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| 3.2 | < Hospital Care | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3.3 |
Maternity Manurewa is the baby capital of CMDHB, with 1860 mothers delivering in 2007 it made up 22% of all deliveries in CMDHB (Table 1.30). Mangere was next with 1350 deliveries, followed by Otara on 1020. Manurewa also had the highest number of teenage deliveries (212), again followed by Mangere (148) and Otara (144). Otara had the highest proportion of mothers under the age of 20 at 14%. Table 1.30 Deliveries to CMDHB mothers by maternal age and area, 2007
The age profiles of the data in Table 1.30 are shown in Figure 1.18. Two main patterns are evident – 5 wards have peaks at the 25-29 age, and have numbers at 20-24 years at similar levels, while the other 3 have a modal value in the 30-34 age group. This difference lies in the different fertility patterns of Maori and Pacific women compared to people of other ethnicities. The three wards with the different pattern are the three with the highest proportion of European women – Howick/Pakuranga, Franklin and Botany/Clevedon. Combined 25% of the deliveries in those three areas are to mothers over the age of 35, while the other areas average 15%.
Pacific babies formed the single largest ethnicity cluster in CMDHB in 2007 (Table 1.31), making up 32% of all births and were particularly found in Mangere, Otara, and Manurewa. European and Other were next largest group on 31%, with Franklin and Howick/Pakuranga standing out. Maori at 22% were particularly in Manurewa and Papakura, while Asian at 15% were most prevalent in Howick/Pakuranga and Papatoetoe. Table 1.31 Births in CMDHB by ethnicity and area, 2007
Low birthweight (LBW) babies are at increased risk of complications in the neonatal period. To some extent birthweight can be affected by good antenatal care. Using a cut-off of 2500g 6.7% of CMDHB births would be considered to be of low birthweight, ranging from 5.8% for Pacific to 8.5% for Asian babies. The highest number of LBW babies in 2007 was in Manurewa (Table 1.32) while the highest proportions were seen in Papatoetoe and Mangere. Table 1.32 Low birthweight babies in CMDHB by ethnicity and area, 2007
Table 1.33 Infants hospitalised in first year of life in CMDHB by ethnicity and area, 2006
Just over 1500 children born in CMDHB in 2006 were admitted to hospital in their first year of life – nearly 1 in 5 of all children born in CMDHB, or 4 per day. These hospitalisations exclude the birth process and neonatal care, with each infant being counted once even if they had multiple admissions. Pacific and Maori children were twice as likely to be so admitted as Asian and European/Other children – around 600 such admissions would be prevented each year if Maori and Pacific children had the same rate of admission as European/other children. Manurewa had the highest number of children admitted, followed closely by Mangere – both average around 1 every day of the year. Mangere and Otara had the highest proportion of infants hospitalised.
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Published: 29-Sep-2008 | Website queries: Web Content Manager