My Statistics

My Statistics (to the end of 2010)

 

Birth Centre Births 2002-2005 – are predominantly “low risk” so will have better outcomes overall. It is also a larger sample than my Independent Midwifery client group.

Independent Clients 2005-2010 – over 60% had at least one risk factor, including 6 breech births, 2 sets of twins, previous caesarean births, previous 4th degree tear, 2 previous shoulder dystocias, 3 IVF pregnancies, clients with BMI >30 and <18, and women over 40years of age.

This is a small group to study and therefore by adding outcomes of all births under my care 2002-2010 I hope to give a more realistic sample of high and low risk clients (sample size of 128 births).

National Statistics (according to www.birthchoiceuk.com) Normal birth rates (not readily available) are defined as: “being one where a woman starts labour without induction, did not have any anaesthesia (general, spinal or epidural), did not have a caesarean (planned or emergency), did not have an instrumental delivery (forceps or ventouse/vacuum), and did not have an episiotomy).” Normal Birth “For many hospitals this may only be 15-30% of women7, but will usually be much higher in a midwifery-led unit or GP units”. Caesarean rate Nationally: 24.6% (higher in some areas). The World Health Organisation (WHO) has recommended that no hospital should have a Caesarean rate higher than 10-15%20,, although many hospitals in the UK have Caesarean rates over 20%. If a local hospital does have a high Caesarean rate, it is worth asking why this is. Some hospitals (for example, large teaching hospitals) have a high proportion of women with complications which can increase the Caesarean rate..

 

First Baby 

 

35births

Second or
subsequent baby49births
Birth Centre  

84 births

Independent Clients  

44births

All Births
2002-2010
 

128births

Vaginal births in hospital 26 (74%)  48   (97.9%) 88% 10   (22.7%) 84    (65.6%)
Normal Births 74% 97.9% 88% 75% 107   (83.5%)
Homebirths 0     (0%) 0       (0%) 0% 23     (52.2%) 23     (17.9%)
Waterbirths 5   (4.2%) 14     (28.5%) 22.6% 16     (36.3%) 35     (27.3%)
Ventouse (done by doctor) 6   (17%) 1       (2%) 8% 1       (2.2%) 8       (6.25%)
Forceps (done by doctor) 1   (2.8%) 0         (0%) 1.1% 0        (0%) 1        (0.7%)
Caesarean (done by doctor) 2   (5.7%) 0         (0%) 2.3% 9       (20.4) 11      (8.5%)
Perineum intact or 1st degree tear 19 (54.3%) 44     (98.7%) 75% 19     (43.1%) 82      (64%)
Second degree 16 (45.7%) 5       (10.2%) 25% 14      (31.8%) 35      (27.3%)
Third/fourth degree 0      (0%) 0         (0%) 0% 0        (0%) 0        (0%)
Episiotomy 0      (0%) 0         (0%) 0% 0        (0%) 0        (0%)
Baby Apgars 8 or above at 1 min 31  (88%) 46     (93.8%) 91.6% 37      (84%) 114    (89%)
Physiological third stage 1   (2.8%) 7       (14.2%) 9.5% 24      (54.5%) 32      (25%)
Post partum haemorrhage 5    (14%) 0         (0%) 4.7% 5        (11%) 10       (7.8%)
Baby breast fed at birth 18  (51.4%) 22     (47.8%) 47.6% 36      (81.8%) 76      (59.3%)
Shoulder Dystocia 0     (0%) 1 mild.  (2%) 1.1% 0        (0%) 1        (0.7%)
Retained Placenta 0     (0%) 1           (2%) 1.1% 0        (0%) 1        (0.7%)
Artificial rupture of membranes 1     (2.8%) 1           (2%) 2.3% 0        (0%) 2        (1.5%)

 

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