1. Healthcare

The National Maternity Hospital
Activity Analysis for the Year 2013
Table 1: Mothers Attending
Mothers Delivered >= 500g
Mothers Delivered < 500g
Hydatidiform Moles
Ectopic Pregnancies
8755
999
19
82
9855
Table 2: Maternal Deaths
0
Table 3: Total Births (>= 500g)
Singletons
Twins
Triplets
Quadruplets
Total Births >= 500g
*at least one baby born >=500g
8557
381
16
0
8954
Table 4: Obstetric Outcome
Spontaneous Vaginal Delivery
Forceps
Ventouse
Caesarean Section
%
5774 (65.9%)
357 (4.1%)
600 (6.9%)
2024 (23.1%)
Induction
26.5%
Table 5: Perinatal Deaths
Antepartum Deaths
Intrapartum Deaths
Total Stillbirths
Early Neonatal Deaths
Congenital Anomalies (SBs and ENNDs)
Total Perinatal Deaths
29
0
29
13
22
64
Table 6: Perinatal Mortality Rates
Overall Perinatal Mortality Rate per 1000 births
Perinatal Mortality Rate corrected for lethal congenital anomalies (22)
Perinatal Mortality Rate including late neonatal deaths (8)
Perinatal Mortality Rate excluding external referrals (15)
Perinatal Mortality Rate corrected for lethal congenital anomalies (22) and excluding early
deaths and stillbirth external referrals (8)
Page 1
64/8955
42/8933
72/8955
49/8940
7.1
4.7
8.0
5.5
34/8925
3.8
FB 27/01/2015
The National Maternity Hospital
Table 7: Age of Mothers Delivered
< 20 yrs
20 - 24 yrs
25 - 29 yrs
30 - 34 yrs
35 - 39 yrs
40 + yrs
Unrecorded
Totals
Nullip
78
350
768
1698
748
133
35
3810
Multip
6
201
694
1813
1835
383
13
4945
Table 8: Parity of Mothers Delivered
Para 0
Para 1
Para 2 - 4
Para 5+
Total
Total
3810
3150
1734
61
8755
% of
Deliveries
43.5%
36.0%
19.8%
0.7%
100.0%
Table 9: SEG Group
1
2
3
4
5
6
7
8
9
10
Total
Nullip
85
209
98
37
4
0
79
0
0
3298
3810
Multip
181
550
239
70
10
0
285
0
0
3610
4945
Table 10: Nationality of Mothers Delivered
Irish National
Non Irish EU National
Non EU National
Nationality Unknown
Total
Total
5102
815
784
2054
8755
% of
Deliveries
58.3%
9.3%
9.0%
23.5%
100.0%
Page 2
Total
84
551
1462
3511
2583
516
48
8755
% of
Deliveries
1.0%
6.3%
16.7%
40.1%
29.5%
5.9%
0.5%
100.0%
Total
266
759
337
107
14
0
364
0
0
6908
8755
% of
Deliveries
3.0%
8.7%
3.8%
1.2%
0.2%
0.0%
4.2%
0.0%
0.0%
78.9%
100.0%
8755
8755
8755
8755
FB 27/01/2015
The National Maternity Hospital
Table 11: Birthweight
500 - 999g
1,000 - 1,499g
1,500 - 1,999g
2,000 - 2,499g
2,500 - 2,999g
3,000 - 3,499g
3,500 - 3,999g
4,000 - 4,499g
4,500 - 4,999g
5,000g +
Total Babies Born >= 500g
Nullip
34
40
63
139
479
1273
1354
467
66
9
3924
Multip
26
22
41
115
430
1322
1917
950
182
25
5030
Total
60
62
104
254
909
2595
3271
1417
248
34
8954
% of
Births
0.7%
0.7%
1.2%
2.8%
10.2%
29.0%
36.5%
15.8%
2.8%
0.3%
100.0%
Table 11a: Sex of Babies Born
Male
Female
Indeterminate
Total Babies Born >= 500g
Nullip
2042
1882
0
3924
Multip
2545
2485
0
5030
Total
4587
4367
0
8954
% of
Births
51.2%
48.8%
0.00%
100.0%
Table 12: Gestational Age of Babies Born
< 26 weeks
26 - 29 + 6 days
30 - 33 + 6 days
34 - 36 + 6 days
37 - 41 + 6 days
42 + weeks
Total Babies Born >= 500g
Nullip
18
34
78
199
3307
288
3924
Multip
14
24
53
184
4573
182
5030
Total
32
58
131
383
7880
470
8954
% of
Births
0.4%
0.6%
1.5%
4.3%
88.0%
5.2%
100.0%
Table 13: Perineal Trauma after Vaginal Delivery (SVD and Operative)
Nullip
Multip
Episiotomy
1458
380
Incidence % of SVDs 50.4%
9.9%
Tear - No Sutures
166
604
Incidence % of SVDs
5.7%
15.7%
Tear with Sutures
991
1781
Incidence % of SVDs 34.2%
46.4%
Third Degree Tear
74
43
Incidence % of SVDs
2.6%
1.1%
Fourth Degree Tear
2
0
Incidence % of SVDs
0.1%
0.0%
Intact
203
1029
Incidence % of SVDs
7.0%
26.8%
Total Vaginal Deliveries (SVD and Operative)
2894
3837
Page 3
Overall
1838
27.3%
770
11.4%
2772
41.2%
117
1.7%
2
0.0%
1232
18.3%
6731
FB 27/01/2015
The National Maternity Hospital
Table 13a: Perineal Trauma after Spontaneous Vaginal Delivery (excluding Operative)
Nullip
Multip
Overall
Episiotomy
774
264
1038
Incidence % of SVDs 36.7%
7.2%
18.0%
Tear - No Sutures
158
599
757
Incidence % of SVDs
7.5%
16.4%
13.1%
Tear with Sutures
940
1744
2684
Incidence % of SVDs 44.5%
47.6%
46.5%
Third Degree Tear
43
38
81
Incidence % of SVDs
2.0%
1.0%
1.4%
Fourth Degree Tear
0
0
0
Incidence % of SVDs
0.0%
0.0%
0.0%
Intact
196
1018
1214
Incidence % of SVDs
9.3%
27.8%
21.0%
Total Spontaneous Vaginal Deliveries (excl. Operative)
2111
3663
5774
Table 13b: Perineal Trauma after Operative Vaginal Delivery
Nullip
Episiotomy
684
Incidence % of SVDs 87.4%
Tear - No Sutures
8
Incidence % of SVDs
1.0%
Tear with Sutures
51
Incidence % of SVDs
6.5%
Third Degree Tear
31
Incidence % of SVDs
4.0%
Fourth Degree Tear
2
Incidence % of SVDs
0.3%
Intact
7
Incidence % of SVDs
0.9%
Total Operative Vaginal Deliveries
783
Multip
116
66.7%
5
2.9%
37
21.3%
5
2.9%
0
0.0%
11
6.3%
174
Overall
800
83.6%
13
1.4%
88
9.2%
36
3.8%
2
0.2%
18
1.9%
957
Table 14: Third Degree Tears
Associated with SVD
Associated with Forceps
Associated with Ventouse
Nullip
43
23
8
Multip
38
1
4
Total
81
24
12
2
0
2
Fourth Degree Tears
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The National Maternity Hospital
Table 15: Perinatal Mortality in Antepartum Normally-Formed Infants
(Antepartum and Intrapartum Stillbirths)
Nullip
Multip
Placental Disease
5
9
Cord Accident
5
0
Unexplained
2
1
Infection
2
3
Abruption / Antepartum Haemorrhage
0
1
Hypoxia
0
0
Preterm Pre-labour Rupture of Membranes
0
0
Twin to Twin Transfusion
1
0
IUGR
0
0
Uterine Rupture
0
0
Fetal-Maternal Haemorrhage
0
0
Other Central Nervous System Lesions
0
0
Other
0
0
Totals
15
14
Total
14
5
3
5
1
0
0
1
0
0
0
0
0
29
Table 16: Perinatal Mortality in Congenitally Malformed Infants
Nullip
Chromosomal
3
Multiple
2
Cardiac
0
Neural Tube Defects
1
Renal
1
Gastrointestinal
0
Other Central Nervous System Lesions
0
Hydrops
0
Skeletal
0
Pulmonary
0
Other
1
Totals
8
Multip
4
3
2
3
2
0
0
0
0
0
0
14
Total
7
5
2
4
3
0
0
0
0
0
1
22
Nullip
Multip
Total
0
1
0
5
0
0
2
0
0
0
8
2
3
0
0
0
0
0
0
0
0
5
2
4
0
5
0
0
2
0
0
0
13
Table 17: Early Neonatal Deaths
Congenital (see Congenital Anomalies Table 16)
Infection
Placental Disease
Other
Prematurity
Hypoxia
Preterm Pre-labour Rupture of Membranes
Abruption / Antepartum haemorrhage
TICH
Twin to Twin Transfusion
Rhesus Disease
Totals
Autopsy rate of perinatal deaths and late neonatal deaths
Page 5
56%
FB 27/01/2015
The National Maternity Hospital
Table 18: Neonatal Encephalopathy with/without Hypoxic Ischaemic Encephalopathy
Total
Nullip
Multip
Neonatal Encephalopathy - with HIE
12
6
6
Neonatal Encephalopathy - no HIE
6
1
7
Table 19: Severe Maternal Morbidity
Vascular dysfunction
Coagulation dysfunction
Cerebral dysfunction
Anaesthetic complications
Liver dysfunction
Peripartum hysterectomy
Immunological dysfunction
Cardiac dysfunction
Renal dysfunction
Respiratory dysfunction
Uterine rupture
ICU Admission
Total
13
4
1
1
10
6
4
1
0
4
2
4
50
Table 20: Body Mass Index (WHO ranges)
2013
130
(1.5%)
4805
(54.9%)
2311
(26.4%)
664
(7.6%)
272
(3.1%)
94
(1.1%)
479
(5.5%)
8755
Underweight: <18.5
Healthy: 18.5 - 24.9
Overweight: 25 - 29.9
Obese class 1: 30 - 34.9
Obese class 2: 35 - 39.9
Obese class 3: >40
Unrecorded
Total Deliveries
Page 6
2012
131
(1.5%)
4841
(53.9%)
2411
(26.9%)
800
(8.9%)
235
(2.6%)
89 (1.0%)
471
(5.2%)
8978
2011
130
(1.4%)
4700
(50.8%)
2493
(27.0%)
832
(9.0%)
268
(2.9%)
88
(0.9%)
739
(8.0%)
9250
2010
101
(1.0%)
4528
(46.4%)
2473
(25.4%)
814
(8.3%)
243
(2.5%)
92 (1.0%)
1505
(15.4%)
9756
FB 27/01/2015
The National Maternity Hospital
Table 21: Income
HSE Allocation
Patient Income
Other
€ 000's
45,559
15,433
5,739
Pay
Medical
Nursing
Other
9,028
22,065
18,397
Non Pay
Drugs & Medicine
Medical & Surgical Appliances
Insurance
2,156
3,971
239
Laboratory
Other
1,482
7,030
Net Deficit
2,363
Page 7
FB 27/01/2015