Staff area

Ten Moons Statistics 2014

We annually evaluate our statistics in order to monitor safety and quality of care.

This monitoring process is of upmost importance to us in ensuring that mothers and their babies are receiving safe and high quality care but also allows us to implement necessary changes and improvements to our services.

The most important conclusion for our 2014 data is that our midwifery care is safe, in particular homebirth.

We have compared our Ten Moons Statistics to the National Core Maternity Indicators 2009 data and the Cosmos outcomes (‘COmparing Standard Maternity care with One to one midwifery Support’, 2012) for benchmarking comparison to national and local outcomes in the maternity services industry.

National Core Maternity Indicators (Australian Institute of Health and Welfare)

 The ten national core maternity indicators are:

  • Developed by the Australian government to monitor the quality of maternity services in Australia
  • Clinical indicators that monitor the national quality of maternity performance and outcome of care

 

No. Description National Core Maternity Indicators (2009) Ten Moons (2014)
3a Episiotomy for women having their first baby and giving birth vaginally without instruments 15.1% 0%
3b Episiotomy for women having their first baby and giving birth vaginally with instruments 58.5% 0%
4 Apgar Score of less than 7 at 5 minutes for births at or after term 1.1% 0%
5 Induction of labour for selected women giving birth for the first time 32.7% 8.3%
6 Caesarean section for selected women giving birth for the first time 27.1% 8.3%
7 Normal (non-instrumental) vaginal birth for selected women giving birth for the first time 49.6% 83.3%
8 Instrumental vaginal birth for selected women giving birth for the first time 23.3% 8.3%
9 General anaesthetic for women giving birth by caesaraen section 8.4% 0%
10 Small babies among births at or after 40 weeks gestation 1.8% 0%

COSMOS (‘COmparing Standard Maternity care with One to one midwifery Support’, 2012)

  •  First randomised controlled trial comparing caseload midwifery care with standard options of care for women at low risk of medical complications at the Royal Women’s Hospital in Melbourne (in caseload midwifery, women are cared for by a primary midwife throughout pregnancy, birth and the early postnatal period, and care is provided by one or two back-up midwives only when needed)
  • First randomised controlled trial of caseload midwifery in Australia and largest study of its kind in the world
  • Caseload midwifery is a model of maternity care recommended in Victoria and throughout Australia and is often referred to as the ‘gold standard’ in maternity care

 

Description Cosmos (2012) Ten Moons (2014)
Episiotomy 23.1% 0%
Caesarean 19.4% 10.5%
Spontaneous Vaginal Birth 63% 84%
Epidural 30.5% 21%

Other Ten Moons Statistics (2014)

1. Parity (number of times that a woman has given birth)

Parity2014

 

 

 

 

 

2. Planned Place of Birth

Untitled2

 

 

 

 

 

3. Homebirth Transfers

Untitled3

Out of the 68% of women who planned having a homebirth, 85% gave birth at home. 15% of women got transfered to hospital non-emergently for failure to progress in the first stage of labour.

Emergency Hospital Transfers 0%!

 

 

4a. Type of Birth for all Women 

Untitled16

 

Vaginal birth after caesarean (VBAC) were not included into the birthing statistics due to a small VBAC caseload (2). 1- successful VBAC, 2- repeat caesarean after attempted VBA2C

 

 

 

4b. Type of Birth for first time Mothers

Untitled5

 

83% of first time mothers had a normal vaginal birth.

 

 

 

 

5. Onset of Labour

Untitled6

 

 

 

 

 

 

 

6a. Perineal Injuries for all Women

Untitled7

 

67% of 1st and 2nd degree tears did not get sutured and had healed completely by 6 weeks after birth.

 

 

 

6b. Perineal Injuries for first time Mothers

Untitled8

 

 

 

 

 

7. Pharmacological Pain Relief

Untitled9

 

N2O= gas in air

 

 

 

8. Birth Positions

Untitled10

 

32% of the women having a waterbirth gave birth at home.

 

 

 

 

9. Birth of Placenta

Untitled11

 

 

 

 

 

 

10. Postpartum Haemorrhage (PPH)

Untitled12

The PPH >1L occured during a surgical birth in the hospital.

Out of the remainder 21% some occured during homebirths. None of the homebirths were transfered to hospital for PPH management and all of them got safely and appropriately managed at home with no adverse outcomes.

 

 

 

11. Neonatal Outcomes

  • 100% were born at term (>37 weeks gestation)
  • 100% had a birthweight >2500 gr
  • 100% had a 5 minute Apgar of 9
  • 0 SCN admissions in the homebirthing group
  • 2 SCN admissions for phototherapy at 3 days and 7 days of age in the planned hospital birth group (both cases had home visits from hospital midwives only, Ten Moons had limited involvement in the immediate postnatal care)

 

12. Breastfeeding Rates

Description Australian Institute of Family Studies (2008) Ten Moons (2014)
Breastfeeding Initiation Rate 92% 100%
Exclusive Breastfeeding Rate at 6 weeks   79%(11% partial breastfeeding rate, 11% of data incomplete at time of report)
Exclusive Breastfeeding Rate at 6 months 14% 58%(5% partial breastfeeding rate, 37% of data incomplete at time of report)

 

The above published statistics are based on a total caseload of 19.

 

References

 

 

Leave a Reply

An UltraWebsite