Full Birth Statistics (2009) for Coombe Women & Infants University Hospital

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All mothers First time mothers 2nd & subsequent time mothers
No. of mothers (whose babies > 500g) 8,652 3,595 5,057
No. of babies born > 500g 8,812 3,660 5,152
Onset of Labour
% spontaneous onset of labour 55.8% 54.9% 56.4%
% labour induced 30.4% 36.9% 25.7%
% elective caesarean birth 10.9% 5.5% 14.7%
% pre-labour emergency caesarean birth 2.9% 2.7% 3.1%
Mode of Birth
% spontaneous vaginal birth 57.5% 40.9% 69.4%
% ventouse/vacuum birth 10.4% 18.4% 4.8%
% forceps birth 7.2% 14.8% 1.8%
% total instrumental birth 17.6% 33.2% 6.5%
% unplanned/emergency caesarean birth in labour 11.3% 18.0% 6.5%
% all emergency caesarean birth
% total caesarean birth 25.1% 26.2% 24.3%
Induction Details (% of women whose labour was induced)
% by prostaglandin (PG) only 19.7% 20.2% 19.1%
% by artificial rupture of membranes (ARM) only 3.9% 1.8% 6.0%
% by syntocinon only (if previous SROM) 16.4% 19.4% 13.2%
% by combination: PG + ARM 6.9% 6.2% 7.6%
% by combination: PG + ARM + syntocinon 18.0% 21.9% 14.1%
% by combination: ARM + syntocinon 27.4% 19.3% 35.7%
% by other method
Modes of birth following induction (% of women whose labour was induced)
% spontaneous vaginal birth 59.8% 36.0% 84.0%
% ventouse/vacuum birth 12.7% 18.1% 7.2%
% forceps birth 9.8% 16.4% 3.1%
% caesarean birth 18.5% 29.8% 6.9%
In spontaneous labour (% of women who went into labour spontaneously)
% artificial rupture of membranes (ARM) 51.0% 51.1% 51.1%
% syntocinon 21.5% 40.3% 8.5%
% spontaneous vaginal birth 70.3% 49.8% 84.5%
"Normal Birth"
Spontaneous onset of labour, no artificial rupture of membranes, no augmentation, no epidural, no episiotomy, spontaneous vaginal birth.
Normal birth as % of all women attending unit 12.5% 5.8% 17.3%
Normal birth % of women who went into labour spontaneously 22.4% 10.5% 30.7%
Breech Babies
% of breech babies born vaginally 53.5% 52.6% 54.2%
% of breech babies born by caesarean birth 46.5% 47.4% 45.8%
Twin births
% of twin babies born vaginally 40.1% 32.8% 45.1%
% of twin babies born by caesarean birth 59.9% 67.2% 54.9%
VBAC (Vaginal Birth After Caesarean)
VBAC as % of all mothers who gave birth in the unit 3.8%
% of mothers with one prior caesarean birth who opted to labour 51.5%
% of mothers with one prior caesarean birth who had a VBAC 35.6%
% VBAC rate of those who opted to labour 69.0%
Fetal Monitoring
Approx. 20 min admission trace 2.0% 1.4% 2.5%
Intermittent auscultation during labour 0.3% 0.1% 0.5%
Continuous electronic fetal monitoring – external > 1hr during labour 65.4% 72.1% 60.6%
Continuous electronic fetal monitoring – internal (fetal scalp electrode) > 1 hr during labour 2.2% 3.0% 1.7%
Fetal blood sampling 8.3% 15.2% 3.4%
Pharmacological Pain relief
% use of entonox (gas & air) 61.7% 70.1% 55.6%
% use of epidural / spinal anaesthesia (induced/labouring women only – excluding pre-labour caesarean section) 46.6% 66.7% 32.4%
% use of pethidine / diamorphine 5.4% 8.4% 3.3%
Episiotomy / Tears
% intact perineum
% 1st degree tears
% 2nd degree tears
% 3rd degree tears
% 4th degree tears
% episiotomy – spontaneous vaginal birth 3.5% 6.0% 1.8%
% episiotomy - instrumental birth 12.2% 25.7% 2.7%
% total episiotomy 15.8% 31.6% 4.5%
3rd Stage
% physiological 3rd stage of labour 0.2% 0.1% 0.2%
% actively managed 3rd stage of labour 99.7% 99.7% 99.7%
Breastfeeding
% initiated breastfeeding within 1 hr of birth 51.6% 56.9% 47.8%
% exclusively breastfeeding on discharge 37.8% 39.8% 36.4%
Babies born outside of the unit
% born before arrival (booked for hospital birth but born before reaching hospital) 0.3% 0.7% 0.1%
% births at home with hospital community midwives
Gestational age at birth (from last menstrual period date or by ultrasound scan):
≤ 370 weeks 6.6% 6.6% 6.5%
371 – 380 weeks 6.5% 5.7% 7.0%
381 – 390 weeks 14.2% 11.5% 16.1%
391 – 400 weeks 25.0% 22.4% 26.9%
401 – 410 weeks 26.6% 27.7% 25.8%
411 – 420 weeks 19.9% 24.6% 16.6%
421 – 430 weeks 1.1% 1.3% 0.9%
431 – 440 weeks 0.0% 0.0% 0.0%
≥ 441 weeks 0.0% 0.0% 0.0%

All % data provided here has been calculated by 'bump2babe: The Consumer Guide to Maternity Services in Ireland'. Maternity units provided bump2babe with numbers of mothers for the various categories and we calculated the percentage rates based on the numbers of mothers who gave birth in the unit. We are not responsible for any inaccuracies in the figures given to bump2babe. The guide has highlighted and raised concerns about differences in data recording and reporting abilities in the 22 maternity units in Ireland.