northern NSW

Grafton Base 0.00 0.00 0.00 0.00 1.12

Lismore Base 0.44 0.00 0.00 0.00 0.93

Tweed Heads 0.76 0.85 0.24 0.49 0.35

Other hospitals 0.00 1.41 0.00 0.00 0.00

TOTAL 0.52 0.52 0.12 0.25 0.62

Mid North Coast

Coffs Harbour 0.00 0.00 0.48 0.00 0.50

Kempsey 0.00 0.00 0.00 0.00 0.00


Other hospitals 0.00 0.00 0.00 0.00 0.00

TOTAL 0.00 0.22 0.49 0.00 0.26

Southern NSW

Bega 1.75 0.00 0.00 2.22 1.92

Goulburn Base 0.00 0.00 0.00 0.00 0.00

Moruya 1.49 0.00 0.00 0.00 0.00

Queanbeyan 1.10 0.00 0.85 0.00 0.86

Other hospitals 0.00 0.00 0.00 0.00 0.00

TOTAL 0.99 0.00 0.32 0.32 0.65

Murrumbidgee

Griffith Base 0.00 1.15 0.00 0.00 0.00

Wagga Wagga Base 0.00 0.87 0.74 0.00 0.00

Other hospitals 0.00 0.00 1.12 0.00 1.59

TOTAL 0.00 0.62 0.60 0.00 0.54

Western NSW

Dubbo Base 0.40 0.44 0.00 0.00 0.00

Mudgee 0.00 0.00 1.47 0.00 0.00

Bathurst Base 0.00 0.00 0.96 0.00 0.00

Orange Base 0.62 0.57 0.00 0.00 0.00

Other hospitals 1.12 1.23 1.10 4.11 0.00

TOTAL 0.47 0.49 0.47 0.49 0.00

Far West

Broken Hill Base 0.00 0.00 0.00 0.00 0.00

TOTAL 0.00 0.00 0.00 0.00 0.00

Private Hospitals






Kareena Private 0.00 0.00 0.00 0.00 0.00



Norwest Private 0.00 0.24 0.00 0.00 0.00


Nepean Private 0.55 0.00 0.66 0.00 0.63


Figtree Private 0.00 0.00 0.00 0.00 0.58



Other hospitals 0.00 0.00 0.00 0.00 0.00

TOTAL 0.33 0.40 0.15 0.15 0.11


TABLE 68: 3.6 SELECTED PRIMIPARA UNDERGOING SURGICAL REPAIR OF THE PERINEUM FOR FOURTH DEGREE TEAR BY LOCAL HEALTH DISTRICT AND HOSPITAL, NSW 2010–2014#



% % % % %

Sydney

Canterbury 11.75 7.69 11.86 13.47 10.52


TOTAL 14.46 11.56 10.77 10.87 10.19


Fairfield 26.90 25.08 21.91 14.48 11.82

Liverpool 16.52 16.76 18.06 14.68 15.08

Campbelltown 14.24 10.77 11.25 9.39 10.73


Bowral 19.05 13.51 10.20 11.90 10.56

TOTAL 17.66 15.98 16.43 12.61 12.26


St. George 9.46 9.40 8.87 9.91 7.01

Sutherland 10.11 10.62 11.58 8.94 10.94


Other hospitals 0.00 0.00 0.00 0.00 0.00

TOTAL 5.95 6.29 6.83 6.85 6.03


Shoalhaven 9.15 9.44 6.10 6.51 7.87

Wollongong 10.63 10.00 8.26 9.12 9.54

Other hospitals 6.25 0.00 3.85 11.76 20.00

TOTAL 10.06 9.52 7.50 8.42 9.15

Western Sydney

Auburn 13.45 13.81 10.57 5.64 7.74

Blacktown 15.04 15.33 10.43 12.77 12.73

Westmead 11.50 9.85 11.40 9.30 9.95

TOTAL 12.85 12.07 11.00 10.07 10.67


Blue Mountains 13.33 8.33 9.62 8.33 6.58

Nepean 18.26 13.98 18.36 16.19 15.25

Hawkesbury 15.58 10.12 8.49 7.48 7.94

Lithgow 1.59 14.71 4.08 3.28 6.15

TOTAL 16.86 13.11 16.00 13.91 13.45

Northern Sydney

Hornsby 8.86 5.67 5.88 6.40 5.50

Manly 7.22 4.67 4.21 4.20 7.43

Mona Vale 0.00 0.00 0.00 6.08 8.42


Other hospitals 0.00 0.00 100.00 0.00 0.00

TOTAL 8.31 6.45 5.03 5.32 5.97

Central Coast

Gosford 12.49 10.67 7.78 7.74 6.54

TOTAL 12.49 10.67 7.78 7.74 6.54

Hunter New England

Armidale 6.31 7.94 9.33 5.38 4.84

Inverell 4.35 0.00 3.37 2.13 3.09

Tamworth Base 10.04 11.37 10.37 9.82 13.50

Manning Base 20.71 11.48 15.66 13.64 11.88

Maitland 10.88 15.58 13.46 9.79 10.74

John Hunter 17.95 14.93 16.55 18.25 15.36

Other hospitals 19.82 20.63 20.00 20.36 24.00

TOTAL 15.02 14.12 14.74 14.48 13.92


% % % % %

Northern NSW

Grafton Base 12.88 8.11 10.61 9.23 8.49

Lismore Base 6.70 8.33 5.33 6.55 6.44

Tweed Heads 7.74 10.20 12.11 7.23 12.01

Other hospitals 2.04 6.56 1.30 0.00 2.17

TOTAL 7.77 8.85 8.49 6.73 8.63

Mid North Coast

Coffs Harbour 14.42 8.91 10.06 8.22 7.67

Kempsey 6.67 9.09 3.33 1.92 15.38


TOTAL 12.65 8.47 8.27 7.97 9.19

Southern NSW

Bega 13.56 3.23 9.09 15.38 3.17

Goulburn Base 14.10 13.58 12.50 2.74 2.94

Moruya 16.28 9.88 5.68 8.96 6.25

Queanbeyan 13.43 11.84 8.91 12.04 5.05

Other hospitals 10.81 10.00 8.00 2.22 18.18

TOTAL 14.07 10.00 8.83 8.70 5.83

Murrumbidgee

Griffith Base 8.73 11.67 10.12 6.02 10.53

Wagga Wagga Base 6.45 7.58 11.57 6.84 8.33

Other hospitals 10.88 5.95 5.77 7.69 4.40

TOTAL 8.47 7.95 9.54 6.86 7.85

Western NSW

Dubbo Base 23.78 22.67 17.91 18.42 21.36

Mudgee 12.31 9.52 5.08 7.94 1.61

Bathurst Base 13.25 9.23 9.47 13.51 5.71

Orange Base 13.71 14.08 16.78 11.21 11.05

Other hospitals 14.81 20.59 19.01 10.00 0.93

TOTAL 16.95 16.72 15.46 13.43 11.89

Far West

Broken Hill Base 13.33 16.67 12.50 14.52 8.33

TOTAL 13.33 16.67 12.50 14.52 8.33

Private Hospitals






Kareena Private 3.15 3.49 2.76 1.76 2.62



Norwest Private 20.07 7.96 6.73 6.92 4.50


Nepean Private 5.45 5.17 7.46 5.12 4.33


Figtree Private 4.35 2.83 4.51 3.35 3.32



Other hospitals 8.89 9.73 4.17 8.57 4.88

TOTAL 8.89 4.06 2.97 3.10 3.03


TABLE 69: 4.1 GENERAL ANAESTHESIA FOR CAESAREAN SECTION BY LOCAL HEALTH DISTRICT AND HOSPITAL, NSW 2010–2014#

General anaesthesia for caesarean sectionIndicator 4.1 Definition: Total number of women having a general anaesthetic for a caesarean section as a percentage of women having a caesarean section.



Postpartum haemorrhage and blood transfusion after vaginal birthIndicator 7.1 Definition: Total number of women who give birth vaginally who receive a blood transfusion during the same admission as a percentage of women who give birth vaginally.



% % % % %

Sydney

Canterbury 0.24 1.36 1.23 1.68 1.52


TOTAL 0.15 1.03 0.90 1.26 1.09


Fairfield 0.13 1.26 0.43 0.48 0.61

Liverpool 0.39 0.82 0.78 0.69 0.82

Campbelltown 0.05 0.95 0.71 1.00 1.01


Bowral 0.43 0.51 0.55 0.00 0.61

TOTAL 0.23 0.97 0.70 0.79 0.94


St. George 1.45 1.40 1.64 1.54 1.73

Sutherland 1.12 1.22 0.89 2.13 1.46


TOTAL 1.73 1.78 1.61 1.65 1.58


Shoalhaven 1.50 2.16 1.98 1.95 1.46

Wollongong 2.06 1.23 0.98 1.86 1.50

Other hospitals 3.92 0.00 2.11 1.27 0.00

TOTAL 2.00 1.40 1.27 1.86 1.45

Western Sydney

Auburn 1.33 1.59 0.68 0.76 1.43

Blacktown 1.50 1.86 1.13 0.74 1.13

Westmead 1.36 1.64 1.64 2.20 1.88

TOTAL 1.40 1.70 1.32 1.53 1.59


Blue Mountains 0.66 0.00 1.20 3.01 2.81

Nepean 1.67 1.21 1.32 1.65 2.18

Hawkesbury 1.16 0.91 1.01 0.98 1.05

Lithgow 1.65 7.03 6.25 1.76 0.00

TOTAL 1.54 1.33 1.47 1.62 1.95

Northern Sydney

Hornsby 1.20 1.53 1.19 0.86 0.89

Manly 1.29 1.70 1.03 1.98 1.34

Mona Vale 0.00 0.00 0.92 2.04 0.86


Other hospitals 0.00 0.00 0.00 0.00 0.00

TOTAL 1.10 1.71 1.01 1.36 1.07

Central Coast

Gosford 1.33 1.18 0.93 1.01 1.08

Other hospitals 1.14 0.60 0.57 1.19 0.70

TOTAL 1.31 1.13 0.89 1.02 1.05

Hunter New England

Armidale 1.27 1.32 1.60 0.32 1.40

Inverell 2.94 1.04 1.16 2.59 0.56

Tamworth Base 2.06 1.71 1.39 1.44 2.54

Manning Base 0.38 2.68 1.36 2.54 2.20

Maitland 1.27 1.24 2.12 1.71 1.72

John Hunter 1.87 2.02 1.82 2.23 1.87

Other hospitals 0.92 1.04 1.16 0.95 1.08

TOTAL 1.51 1.70 1.66 1.82 1.78


% % % % %

Northern NSW

Grafton Base 1.80 2.82 0.96 1.54 1.85

Lismore Base 3.12 1.69 0.98 1.66 2.19

Tweed Heads 2.68 1.82 1.39 1.69 2.45

Other hospitals 2.23 0.66 0.91 1.15 1.68

TOTAL 2.67 1.77 1.15 1.61 2.20

Mid North Coast

Coffs Harbour 1.19 1.82 2.09 0.69 0.72

Kempsey 2.47 1.23 2.97 2.50 1.92


Other hospitals 1.82 0.00 1.64 0.00 0.00

TOTAL 2.15 1.27 2.38 1.14 1.08

Southern NSW

Bega 2.25 0.53 1.80 1.23 2.70

Goulburn Base 3.35 1.30 0.80 0.00 1.97

Moruya 1.57 3.13 3.32 1.31 1.01

Queanbeyan 6.27 1.03 3.36 4.04 5.63

Other hospitals 2.10 3.57 2.42 0.00 1.64

TOTAL 3.27 1.77 2.44 1.72 3.02

Murrumbidgee

Griffith Base 2.70 2.33 0.85 2.58 3.29

Wagga Wagga Base 1.51 0.99 1.22 2.04 1.68

Other hospitals 3.49 6.24 5.34 1.32 1.68

TOTAL 2.63 3.33 2.60 1.94 2.08

Western NSW

Dubbo Base 0.87 1.01 1.33 1.91 1.61

Mudgee 1.17 1.18 1.98 0.00 1.10

Bathurst Base 1.63 2.80 2.80 1.92 1.80

Orange Base 0.82 1.37 2.03 1.65 1.64

Other hospitals 2.12 2.60 2.69 0.84 0.55

TOTAL 1.20 1.64 2.00 1.55 1.45

Far West

Broken Hill Base 2.42 1.32 2.87 3.73 2.92

TOTAL 2.42 1.32 2.87 3.73 2.92

Private Hospitals






Kareena Private 0.29 0.72 0.24 0.23 0.49



Norwest Private 1.79 1.39 2.21 1.74 1.28


Nepean Private 0.92 1.69 2.15 2.48 2.54


Figtree Private 0.31 0.34 0.00 0.00 0.21



Other hospitals 2.48 0.72 0.85 0.00 0.00

TOTAL 1.19 1.17 1.25 1.44 1.38


TABLE 70: 7.1 POSTPARTUM HAEMORRHAGE AND BLOOD TRANSFUSION FOLLOWING VAGINAL BIRTH BY LOCAL HEALTH DISTRICT AND HOSPITAL, NSW 2010–2014#


Indicator 7.2 Definition: Total number of women who undergo caesarean section who receive a blood transfusion during the same admission as a percentage of women who undergo caesarean section.



% % % % %

Sydney

Canterbury 0.00 0.96 1.02 1.89 1.24


TOTAL 0.10 0.55 0.88 1.57 0.91


Fairfield 0.58 0.61 0.77 1.61 0.99

Liverpool 0.29 1.46 1.16 0.62 1.66

Campbelltown 0.15 0.73 0.76 0.41 0.54


Bowral 0.95 0.00 0.00 0.00 0.70

TOTAL 0.35 0.99 0.87 0.79 1.12


St. George 3.31 1.54 0.72 2.94 1.96

Sutherland 1.44 1.10 1.40 1.66 2.19


Other hospitals 0.00 0.00 0.00 0.00 0.00

TOTAL 2.37 2.14 1.45 2.33 2.24


Shoalhaven 3.17 2.45 3.25 3.83 3.15

Wollongong 2.16 1.55 1.55 2.99 1.88

Other hospitals 0.00 3.70 0.00 5.88 20.00

TOTAL 2.46 1.90 1.99 3.28 2.31

Western Sydney

Auburn 1.45 1.80 3.40 3.01 1.35

Blacktown 1.36 1.24 1.47 0.91 1.02

Westmead 1.59 1.85 2.82 2.54 1.98

TOTAL 1.50 1.65 2.44 2.05 1.59


Blue Mountains 1.67 0.00 1.92 3.33 1.32

Nepean 1.65 2.13 2.23 3.41 2.57

Hawkesbury 1.81 1.84 2.58 1.36 1.08

Lithgow 3.17 2.94 2.04 3.28 1.54

TOTAL 1.75 2.05 2.28 3.04 2.25

Northern Sydney

Hornsby 2.77 2.55 1.68 2.02 2.27

Manly 1.67 3.12 0.70 2.29 1.12

Mona Vale 0.00 0.00 1.92 0.00 0.53


Other hospitals 0.00 0.00 100.00 0.00 0.00

TOTAL 2.11 2.73 1.59 1.69 1.27

Central Coast

Gosford 2.14 1.65 1.98 1.11 1.15

TOTAL 2.14 1.65 1.98 1.11 1.15

Hunter New England

Armidale 1.80 0.79 0.67 0.77 0.81

Inverell 1.09 2.11 5.62 4.26 2.06

Tamworth Base 1.75 1.90 2.49 2.46 2.55

Manning Base 2.53 1.64 1.20 1.30 2.50

Maitland 1.23 2.30 2.90 3.73 2.39

John Hunter 3.01 2.47 4.20 4.58 3.75

Other hospitals 0.92 2.24 3.56 0.90 3.11

TOTAL 2.15 2.21 3.38 3.46 3.04


% % % % %

Northern NSW

Grafton Base 2.27 0.90 6.82 2.31 0.94

Lismore Base 1.12 1.11 0.94 2.98 2.03

Tweed Heads 4.95 1.64 1.41 2.71 2.47

Other hospitals 0.00 1.64 0.00 0.00 0.00

TOTAL 2.67 1.32 1.93 2.55 1.92

Mid North Coast

Coffs Harbour 2.56 1.95 0.86 0.57 1.92

Kempsey 5.00 1.82 5.00 5.77 1.92


TOTAL 2.60 2.16 1.43 1.95 1.99

Southern NSW

Bega 0.00 0.00 4.55 1.92 0.00

Goulburn Base 0.00 0.00 3.75 0.00 0.00

Moruya 1.16 3.70 5.68 1.49 3.75

Queanbeyan 2.99 5.26 5.94 8.33 2.02

Other hospitals 2.70 0.00 2.00 0.00 0.00

TOTAL 1.22 2.06 4.68 3.19 1.46

Murrumbidgee

Griffith Base 3.97 3.33 2.38 0.75 1.32

Wagga Wagga Base 0.81 1.01 0.83 3.85 1.74

Other hospitals 1.04 4.86 5.13 4.90 5.66

TOTAL 1.59 2.98 2.47 3.33 2.67

Western NSW

Dubbo Base 1.40 0.67 4.18 2.30 2.08

Mudgee 1.54 1.59 0.00 1.59 1.61

Bathurst Base 1.20 3.08 4.14 1.35 1.71

Orange Base 1.21 2.11 1.75 1.15 0.58

Other hospitals 1.85 2.94 2.48 2.50 0.00

TOTAL 1.37 1.82 2.99 1.73 1.27

Far West

Broken Hill Base 0.00 1.52 3.75 0.00 0.00

TOTAL 0.00 1.52 3.75 0.00 0.00

Private Hospitals






Kareena Private 0.70 2.03 0.83 0.00 0.00



Norwest Private 0.74 0.35 1.02 0.85 0.82


Nepean Private 0.30 0.57 1.10 2.70 0.31


Figtree Private 1.02 1.03 1.43 0.26 0.77



Other hospitals 3.33 1.77 1.04 0.00 2.44

TOTAL 0.71 0.71 0.74 0.80 0.68


TABLE 71: 7.2 POSTPARTUM HAEMORRHAGE AND BLOOD TRANSFUSION FOLLOWING CAESAREAN SECTION BY LOCAL HEALTH DISTRICT AND HOSPITAL, NSW 2010–2014#


Intrauterine growth restrictionIndicator 8.1 Definition: Total number of babies born with birth weight less than 2,750 grams at 400 weeks gestation or beyond as a percentage of the total number of babies born at 400 weeks gestation or beyond.

Table 72 shows information for hospitals where at least 200 babies were born in 2014, totals for hospitals for each local health district, and the NSW total.


% % % % %

Sydney

Canterbury 2.64 3.42 1.86 1.38 1.89


TOTAL 1.69 1.75 1.50 1.36 1.63


Fairfield 2.31 1.52 1.82 2.45 3.04

Liverpool 3.27 2.23 2.57 1.99 2.31

Campbelltown 1.10 1.60 1.15 1.46 1.28


Bowral 1.99 1.95 1.40 0.51 1.44

TOTAL 2.20 1.98 1.95 1.67 2.08


St. George 2.17 2.33 2.75 2.12 2.04

Sutherland 0.71 1.28 2.62 0.88 0.67


TOTAL 1.64 1.89 1.97 1.42 1.57


Shoalhaven 1.86 1.49 1.58 1.52 0.29

Wollongong 1.26 1.05 0.83 1.16 0.74

Other hospitals 1.64 1.72 0.00 0.00 2.86

TOTAL 1.45 1.20 1.01 1.23 0.67

Western Sydney

Auburn 1.30 1.67 2.09 2.10 2.76

Blacktown 2.24 2.11 1.60 1.52 1.72

Westmead 1.92 2.76 2.51 2.53 2.44

TOTAL 1.94 2.38 2.14 2.15 2.26


Blue Mountains 0.92 1.85 0.00 0.83 1.71

Nepean 1.32 1.93 0.66 1.53 1.87

Hawkesbury 2.06 2.07 1.02 0.96 0.69

Lithgow 2.99 5.33 3.33 4.23 2.74

TOTAL 1.48 2.08 0.77 1.49 1.70

Northern Sydney

Hornsby 2.18 1.81 2.08 1.04 1.97

Manly 1.32 0.65 1.17 0.90 1.57

Mona Vale 0.00 0.00 2.30 1.02 1.48


Other hospitals 1.67 0.00 0.00 0.00 0.00

TOTAL 1.58 1.63 1.82 1.35 1.61

Central Coast

Gosford 0.93 1.12 1.15 1.58 1.86

Other hospitals 0.00 1.18 0.00 0.00 1.64

TOTAL 0.86 1.12 1.06 1.47 1.85

Hunter New England

Armidale 3.89 0.50 3.19 1.65 3.01

Inverell 3.23 4.29 1.52 1.10 1.12

Tamworth Base 2.59 3.35 3.09 2.56 0.93

Manning Base 2.20 1.62 1.27 1.88 1.08

Maitland 1.67 1.15 1.85 1.47 1.48

John Hunter 1.27 1.46 1.86 1.74 1.31

Other hospitals 1.83 2.06 2.13 1.61 1.49

TOTAL 1.80 1.69 2.02 1.74 1.38


% % % % %

Northern NSW

Grafton Base 1.75 1.76 1.04 1.49 2.04

Lismore Base 0.78 2.00 0.99 1.28 1.26

Tweed Heads 1.75 1.20 1.56 0.79 0.52

Other hospitals 1.70 1.94 0.46 1.27 0.69

TOTAL 1.42 1.63 1.18 1.08 1.01

Mid North Coast

Coffs Harbour 1.54 1.01 1.34 2.55 1.30

Kempsey 1.99 0.79 1.87 0.97 1.82


Other hospitals 5.13 3.45 0.00 0.00 3.57

TOTAL 1.86 1.18 1.32 1.91 1.21

Southern NSW

Bega 3.08 2.22 1.01 0.00 1.54

Goulburn Base 3.28 0.62 1.71 2.61 0.71

Moruya 1.55 2.47 2.78 2.01 0.85

Queanbeyan 2.46 0.51 0.43 2.37 1.33

Other hospitals 4.21 3.26 0.00 4.41 1.37

TOTAL 2.73 1.60 1.29 2.23 1.17

Murrumbidgee

Griffith Base 1.94 1.09 1.93 1.55 1.19

Wagga Wagga Base 2.88 2.81 2.16 2.41 2.61

Other hospitals 1.62 1.48 2.04 1.67 0.00

TOTAL 2.07 1.83 2.05 1.89 1.32

Western NSW

Dubbo Base 2.65 1.06 2.95 2.57 2.49

Mudgee 0.88 2.94 0.74 1.75 1.77

Bathurst Base 1.57 2.69 2.58 1.76 1.15

Orange Base 3.13 1.17 3.26 1.49 0.99

Other hospitals 1.90 1.41 1.83 0.53 0.96

TOTAL 2.28 1.59 2.57 1.78 1.55

Far West

Broken Hill Base 0.93 2.74 1.15 5.26 3.26

TOTAL 0.93 2.74 1.15 5.26 3.26

Private Hospitals






Kareena Private 0.00 0.00 0.62 2.20 0.00



Norwest Private 1.56 1.07 1.45 1.50 1.13


Nepean Private 1.01 1.47 0.41 0.44 0.50


Figtree Private 0.00 0.46 0.92 0.00 3.82



Other hospitals 1.05 1.02 2.90 0.00 0.00

TOTAL 1.62 1.72 1.52 1.62 1.39


TABLE 72: 8.1 INTRAUTERINE GROWTH RESTRICTION AT 40 WEEKS GESTATION OR MORE BY LOCAL HEALTH DISTRICT AND HOSPITAL, NSW 2010–2014#


Apgar scoreIndicator 9.1 Definition: Total number of term babies born with an Apgar score of less than 7 at 5 minutes post delivery as a percentage of the total number of term babies born.

Table 73 shows information for hospitals where at least 200 babies were born in 2014, totals for hospitals for each local health district, and the NSW total.


% % % % %

Sydney

Canterbury 1.61 1.69 0.92 1.51 1.43


TOTAL 1.43 1.82 1.49 1.88 1.91


Fairfield 0.39 1.54 0.99 0.96 0.72

Liverpool 0.80 0.78 1.54 1.48 1.38

Campbelltown 1.59 1.55 1.63 1.69 1.41


Bowral 0.72 0.60 0.45 1.31 1.54

TOTAL 0.90 1.10 1.22 1.24 1.14


St. George 1.31 1.28 1.25 1.69 1.82

Sutherland 1.15 1.08 1.38 2.75 0.93


Other hospitals 0.00 0.00 0.00 0.00 0.00

TOTAL 1.37 1.49 1.67 1.97 1.74


Shoalhaven 0.72 1.28 1.35 1.08 1.55

Wollongong 1.80 1.22 1.51 1.88 1.21

Other hospitals 1.69 0.82 0.00 1.08 0.00

TOTAL 1.50 1.22 1.41 1.64 1.28

Western Sydney

Auburn 0.46 0.77 0.50 1.10 0.54

Blacktown 1.54 0.83 0.71 0.69 0.82

Westmead 0.60 0.83 0.83 0.95 0.97

TOTAL 0.90 0.82 0.74 0.89 0.86


Blue Mountains 2.38 0.52 0.95 0.45 0.00

Nepean 0.53 0.79 0.74 0.64 0.92

Hawkesbury 0.66 0.48 1.38 0.79 0.83

Lithgow 2.87 1.61 1.16 2.31 2.05

TOTAL 0.74 0.75 0.87 0.74 0.90

Northern Sydney

Hornsby 1.14 0.52 1.70 1.41 1.64

Manly 0.96 1.15 0.82 1.38 1.76

Mona Vale 0.00 0.00 0.63 1.14 1.72


Other hospitals 0.86 0.00 0.74 0.78 0.00

TOTAL 0.94 0.75 1.02 1.41 1.61

Central Coast

Gosford 1.98 2.58 2.42 2.34 1.57

Other hospitals 0.57 0.00 0.57 1.20 0.00

TOTAL 1.88 2.41 2.29 2.27 1.49

Hunter New England

Armidale 0.25 1.23 1.16 1.67 1.57

Inverell 0.00 0.00 0.00 0.38 0.40

Tamworth Base 1.51 1.38 1.85 2.37 2.25

Manning Base 2.40 1.83 2.45 2.60 1.82

Maitland 1.73 1.33 1.48 1.60 2.40

John Hunter 2.64 2.32 2.28 2.15 2.67

Other hospitals 0.63 0.64 1.87 0.79 0.98

TOTAL 1.83 1.63 1.93 1.84 2.16


% % % % %

Northern NSW

Grafton Base 1.41 2.00 1.70 2.66 1.44

Lismore Base 1.14 0.74 1.57 1.65 1.21

Tweed Heads 1.07 1.44 1.90 1.81 1.68

Other hospitals 1.10 0.28 0.25 0.31 0.35

TOTAL 1.14 1.14 1.57 1.71 1.35

Mid North Coast

Coffs Harbour 1.20 0.85 1.70 1.75 1.81

Kempsey 2.12 1.79 1.60 1.27 4.82


Other hospitals 0.00 0.00 0.00 0.00 0.00

TOTAL 1.57 1.43 1.65 1.58 2.14

Southern NSW

Bega 1.72 0.84 1.82 1.46 0.84

Goulburn Base 1.07 1.04 1.88 1.09 2.32

Moruya 1.49 2.05 1.57 0.70 0.76

Queanbeyan 0.63 1.11 0.24 0.94 1.21

Other hospitals 0.58 0.00 1.19 1.97 1.40

TOTAL 1.12 1.11 1.25 1.12 1.29

Murrumbidgee

Griffith Base 1.65 1.25 0.86 1.77 2.23

Wagga Wagga Base 1.68 2.80 1.91 2.74 3.02

Other hospitals 0.66 1.47 0.82 0.87 0.97

TOTAL 1.26 1.92 1.25 1.86 2.13

Western NSW

Dubbo Base 1.34 0.90 1.15 1.66 1.46

Mudgee 0.44 0.89 0.40 1.27 1.26

Bathurst Base 1.20 1.40 1.67 1.63 1.85

Orange Base 1.01 1.83 1.12 1.30 1.49

Other hospitals 1.49 1.93 1.37 0.22 1.78

TOTAL 1.19 1.38 1.20 1.32 1.56

Far West

Broken Hill Base 0.42 0.51 1.64 3.24 2.24

TOTAL 0.42 0.51 1.64 3.24 2.24

Private Hospitals






Kareena Private 0.69 1.11 1.24 0.41 1.15



Norwest Private 0.00 0.37 0.37 0.57 0.25


Nepean Private 0.24 0.12 0.00 0.39 0.13


Figtree Private 0.70 0.42 0.73 0.55 0.84



Other hospitals 1.91 0.00 1.42 0.00 0.00

TOTAL 0.55 0.54 0.65 0.63 0.58


TABLE 73: 9.1 APGAR SCORE OF 7 OR LESS IN TERM BABIES BY LOCAL HEALTH DISTRICT AND HOSPITAL, NSW 2010–2014#


Reporting of Aboriginality

Aboriginal mothers are under-reported on the Perinatal Data Collection. One method of assessing the extent of under-reporting and monitoring changes over time is to compare the reporting of Aboriginal mothers on the Perinatal Data Collection with reporting on other data collections. We used Enhanced Reporting of Aboriginality information on the Maternal and Child Health Register (see Methods) to give a “best estimate” of the true numbers of Aboriginal mothers and babies in NSW. We compared this best estimate with the actual numbers of Aboriginal mothers and babies born to Aboriginal mothers reported on the Perinatal Data Collection and calculated the level of reporting of Aboriginal mothers and babies for NSW and individual local health districts.

The estimated percentage of Aboriginal or Torres Strait Islander mothers in NSW that were reported to the Perinatal Data Collection was 80.0% in 2012, 85.0% in 2013 and 88.7% in 2014. In 2014, reporting varied markedly between Local Health Districts, ranging from 70.7% in the Northern Sydney Local Health District to 92.4% in the Western NSW Local Health District, with reporting generally better in rural compared to urban areas (Figure 2, Table 74).

8. ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS AND BABIES

Figure 2: Estimated level of reporting of births to Aboriginal or Torres Strait Islander mothers by year of birth and Local Health District of residence, NSW 2014

Source: NSW Perinatal Data Collection and the Maternal and Child Health Register (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.

100.080.060.040.020.00.0

PER CENT

NSW 88.7

Sydney 90.2

South Western Sydney 78.3

South Eastern Sydney 86.1

Illawarra Shoalhaven 88.0

Western Sydney 83.6

Nepean Blue Mountains 87.5

Northern Sydney 70.7

Central Coast 90.8

Hunter New England 90.4

Northern NSW 91.8

Mid North Coast 91.3

Southern NSW 87.8

Murrumbidgee 88.4

Western NSW 92.4

Far West 92.0


TABLE 74: ABORIGINAL OR TORRES STRAIT ISLANDER MOTHERS AND ESTIMATED LEVEL OF REPORTING BY YEAR OF BIRTH AND LOCAL HEALTH DISTRICT OF RESIDENCE 2012–2014

Year of birth–Local health districtPDC births Estimated Aboriginal births Level of reporting

No. No. %

2012

Sydney 109 134 81.3

South Western Sydney 208 297 70.0

South Eastern Sydney 70 103 68.0

Illawarra Shoalhaven 213 251 84.9

Western Sydney 226 303 74.6

Nepean Blue Mountains 141 221 63.8

Northern Sydney 23 57 40.4

Central Coast 148 201 73.6

Hunter New England 867 1040 83.4

Northern NSW 222 263 84.4

Mid North Coast 224 259 86.5

Southern NSW 88 102 86.3

Murrumbidgee 149 186 80.1

Western NSW 592 687 86.2

Far West 46 51 90.2

Other-not stated 22 28 78.6

NSW 3348 4184 80.0

2013

Sydney 90 105 85.7














Far West 46 51 90.2

Other-not stated 23 28 82.1

NSW 3492 4108 85.0

2014

Sydney 120 133 90.2














Far West 46 50 92.0

Other–not stated 23 25 92.0

NSW 3756 4235 88.7



Table 75 shows the number of babies born to Aboriginal or Torres Strait Islander mothers as reported to the Perinatal Data Collection and the number of Aboriginal or Torres Strait Islander babies born in NSW according to Enhanced Reporting of Aboriginality information on the Maternal and Child Health Register (see Methods).The estimated percentage of Aboriginal or Torres Strait Islander babies born in NSW that were reported to the Perinatal Data Collection was 67.9% in 2014. Reporting ranged from 53.6% in Northern Sydney Local Health District to 80.3% in Sydney Local Health District. There are therefore a substantial number of Aboriginal babies with non-Aboriginal or Torres Strait Islander mothers who are not represented in the numbers reported in this chapter.

Numbers of Aboriginal mothers and babies born to Aboriginal mothers shown in the tables and figures in this chapter are based on the actual numbers reported to the Perinatal Data Collection. The true numbers of Aboriginal mothers and babies are likely to be higher than shown and should therefore be interpreted with caution.

TABLE 75: ABORIGINAL OR TORRES STRAIT ISLANDER BABIES AND ESTIMATED LEVEL OF REPORTING BY YEAR OF BIRTH AND LOCAL HEALTH DISTRICT OF RESIDENCE 2012–2014

Year of birth–Local health districtPDC births Estimated Aboriginal births Level of reporting

No. No. %

2012

Sydney 112 165 67.9














Far West 46 60 76.7


NSW 3399 5622 60.5

2013

Sydney 92 130 70.8














Far West 46 64 71.9


NSW 3542 5660 62.6

2014

Sydney 122 152 80.3














Far West 46 61 75.4


NSW 3808 5608 67.9

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# PDC babies: babies recorded on the PDC as being born to Aboriginal mothers. Estimated Aboriginal babies: babies born in NSW according to Enhanced Reporting of Aboriginality information on the Maternal and Child Health Register.


Trends in births Between 2010 and 2014, the number of reported births to Aboriginal or Torres Strait Islander mothers rose from 3,138 to 3,808, representing 3.3% and 3.9% respectively of all babies born in NSW. In 2014, 3,647 babies were born to Aboriginal mothers, 51 babies were born to Torres Strait Islander mothers and 110 babies were born to mothers of both Aboriginal and Torres Strait Islander background (Table 76).

TABLE 76: ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS AND BABIES, NSW 2010–2014#

Aboriginal and Torres Strait Islander

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

Confinements

Aboriginal but not Torres Strait Islander 2947 95.4 2842 95.5 3218 96.1 3359 96.2 3596 95.7

Torres Strait Islander but not Aboriginal 53 1.7 49 1.6 49 1.5 53 1.5 51 1.4

Both Aboriginal and Torres Strait Islander 90 2.9 84 2.8 81 2.4 80 2.3 109 2.9

TOTAL 3090 100.0 2975 100.0 3348 100.0 3492 100.0 3756 100.0

Births

Aboriginal but not Torres Strait Islander 2994 95.4 2883 95.4 3269 96.2 3406 96.2 3647 95.8

Torres Strait Islander but not Aboriginal 53 1.7 51 1.7 49 1.4 55 1.6 51 1.3

Both Aboriginal and Torres Strait Islander 91 2.9 87 2.9 81 2.4 81 2.3 110 2.9

TOTAL 3138 100.0 3021 100.0 3399 100.0 3542 100.0 3808 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Due to under-reporting of Aboriginal mothers to the PDC, it is likely that the true numbers of mothers and babies are higher than shown (Tables 74 and 75).

Plurality Between 2010 and 2014, multiple pregnancies (twins, triplets etc.) were reported for about 1.5% of all pregnancies. In 2014, 2.6% of babies born to Aboriginal or Torres Strait Islander mothers were twins (Table 77).

TABLE 77: ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS AND BABIES BY PLURALITY, NSW 2010–2014#

Plurality

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

Confinements

Singleton 3043 98.5 2927 98.4 3298 98.5 3442 98.6 3705 98.6

Twins 46 1.5 48 1.6 49 1.5 50 1.4 50 1.3

Triplets 1 0.0 0 0.0 1 0.0 0 0.0 1 0.0

TOTAL 3090 100.0 2975 100.0 3348 100.0 3492 100.0 3756 100.0

Births

Singleton 3043 97.0 2927 96.9 3298 97.0 3442 97.2 3705 97.3

Twins 92 2.9 94 3.1 98 2.9 100 2.8 100 2.6

Triplets 3 0.1 0 0.0 3 0.1 0 0.0 3 0.1

TOTAL 3138 100.0 3021 100.0 3399 100.0 3542 100.0 3808 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Due to under-reporting of Aboriginal mothers to the PDC, it is likely that the true numbers of mothers and babies are higher than shown (Tables 74 and 75).

Previous pregnancies In 2014, one-third of Aboriginal or Torres Strait Islander mothers gave birth for the first time, 60.2% of mothers reported between 1 and 4 previous births and 6.7% of mothers had previously given birth to 5 or more babies (Table 78). Between 2010 and 2014, there has been a decrease in the percentage of mothers who had previously given birth to 5 or more babies from 8.4% to 6.7%.

TABLE 78: PREVIOUS PREGNANCIES AMONG ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS, NSW 2010–2014#

No. previous pregnancies (>20 weeks gestation)

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

0 1062 34.4 1085 36.5 1156 34.5 1235 35.4 1241 33.0

1–4 1768 57.2 1658 55.7 1981 59.2 2019 57.8 2262 60.2

5+ 260 8.4 228 7.7 211 6.3 237 6.8 252 6.7

Not stated 0 0.0 4 0.1 0 0.0 1 0.0 1 0.0

TOTAL 3090 100.0 2975 100.0 3348 100.0 3492 100.0 3756 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Due to under-reporting of Aboriginal mothers to the PDC, it is likely that the true numbers of mothers are higher than shown (Table 74).


Maternal age The percentage of Aboriginal or Torres Strait Islander mothers who were teenagers fell from 18.6% in 2010 to 15.8% in 2014. The percentage of mothers giving birth at 35 years of age or more has decreased from 9.4% in 2010 to 8.4% in 2014 (Table 79).

TABLE 79: AGE OF ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS, NSW 2010–2014#

Maternal age (years)

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

12–19 576 18.6 565 19.0 623 18.6 615 17.6 592 15.8

20–34 2223 71.9 2154 72.4 2451 73.2 2546 72.9 2850 75.9

35+ 291 9.4 256 8.6 272 8.1 331 9.5 314 8.4

Not stated 0 0.0 0 0.0 2 0.1 0 0.0 0 0.0

TOTAL 3090 100.0 2975 100.0 3348 100.0 3492 100.0 3756 100.0


Local Health District of residence The reported number of Aboriginal or Torres Strait Islander mothers who gave birth in 2014 ranged from 29 in the Northern Sydney Local Health District to 932 in the Hunter New England Local Health District (Table 80). The proportion of Aboriginal or Torres Strait Islander mothers who were teenagers varied from 10.0% in the Sydney Local Health District to 19.3% in the Illawarra Shoalhaven Local Health District (Table 81).

TABLE 80: LOCAL HEALTH DISTRICT OF RESIDENCE OF ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS, NSW 2010–2014#


Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

Sydney 87 2.8 84 2.8 109 3.3 90 2.6 120 3.2




Western Sydney 209 6.8 197 6.6 226 6.8 256 7.3 301 8.0


Northern Sydney 36 1.2 18 0.6 23 0.7 28 0.8 29 0.8

Central Coast 125 4.0 137 4.6 148 4.4 188 5.4 217 5.8


Northern NSW 213 6.9 210 7.1 222 6.6 257 7.4 235 6.3

Mid North Coast 223 7.2 190 6.4 224 6.7 228 6.5 251 6.7

Southern NSW 86 2.8 72 2.4 88 2.6 64 1.8 86 2.3

Murrumbidgee 155 5.0 167 5.6 149 4.5 160 4.6 190 5.1

Western NSW 514 16.6 494 16.6 592 17.7 548 15.7 583 15.5

Far West 54 1.7 42 1.4 46 1.4 46 1.3 46 1.2

Other–not stated 23 0.7 21 0.7 22 0.7 23 0.7 24 0.6

TOTAL 3090 100.0 2975 100.0 3348 100.0 3492 100.0 3756 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Due to under-reporting of Aboriginal mothers to the PDC, it is likely that the true numbers of mothers are higher than shown. The level of under-reporting varies between Local Health Districts (Table 74).


TABLE 81: LOCAL HEALTH DISTRICT OF RESIDENCE OF ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS BY AGE, NSW 2014#


Maternal age (Years)

Under 20 20-plus TOTAL

No. % No. % No. %

Sydney 12 10.0 108 90.0 120 100.0

South Western Sydney 35 14.9 200 85.1 235 100.0

South Eastern Sydney 10 10.1 89 89.9 99 100.0

Illawarra Shoalhaven 41 19.3 171 80.7 212 100.0

Western Sydney 48 15.9 253 84.1 301 100.0

Nepean Blue Mountains 27 13.8 169 86.2 196 100.0

Northern Sydney – – – – 29 100.0

Central Coast 32 14.7 185 85.3 217 100.0

Hunter New England 142 15.2 790 84.8 932 100.0

Northern NSW 51 21.7 184 78.3 235 100.0

Mid North Coast 30 12.0 221 88.0 251 100.0

Southern NSW 16 18.6 70 81.4 86 100.0

Murrumbidgee 32 16.8 158 83.2 190 100.0

Western NSW 105 18.0 478 82.0 583 100.0

Far West 8 17.4 38 82.6 46 100.0

Other–not stated – – – – 24 100.0

TOTAL 592 15.8 3164 84.2 3756 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Due to under-reporting of Aboriginal mothers to the PDC, it is likely that the true numbers of mothers are higher than shown. The level of under-reporting varies between Local Health Districts (Table 74). Data not shown for cell counts less than five.

Duration of pregnancy at first antenatal visit Between 2010 and 2011, the proportion of Aboriginal or Torres Strait Islander mothers who commenced antenatal care at less than 14 weeks gestation decreased from 71.3% to 54.4%, and the proportion that commenced antenatal care at less than 20 weeks gestation decreased from 84.1% to 75.4% (Table 82).

Since 2011, rates of commencement of antenatal care at less than 14 weeks gestation have fallen substantially due to the introduction of a stricter definition of “antenatal care”. Up to 2010, the question asked was ‘Duration of pregnancy at first antenatal visit’. From 2011, the question asked is: ‘Duration of pregnancy at first comprehensive booking or assessment by clinician’. The new question has more specifically defined the type of visit to be reported and resulted in a substantial decrease in the reported proportion of mothers who commenced antenatal care before 14 weeks gestation between 2010 and 2011.

In 2014, 54.4% of Aboriginal or Torres Strait Islander mothers attended antenatal care at less than 14 weeks gestation and 75.4% attended at less than 20 weeks gestation. This compares with 59.9% of non-Aboriginal or Torres Strait Islander mothers who commenced antenatal care at less than 14 weeks gestation, and 85.2% who commenced antenatal care at less than 20 weeks gestation in 2014.

In 2014, the proportion of Aboriginal or Torres Strait Islander mothers who commenced antenatal care at less than 14 weeks gestation varied from 23.5% in the Central Coast Local Health District to 73.3% in the Mid North Coast Local Health District (Table 83).

TABLE 82: DURATION OF PREGNANCY AT FIRST ANTENATAL VISIT AMONG ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS, NSW 2010–2014#

Duration of pregnancy (weeks)

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

0–13 2204 71.3 1822 61.2 1707 51.0 1740 49.8 2044 54.4

14–19 396 12.8 467 15.7 703 21.0 798 22.9 788 21.0

20-plus 426 13.8 612 20.6 879 26.3 915 26.2 860 22.9

Not stated 64 2.1 74 2.5 59 1.8 39 1.1 64 1.7

TOTAL 3090 100.0 2975 100.0 3348 100.0 3492 100.0 3756 100.0



TABLE 83: DURATION OF PREGNANCY AT FIRST ANTENATAL VISIT AMONG ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS BY LOCAL HEALTH DISTRICT OF RESIDENCE, NSW 2014#


Duration of pregnancy at first antenatal visit (weeks)

0–13 14–19 20-plus Not stated TOTAL

No. % No. % No. % No. % No. %

Sydney 74 61.7 25 20.8 20 16.7 1 0.8 120 100.0




Western Sydney 110 36.5 99 32.9 82 27.2 10 3.3 301 100.0


Northern Sydney 12 41.4 13 44.8 4 13.8 0 0.0 29 100.0

Central Coast 51 23.5 79 36.4 84 38.7 3 1.4 217 100.0


Northern NSW 158 67.2 36 15.3 37 15.7 4 1.7 235 100.0

Mid North Coast 184 73.3 26 10.4 40 15.9 1 0.4 251 100.0

Southern NSW 28 32.6 22 25.6 36 41.9 0 0.0 86 100.0

Murrumbidgee 83 43.7 45 23.7 57 30.0 5 2.6 190 100.0

Western NSW 371 63.6 74 12.7 122 20.9 16 2.7 583 100.0

Far West 26 56.5 10 21.7 10 21.7 0 0.0 46 100.0

Other–not stated 16 66.7 2 8.3 5 20.8 1 4.2 24 100.0

TOTAL 2044 54.4 788 21.0 860 22.9 64 1.7 3756 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Due to under-reporting of Aboriginal mothers to the PDC, it is likely that the true numbers of mothers are higher than shown. The level of under-reporting varies between Local Health Districts (Table 74). Data not shown for cell counts less than five.

Smoking in pregnancy In 2014, 45.2% of Aboriginal or Torres Strait Islander mothers reported smoking at some time during pregnancy, compared to 47.9%% in 2010. This compares with 7.8% of non-Aboriginal or Torres Strait Islander mothers who reported smoking at some time during pregnancy in 2014.

Smoking in the second half of pregnancy poses the greatest risk to the health of both mother and baby. In 2014, 37.5% of Aboriginal or Torres Strait Islander mothers reported smoking in the second half of pregnancy. This percentage varied from 13.8% in the Northern Sydney Local Health District to 67.4% in the Far West Local Health District (Figure 3).

Sydney




Western Sydney


Northern Sydney

Central Coast

Hunter New England

Northern NSW

Mid North Coast

Southern NSW

Murrumbidgee

Western NSW

Far West

NSW

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence. NSW Ministry of Health.

Figure 3: Smoking in the second half of pregnancy among Aboriginal and Torres Strait Islander mothers by amount smoked and Local Health District of residence, NSW 2013#

1–10 per day More than 10 per day Amount not stated

PER CENT

100.080.060.040.020.00.0


Medical conditions and obstetric complications In 2014, there were similar rates of diabetes mellitus and chronic hypertension reported among Aboriginal and Torres Strait Islander mothers compared with non-Aboriginal or Torres Strait Islander mothers. However, the rate of gestational diabetes was higher among Aboriginal or Torres Strait Islander mothers (8.0%) than non-Aboriginal or Torres Strait Islander mothers (7.5%). Overall, the rate of hypertension in pregnancy was higher in Aboriginal or Torres Strait Islander mothers (6.3%) compared with non-Aboriginal or Torres Strait Islander mothers (4.4%) (Table 84). The number of Aboriginal or Torres Strait Islander mothers with medical conditions and obstetric complications reported to the Perinatal Data Collection is low, even after taking into account under-reporting of Aboriginal mothers. The low numbers may be due to under-detection and/or under-reporting.

TABLE 84: MEDICAL CONDITIONS AND OBSTETRIC COMPLICATIONS AMONG ABORIGINAL AND NON-ABORIGINAL MOTHERS, NSW 2014#

Condition



Non-Aboriginal or Torres Strait Islander

Not stated TOTAL

No. % No. % No. % No. %

Diabetes mellitus 60 1.6 1298 1.4 0 0.0 1358 1.4

Gestational diabetes 301 8.0 6941 7.5 0 0.0 7242 7.5

Chronic hypertension 44 1.2 701 0.8 0 0.0 745 0.8

Pre-eclampsia 88 2.3 1370 1.5 0 0.0 1458 1.5

Gestational Hypertension 147 3.9 2663 2.9 0 0.0 2810 2.9

TOTAL 3756 100.0 92158 100.0 12 100.0 95926 100.0


Labour and birth The rate of spontaneous onset of labour among Aboriginal or Torres Strait Islander mothers fell from 63.3% in 2010 to 54.0% in 2014 (Table 85), while the rate of induction of labour increased from 23.9% to 30.7%. The rate of spontaneous onset of labour was slightly higher among Aboriginal or Torres Strait Islander compared to the rate of 50.7% reported among non-Aboriginal or Torres Strait Islander mothers in 2014.

Between 2010 and 2014, the rate of normal vaginal birth fell from 67.0% to 65.4%. The caesarean section rate rose from 25.5% to 27.7% (Table 86). The rate of instrumental delivery decreased from 6.9% to 6.5%, and the rate of vaginal breech births was stable at about 0.5%.

TABLE 85: LABOUR ONSET FOR ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS, NSW 2010–2014#

Labour Onset

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

Spontaneous 1956 63.3 1809 60.8 1984 59.3 1993 57.1 2028 54.0

Induced 740 23.9 774 26.0 891 26.6 996 28.5 1152 30.7

No labour* 394 12.8 391 13.1 472 14.1 503 14.4 575 15.3

Not stated 0 0.0 1 0.0 1 0.0 0 0.0 1 0.0

TOTAL 3090 100.0 2975 100.0 3348 100.0 3492 100.0 3756 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Due to under-reporting of Aboriginal mothers to the PDC, it is likely that the true numbers of mothers are higher than shown (Table 74).* No labour indicates elective caesarean section.

TABLE 86: TYPE OF BIRTH AMONG ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS, NSW 2010–2014#

Type of birth

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

Normal vaginal 2070 67.0 1989 66.9 2256 67.4 2332 66.8 2456 65.4

Forceps 68 2.2 63 2.1 82 2.4 102 2.9 99 2.6


Vaginal breech 19 0.6 14 0.5 22 0.7 26 0.7 16 0.4


Emergency caesarean section* 395 12.8 375 12.6 372 11.1 386 11.1 464 12.4

Not stated 0 0.0 2 0.1 1 0.0 0 0.0 1 0.0

TOTAL 3090 100.0 2975 100.0 3348 100.0 3492 100.0 3756 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Due to under-reporting of Aboriginal mothers to the PDC, it is likely that the true numbers of mothers are higher than shown (Table 74).* Emergency caesarean section includes caesarean section where the onset of labour was not stated.


Birth weight Since 2010, the rate of low birth weight (less than 2,500 grams) in Aboriginal or Torres Strait Islander babies has been over 11% and was 11.3% in 2014 (Table 87). This is almost twice the rate for babies born to non-Aboriginal or Torres Strait Islander mothers, which was 6.1% in 2014. In 2014, the largest number of low birth weight babies was in the Hunter New England Local Health District (Table 88).

TABLE 87: WEIGHT OF BABIES BORN TO ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS, NSW 2010–2014#


Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

Less than 1,000 39 1.2 42 1.4 45 1.3 33 0.9 42 1.1

1,000–1,499 25 0.8 17 0.6 24 0.7 36 1.0 37 1.0

1,500–2,499 287 9.1 314 10.4 305 9.0 334 9.4 350 9.2

2,500+ 2787 88.8 2643 87.5 3022 88.9 3136 88.5 3374 88.6

Not stated 0 0.0 5 0.2 3 0.1 3 0.1 5 0.1

TOTAL 3138 100.0 3021 100.0 3399 100.0 3542 100.0 3808 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Due to under-reporting of Aboriginal mothers to the PDC, it is likely that the true numbers of babies are higher than shown (Table 75).

TABLE 88: WEIGHT OF BABIES BORN TO ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS BY LOCAL HEALTH DISTRICT OF RESIDENCE, NSW 2014#


Birth Weight (grams)

< 2,500 2,500+ Not stated TOTAL

No. % No. % No. % No. %

Sydney 14 11.5 108 88.5 0 0.0 122 100.0


South Eastern Sydney – – 95 96.0 – – 99 100.0


Western Sydney 42 13.8 262 85.9 1 0.3 305 100.0


Northern Sydney – – 27 90.0 – – 30 100.0

Central Coast 23 10.6 194 89.4 0 0.0 217 100.0


Northern NSW 27 11.3 211 88.7 0 0.0 238 100.0

Mid North Coast 36 14.1 220 85.9 0 0.0 256 100.0

Southern NSW 9 10.3 78 89.7 0 0.0 87 100.0

Murrumbidgee 14 7.3 179 92.7 0 0.0 193 100.0

Western NSW 60 10.1 532 89.9 0 0.0 592 100.0

Far West 8 17.4 37 80.4 1 2.2 46 100.0

Other–not stated 5 20.0 20 80.0 0 0.0 25 100.0

TOTAL 429 11.3 3374 88.6 5 0.1 3808 100.0

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Due to under-reporting of Aboriginal mothers to the PDC, it is likely that the true numbers of babies are higher than shown. The level of under-reporting varies between Local Health Districts (Table 75). Data not shown for cell counts less than five.

Gestational age Since 2010, over 11% of Aboriginal or Torres Strait Islander babies have been premature (less than 37 weeks gestation) (Table 89). The rate of prematurity was 13.0% in 2014, compared with a rate of 7.5% for babies born to non-Aboriginal or Torres Strait Islander mothers. In 2014, the largest number of premature babies was in the Hunter New England Local Health District (Table 90).

TABLE 89: GESTATIONAL AGE OF BABIES BORN TO ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS, NSW 2010–2014#


Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

< 28 39 1.2 44 1.5 45 1.3 35 1.0 39 1.0

28–31 40 1.3 40 1.3 38 1.1 44 1.2 54 1.4

32–36 287 9.1 297 9.8 367 10.8 369 10.4 400 10.5

37–41 2739 87.3 2620 86.7 2927 86.1 3076 86.8 3299 86.6

42 + 32 1.0 18 0.6 21 0.6 17 0.5 15 0.4

Not stated 1 0.0 2 0.1 1 0.0 1 0.0 1 0.0

TOTAL 3138 100.0 3021 100.0 3399 100.0 3542 100.0 3808 100.0



TABLE 90: GESTATIONAL AGE OF BABIES BORN TO ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS BY LOCAL HEALTH DISTRICT OF RESIDENCE, NSW 2014#



Less than 37 37+ Not stated TOTAL

No. % No. % No. % No. %

Sydney 14 11.5 108 88.5 0 0.0 122 100.0




Western Sydney 45 14.8 260 85.2 0 0.0 305 100.0


Northern Sydney – – 26 86.7 – – 30 100.0

Central Coast 19 8.8 198 91.2 0 0.0 217 100.0


Northern NSW 31 13.0 207 87.0 0 0.0 238 100.0

Mid North Coast 35 13.7 221 86.3 0 0.0 256 100.0

Southern NSW 6 6.9 81 93.1 0 0.0 87 100.0

Murrumbidgee 17 8.8 176 91.2 0 0.0 193 100.0

Western NSW 86 14.5 505 85.3 1 0.2 592 100.0

Far West 5 10.9 41 89.1 0 0.0 46 100.0

Other–not stated 5 20.0 20 80.0 0 0.0 25 100.0

TOTAL 493 12.9 3314 87.0 1 0.0 3808 100.0


Apgar score In 2014, 3.6% of Aboriginal or Torres Strait Islander babies had an Apgar score less than 7 at 5 minutes (Table 91), slightly higher than the rate of 2.3% for babies born to non-Aboriginal or Torres Strait Islander mothers.

TABLE 91: APGAR SCORE OF BABIES BORN TO ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS, NSW 2010–2014#

Apgar score at 5 minutes

Year

2010 2011 2012 2013 2014

No. % No. % No. % No. % No. %

0–4 50 1.6 61 2.0 50 1.5 58 1.6 61 1.6

5–6 53 1.7 56 1.9 59 1.7 46 1.3 75 2.0

7+ 3016 96.1 2891 95.7 3270 96.2 3434 97.0 3657 96.0

Not stated 19 0.6 13 0.4 20 0.6 4 0.1 15 0.4

TOTAL 3138 100.0 3021 100.0 3399 100.0 3542 100.0 3808 100.0



Infant feeding In 2014, 63.3% of babies born to Aboriginal or Torres Strait Islander mothers were fully breastfed at discharge from hospital, 7.0% were partially breastfed and 27.6% received infant formula only (Table 92). This compares with 79.2% of babies born to non-Aboriginal or Torres Strait Islander mothers who were fully breastfed in 2014. Rates of full breastfeeding ranged from 51.0% in the Murrumbidgee Local Health District to 80.0% in the Northern Sydney Local Health District.

TABLE 92: INFANT FEEDING AMONG LIVEBORN BABIES OF ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS BY LOCAL HEALTH DISTRICT OF RESIDENCE, NSW 2014#


Infant feeding


No. % No. % No. % No. % No. %

Sydney 74 60.7 16 13.1 32 26.2 0 0.0 122 100.0




Western Sydney 163 54.2 17 5.6 115 38.2 6 2.0 301 100.0


Northern Sydney 24 80.0 – – – – – – 30 100.0

Central Coast 165 76.7 10 4.7 35 16.3 5 2.3 215 100.0


Northern NSW 171 73.1 16 6.8 37 15.8 10 4.3 234 100.0

Mid North Coast 185 72.8 17 6.7 46 18.1 6 2.4 254 100.0

Southern NSW 65 76.5 – – 14 16.5 – – 85 100.0

Murrumbidgee 98 51.0 15 7.8 73 38.0 6 3.1 192 100.0

Western NSW 318 54.2 37 6.3 218 37.1 14 2.4 587 100.0

Far West 33 76.7 – – 9 20.9 – – 43 100.0

Other–not stated 15 60.0 – – – – – – 25 100.0

TOTAL 2388 63.3 264 7.0 1041 27.6 79 2.1 3772 100.0


Perinatal mortality Between 2010 and 2014, the perinatal mortality rate among Aboriginal or Torres Strait Islander babies has varied between 21.1 and 13.4 per 1,000 births (Table 93). The rate of 12.3 per 1,000 births in Aboriginal or Torres Strait Islander mothers in 2014 is substantially higher than the rate of 7.6 per 1,000 births experienced among babies born to non-Aboriginal or Torres Strait Islander mothers.

TABLE 93: PERINATAL DEATHS AMONG BABIES BORN TO ABORIGINAL AND TORRES STRAIT ISLANDER MOTHERS, NSW 2010–2014#

Perinatal deaths

Year

2010 2011 2012 2013 2014

No. Rate/ 1,000 No. Rate/ 1,000 No. Rate/ 1,000 No. Rate/ 1,000 No. Rate/ 1,000

Stillborn 26 8.3 40 13.2 28 8.2 26 7.3 33 8.7

Neonatal death 16 5.1 14 4.6 13 3.8 13 3.7 14 3.7

TOTAL 42 13.4 54 17.9 41 12.1 39 11.0 47 12.3

Source: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.# Perinatal deaths include deaths reported to the PDC only. As the PDC form is completed at discharge or transfer of the baby, deaths occurring after this time may not be reported to the PDC. Due to under-reporting of Aboriginal mothers to the PDC, it is likely that the true numbers of babies are higher than shown (Table 75).


9. APPENDICES

Appendix 1: Glossary of terms

Aboriginal and Torres Strait IslanderWomen who identify themselves as Australian Aboriginal or Torres Strait Islander.

Apgar scoreA numerical scoring system routinely administered 1 and 5 minutes after birth to evaluate the condition of the baby. The score ranges from 0–10 (10 being perfect). It takes account of 5 physical signs, each of which is assigned a component score of 0, 1 or 2: heart rate, respiration, muscle tone, reflexes, and colour.

AugmentationArtificial rupture of the membranes or use of oxytocic drugs after spontaneous onset of labour.

Birth weightThe newborn infant’s first bare weight in grams. Low birth weight: birth weight less than 2,500 grams.Very low birth weight: birth weight less than 1,500 grams. Extremely low birth weight: birth weight less than 1,000 grams.

Caesarean sectionBirth of the fetus through an abdominal incision. Elective caesarean section: a caesarean section (planned or unplanned) performed before the onset of labour. Emergency caesarean section: a caesarean section performed after the onset of labour, whether or not the onset of labour was spontaneous.

ConfinementRefers to a woman having given birth. In a multiple pregnancy, 1 confinement will result in more than 1 birth.

EpiduralInjection of analgesic agent outside the dura mater which covers the spinal canal; includes lumbar, spinal, and epidural anaesthetics.

EpisiotomyAn incision of the perineum and vagina to enlarge the vulval orifice.

Gestational ageThe duration of pregnancy in completed weeks from the first day of the last normal menstrual period. Where accurate information on the date of the last menstrual period is not available, a clinical estimate of gestational age may be obtained from ultrasound during the first half of pregnancy or by examination of the newborn infant. The ‘best estimate’ is used in this report.

Induction of labourOxytocics–prostaglandins: the initiation of labour by the use of oxytocic agents, prostaglandins, or their derivatives (oral, intravaginal or intravenous).ARM only: the initiation of labour by artificial rupture of membranes.Oxytocics–prostaglandins and ARM: both medical and surgical induction as defined above (combined medical and surgical induction).

Live birthThe complete expulsion or extraction from its mother of a baby who, after being born, breathes or shows any evidence of life such as a heartbeat.

ParityThe total number of live births and stillbirths of the mother before the pregnancy or birth under consideration.

Perinatal deathA stillbirth or neonatal death.

Perinatal mortality rateThe number of perinatal deaths (stillbirths and neonatal deaths) per 1,000 total births in a year (live births and stillbirths combined).

Perineal status1st degree tear: a perineal graze–laceration–tear involving: the fourchette, hymen, labia, skin, vagina, or vulva. 2nd degree tear: a perineal laceration or tear involving the pelvic floor or perineal muscles or vaginal muscles.3rd degree tear: a perineal laceration–tear involving the anal sphincter or rectovaginal septum.4th degree tear: a third degree perineal laceration or tear which also involves the anal mucosa or rectal mucosa.

PluralityThe number of fetuses in utero at 20 weeks gestation that are subsequently born separately. On this basis pregnancy may be classified as single or multiple.

Premature infantAn infant born before 37 completed weeks gestation.

Primary caesarean sectionFirst caesarean section.

StillbirthThe complete expulsion or extraction from its mother of a product of conception of at least 20 weeks gestation or 400 grams birth weight who did not, at any time after birth, breathe, or show any evidence of life such as a heartbeat.


Appendix 2: Explanatory notes

Antenatal careUp to 2010, the question asked at data collection was ‘Duration of pregnancy at first antenatal visit’. From 2011, the question asked is: ‘Duration of pregnancy at first comprehensive booking or assessment by clinician’. The new question has more specifically defined the type of visit to be reported and resulted in a substantial decrease in the reported proportion of mothers who commenced antenatal care before 14 weeks gestation between 2010 and 2011.

BreastfeedingFrom 2007, the PDC has collected information on infant feeding at the time of discharge from hospital (or discharge from care for home births) for all infants born in NSW. Infant feeding is reported via 3 tick-box categories: breastfeeding, expressed breast milk and infant formula. More than 1 type of feeding may be reported by ticking multiple boxes. In this report, infant feeding is classified into 3 categories: full breastfeeding, which includes babies who were reported to be breastfed or to be receiving expressed breast milk; any breastfeeding, which includes babies who were reported to be receiving breast milk and infant formula; and infant formula only (no breastfeeding).

Place of residence of motherThe mother’s usual residence was the basis for coding to statistical local areas and NSW Local Health Districts.

LabourThe category labour—spontaneous with oxytocics–prostaglandins was used where labour was augmented with artificial rupture of membranes as well as oxytocics or prostaglandins.

Maternity service levelLevel 1: local maternity service (no births), postnatal only for women with normal outcomes.Level 2: small maternity services, normal risk pregnancy and births only. Staffed by general practitioners and midwives. Level 3: country district and smaller metropolitan services, care for mothers and infants at normal selected moderate risk pregnancies and births. Full resuscitation and theatre facilities available. Rostered obstetricians, resident medical staff and midwives. Accredited general practitioner specialist anaesthetist on call. Has Level 2b neonatal care.Level 4: regional referral metropolitan district services. Birth and care for mothers and/or babies with moderate risk factors. Obstetricians and paediatrician available 24 hours a day, 7 days a week. Rostered resident medical staff, specialist anaesthetist on call. Has Level 2b neonatal care.Level 5: regional referral metropolitan services, care for mothers and infants known to be at high risk. Able to cope with complications arising from these risk factors. Has Level 2a neonatal care.Level 6: (tertiary) specialist obstetric services (supra regional). All functions normal, moderate and high risk births. Has Level 3 neonatal intensive care.

Type of birthThe ‘vaginal breech’ category covers all forms of vaginal breech birth, including forceps to the after coming head.

Perinatal mortality ratePerinatal deaths include deaths reported to the PDC only. As the PDC form is completed at discharge or transfer of the baby, deaths occurring after this time may not be reported to the PDC. Birth and perinatal death registration data held by the Australian Bureau of Statistics (ABS) give the most complete ascertainment of perinatal deaths for calculation of rates.


Appendix 3: Maternal countries of birth and country of birth groups

English speakingAustraliaAustralian External Territories, necBermudaCanadaEnglandGuernseyIrelandIsle of ManJerseyNew ZealandNorfolk IslandNorthern IrelandScotlandSouth AfricaSt Pierre and MiquelonUnited States of AmericaWales

Melanesia, Micronesia & PolynesiaCook IslandsFijiFrench PolynesiaGuamKiribatiMarshall IslandsMicronesia, Federated States ofNauruNew CaledoniaNiueNorthern Mariana IslandsPalauPapua New GuineaPitcairn IslandsPolynesia (excludes Hawaii), necSamoaSamoa, AmericanSolomon IslandsTokelauTongaTuvaluVanuatuWallis and Futuna

Southern EuropeAlbaniaAndorraBosnia and HerzegovinaBulgariaCroatiaCyprusFormer Yugoslav Republic of Macedonia (FYROM)GibraltarGreeceHoly SeeItalyKosovoMaltaMoldovaMontenegroPortugalRomaniaSan MarinoSerbiaSloveniaSpain

Western and Northern EuropeAland IslandsAustriaBelgiumDenmarkFaroe IslandsFinlandFranceGermanyGreenlandIcelandLiechtensteinLuxembourgMonacoNetherlandsNorwaySwedenSwitzerland

Eastern Europe, Russia and Central Asian StatesAfghanistanArmeniaAzerbaijanBelarusCzech RepublicEstonia

GeorgiaHungaryKazakhstanKyrgyzstanLatviaLithuaniaPolandRussian FederationSlovakiaTajikistanTurkmenistanUkraineUzbekistan

Middle East and AfricaAlgeriaAngolaBahrainBeninBotswanaBurkina FasoBurundiCameroonCape VerdeCentral African RepublicChadComorosCongo, Democratic Republic ofCongo, Republic ofCote d’IvoireDjiboutiEgyptEquatorial GuineaEritreaEthiopiaGabonGambiaGaza Strip and West BankGhanaGuineaGuinea-BissauIranIraqIsraelJordanKenyaKuwaitLebanonLesothoLiberiaLibyaMadagascarMalawi

MaliMauritaniaMauritiusMayotteMoroccoMozambiqueNamibiaNigerNigeriaOmanQatarReunionRwandaSao Tome and PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSomaliaSouth SudanSouthern and East Africa, necSpanish North AfricaSt HelenaSudanSwazilandSyriaTanzaniaTogoTunisiaTurkeyUgandaUnited Arab EmiratesWestern SaharaYemenZambiaZimbabwe

South East AsiaBrunei DarussalamCambodiaIndonesiaLaosMalaysiaMyanmar, The Republic of the Union of PhilippinesSingaporeThailandTimor-LesteVietnam

North East AsiaChina (excludes SARs and Taiwan) Hong Kong (SAR of China)JapanKorea, Democratic People’s Republic of (North)Korea, Republic of (South)Macau (SAR of China)MongoliaTaiwan

Southern AsiaBangladeshBhutanIndiaMaldivesNepalPakistanSri Lanka

Central and South AmericaAnguillaAntigua and BarbudaArgentinaArubaBahamasBarbadosBelizeBolivia, Plurinational State ofBonaire, Sint Eustatius and SabaBrazilCayman IslandsChileColombiaCosta RicaCubaCuracaoDominicaDominican RepublicEcuadorEl SalvadorFalkland IslandsFrench GuianaGrenadaGuadeloupeGuatemalaGuyanaHaiti

HondurasJamaicaMartiniqueMexicoMontserratNicaraguaPanamaParaguayPeruPuerto RicoSint Maarten (Dutch part)South America, necSt BarthelemySt Kitts and NevisSt LuciaSt Martin (French part)St Vincent and the GrenadinesSurinameTrinidad and TobagoTurks and Caicos IslandsUruguayVenezuela, Bolivarian Republic ofVirgin Islands, British Virgin Islands, United States


Appendix 4: NSW Perinatal Data Collection form

Was the last birth bycaesarean section?

Not applicableWas mother in a midwifery continuity of carer program for antenatal, birth and postnatal care?

Did the mother smoke at all in 1st half of pregnancy?

Did the mother smoke at all in 2nd half of pregnancy?

Yes

Yes

1

1

1101

day month year

Mother's Unit Record No.

Total number of previous caesarean sections?

If yes, how many cigarettes each day on average in the 2nd half of pregnancy?

1st deg. tear/graze

Analgesia for labour (tick one or more)

No

1 min

Unit Record No.

Postpartum haemorrhage requiring blood transfusion

Code

5 min

Previous pregnancy greater than 20 weeks?

Surgical repair of the vagina or perineum

DISCHARGE

Hospital

First Name Family Name

Address Postcode

Mother's birth date

Country of birth Australia

If other, specify:

Indigenous status:

Other

MATERNITY CARE

PREVIOUS PREGNANCIES

LABOUR AND DELIVERY (cont.)

Diabetes mellitus

Gestational diabetes

Chronic hypertension

Preeclampsia

Presentation at birthVertex

BreechBrow

OtherShoulder/transverse

Type of birthNormal vaginal

Forceps Vag. breech-no forcepsVacuum extr.

If caesarean section, main indication:Failure to progress

Perineal statusIntact

2nd deg. tear Other

Resuscitation of babyNone/minimal

SuctionO therapy

IPPR: with intubationExternal cardiac

massage + ventilation

Other clinical indicationTHIS PREGNANCYDate of EDC

Medical conditions

Sex: M F Indet.

Birth date:

Plurality: Single Multiple

If multiple, total number

If multiple birth, specify baby number

Birthweight

4th deg. tear

3rd deg. tear

Estimated gestational age

Apgar

- Cx 3 cm dilated or less- Cx dilated more than 3 cm

Non-clinical indication

(grams)

Yes No

LABOUR AND DELIVERY

(tick one or more)

If yes:No. previous pregnancies > 20 weeks

IPPR: mask

1 0

Yes No1 0

No 0

1

2

4

5

6

1

2

3

5

3

76

2

3

5

1

2

4

6

1 32

1 2

1

2

3

4

5

6

Congenital condition?

Antenatal care received? Yes No1 0

Hospital-based medical

Model of care:

Hospital-based midwife/midwivesGeneral practitioner

Independent midwife

Mother referred from another hospital?

If yes, specify hospital

POSTNATAL

Fetal distress 4

Birth

Mother

Baby

BABY

Management of the 3rd stagePhysiologicalActive 1 2

Face 3

Yes No1 0

0If yes, specify:

(for shared care tick more than one box)Antenatal care

Private obstetrician

Nitrous oxideSystemic opioids

Spinal

Epidural/caudal

Other

NoneCombined

spinal+epidural

Elective repeat caesarean section 5

Local to perineumPudendal

SpinalOther

Combined spinal+epidural

Anaesthesia for delivery (tick one or more) Epidural/caudalNone

General anaesthetic

Yes 1 No 0

hospital discharge

day month year

day month year

Gestational hypertension

2

Yes No1 0

EpisiotomyYes No1 0

No 0

If yes:Duration of pregnancy at first comprehensive booking or assessment by clinician

Mother Baby Aboriginal

Torres Strait IslanderAboriginal and Torres Strait Islander

None of the above

1234

If yes, how many cigarettes each day on average in the 1st half of pregnancy?

Vag. breech-forceps 4

Number of antenatal visits

Caesarean section 6

Hepatitis B surface antigen positive

Yes 1 No 0

Baby place of birth Hospital theatre/delivery suite

Birth centrePlanned birth centre/delivery suite birth

Planned homebirthPlanned homebirth/hospital admission

Born before arrival

1

2

3

4

5

6

Referral after onset of labourReferral prior to onset of labour 1

2

Yes 1

Hospital mother transferred to:

day month year

Mother's date of discharge

Breast-feeding

Infant formula

Baby feeding on

Expressed breast milk(tick one or more)

Mother BabyDischargedTransferred

Died

DischargedTransferred

StillbirthDied

Transferred and died

1

2

3

1

2

3

4

5

of dischargeday month year

Baby's date

Admitted to SCN/NICUIf yes, was a congenital condition the main reason for admission? Yes No1 0

Hepatitis B birth dose

Vitamin K IMOral 1 2 None 3

No 0Yes 1

Yes No1 0

Induced 2Spontaneous 1Onset of labour

If labour augmented/ induced (tick one or more):No labour

Oxytocins

Prostaglandins

ARMOther

3

If labour induced, main indication: Diabetes

Prelabour rupture of membranes

Suspected intrauterine growth restriction

Blood group isoimmunisation

Fetal distressFetal death

Chorioamnionitis

Hypertensive disease

Prolonged pregnancy (41+ weeks)

Other

1

2

3

4

5

6

7

8

9

10

transferred to:Hospital baby

Signature of midwife at discharge

Baby transferred by NETS Yes No1 0

NSW Perinatal Data Collection Please complete and forward to:Demand and Performanace Evaluation Branch, Level 5, NSW Department of Health Locked Mail Bag 961, North Sydney, NSW 2059

Health Department Copy

PLEASE PRESS FIRMLY WHEN COMPLETING THIS FORM

Publ

ic H

ealth

Act

, 199

1M

R44

/PR

16

NSW PERINATAL DATA COLLECTION


SHPN (CEE) 150435

nsw mothers and babies 2014...hepatitis b 28 table 33: hepatitis b dose given to liveborn babies,...

Documents