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88 Maternity and Obstetrics Group 5 All 2020 2017 2016 2015 2014 2013 2012 2011 2010 ARM 15.6% 153/979 31.7% 21.8% 20.8% 23.4% 25.6% 30.3% 31.9% 31.6% Prostaglandin 0.1% 1/979 0.0% 0.2% 0.2% 0.2% 0.1% 0.0% 0.3% 0.2% Oxytocin 3.4% 33/979 2.1% 2.4% 2.3% 3.0% 4.9% 6.2% 9.0% 7.7% Epidural 16.5% 162/979 17.8% 20.8% 19.8% 24.4% 28.6% 32.9% 31.7% 30.7% Electronic monitoring 46.0% 450/979 31.5% 38.2% 36.4% 41.6% 43.9% 51.9% 50.5% 51.2% Fetal blood sample 0.3% 3/979 1.6% 2.5% 2.4% 2.2% 2.4% 4.8% 7.9% 8.4% Vaginal operative delivery 5.3% 52/979 5.8% 5.1% 4.9% 6.9% 5.6% 7.1% 8.3% 9.1% Apgars <7 at 5 mins 0.6% 6/979 0.8% 0.2% 0.2% 0.5% 1.0% 0.8% 0.2% 0.8% Cord pH < 7.0 0.0% 0/979 0.3% 1.5% 1.4% 0.1% 0.2% 0.4% 0.4% 0.0% Overall caesarean section rate 80.9% 792/979 75.9% 62.5% 59.6% 68.0% 68.1% 61.6% 60.9% 60.5% Caesarean section at VE=10 0.4% 4/979 0.4% 0.6% 0.5% 0.9% 0.8% 1.2% 1.0% 0.9% Admitted to Neonatal Unit 11.3% 111/979 13.6% 11.2% 12.7% 0.0% 12.2% 10.3% 11.1% 9.3% Episiotomy* 9.0% 88/979 9.0% 9.1% 8.7% 12.2% 12.2% 16.2% 18.7% 17.9% OASIS* 0.3% 3/979 0.5% 0.9% 0.9% 1.1% 0.9% 1.6% 0.6% 0.9% Length of labour >12 hrs 0.2% 2/979 0.9% 0.8% 0.8% 0.1% 0.1% 0.6% 0.1% 0.6% Babies >=4.0kg 19.5% 191/979 19.9% 20.3% 19.4% 22.1% 20.7% 23.5% 22.9% 23.1% Aged >=35 67.5% 661/979 66.0% 60.9% 59.7% 52.0% 51.3% 51.3% 49.7% 50.2% BMI >=30 21.2% 208/979 20.3% 18.7% 17.2% 17.1% 17.9% 18.2% 19.1% 21.6% PPH >1000mls 2.2% 22/979 2.3% 2.2% 2.1% 3.1% 3.0% 2.6% 1.6% 1.4% HIE 0.0% 0/979 0.0% 0.0% 0.0% 0.0% 0.3% 0.0% 0.0% 0.0% Blood transfusion rate 4.5% 9/979 2.0% 0.0% 2.4% 2.7% 1.8% 2.0% *includes Episiotomy and Sphincter Damage Group 5 Spontaneous Labour 2020 2017 2016 2015 2014 2013 2012 2011 2010 ARM 49.7% 92/185 48.4% 45.8% 49.2% 48.5% 46.7% 50.6% 55.6% 56.1% Prostaglandin 0.5% 1/185 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% Oxytocin 2.7% 5/185 3.9% 2.6% 3.8% 3.9% 6.4% 7.3% 10.6% 8.9% Epidural 56.2% 104/185 51.2% 49.8% 54.2% 54.8% 39.7% 60.8% 59.6% 54.6% Electronic monitoring 91.9% 170/185 94.5% 94.9% 95.6% 92.5% 92.8% 93.7% 90.5% 93.1% Fetal blood sample 0.5% 1/185 5.1% 5.1% 7.8% 6.6% 5.5% 9.0% 12.7% 15.8% Vaginal operative delivery 22.7% 42/185 18.8% 19.4% 16.3% 20.2% 12.5% 14.0% 16.3% 18.1% Apgars <7 at 5 mins 0.5% 1/185 2.3% 0.7% 0.0% 1.5% 0.3% 1.0% 0.5% 0.5% Cord pH < 7.0 0.0% 0/185 0.4% 0.0% 0.3% 0.3% 0.6% 0.7% 0.3% 0.0% Overall caesarean section rate 18.9% 35/185 21.1% 19.4% 21.9% 22.3% 26.4% 24.7% 19.2% 21.2% Caesarean section at VE=10 2.2% 4/185 1.2% 1.1% 1.9% 2.7% 2.0% 2.4% 2.2% 2.0% Admitted to Neonatal Unit 9.7% 18/185 17.6% 12.1% 13.5% 13.1% 13.0% 8.0% 10.3% 7.4% Episiotomy* 38.9% 72/185 29.3% 26.7% 26.6% 36.1% 30.7% 32.2% 37.9% 35.7% OASIS* 1.6% 3/185 2.0% 3.3% 3.1% 2.4% 2.3% 3.1% 1.4% 1.5% Length of labour >12 hrs 0.5% 1/185 1.6% 0.7% 1.3% 0.3% 0.0% 0.2% 0.0% 0.5% Babies >=4.0kg 18.9% 35/185 21.9% 19.0% 20.1% 23.5% 22.9% 22.8% 19.5% 23.2% Aged >=35 60.5% 112/185 57.4% 53.8% 55.5% 49.5% 47.5% 51.3% 46.9% 41.8% BMI >=30 16.8% 31/185 16.0% 15.0% 12.9% 14.0% 15.9% 12.8% 15.4% 14.5% PPH >1000mls 3.8% 7/185 5.5% 3.7% 3.4% 3.3% 1.7% 4.8% 1.6% 0.8% HIE 0.0% 0/185 0.0% 0.0% 0.0% 0.0% 0.6% 0.0% 0.0% 0.0% Blood transfusion rate 2.7% 5/185 4.3% 0.0% 4.1% 3.9% 2.9% 3.2% *includes Episiotomy and Sphincter Damage 2020 | NMH Annual Rep t

