217
Appendices
NMH Annual Rep t
|
2020
Table 13(b): Perineal Trauma after Operative Vaginal Delivery (OVD)
Nullip Multip Overall
Episiotomy 466 193 659
Incidence % of OVDs 32.8% 7.3% 16.2%
First Degree Tear 184 597 781
Incidence % of OVDs 12.9% 22.6% 19.2%
Second Degree Tear 576 958 1534
Incidence % of OVDs 40.5% 36.3% 37.8%
Third Degree Tear 30 22 52
Incidence % of OVDs 2.1% 0.8% 1.3%
Fourth Degree Tear 2 0 2
Incidence % of OVDs 0.1% 0.0% 0.0%
Intact 163 872 1035
Incidence % of OVDs 11.5% 33.0% 25.5%
Total Operative Vaginal Deliveries 1421 2642 4063
Table 14: Severe Maternal Morbidity (SMM)
Major SMM only*
Major Obstetric Haemorrhage 33
Uterine Rupture 1
Peripartum Hysterectomy 3
Eclampsia 4
Renal / Liver Dysfunction 7
Pulmonary Oedema 0
Acute Respiratory Dysfunction 0
Pulmonary Embolism 2
Cardiac Arrest 0
Coma 0
Cerebral Vascular Accident 0
Status Epilepticus 1
Septic Shock 6
Anaesthetic Problems 1
ICU/CCU admission 0
Other 3
Interventional Radiology 0
Total 61
Some women had more than one SMM – in this table only the major SMM is reported
Table 15: Neonatal Encephalopathy
Inborn Outborn
Neonatal Encephalopathy - with HIE 8 4
Neonatal Encephalopathy - no HIE 0 2
Seizures – No Encephalopathy 4 0
Therapeutic Hypothermia 8 5
