Full Birth Statistics (2009) for Mid Western Regional Maternity Hospital Limerick

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All mothers First time mothers 2nd & subsequent time mothers
No. of mothers (whose babies > 500g) 5,220 2,153 3,067
No. of babies born > 500g 5,307 2,195 3,112
Onset of Labour
% spontaneous onset of labour 52.0% 52.5% 51.6%
% labour induced 31.2% 36.6% 27.5%
% elective caesarean birth
% pre-labour emergency caesarean birth
Mode of Birth
% spontaneous vaginal birth 58.7% 47.7% 66.4%
% ventouse/vacuum birth 12.8% 23.9% 5.0%
% forceps birth 1.8% 3.4% 0.6%
% total instrumental birth 14.6% 27.3% 5.6%
% unplanned/emergency caesarean birth in labour
% all emergency caesarean birth
% total caesarean birth 25.9% 24.4% 26.9%
Induction Details (% of women whose labour was induced)
% by prostaglandin (PG) only 36.6%
% by artificial rupture of membranes (ARM) only 5.8% 3.7% 8.1%
% by syntocinon only (if previous SROM) 3.4% 3.7% 3.1%
% by combination: PG + ARM 28.1% 20.8% 34.9%
% by combination: PG + ARM + syntocinon 25.6% 31.6% 20.1%
% by combination: ARM + syntocinon 5.7% 5.1% 6.3%
% by other method 30.6% 0.0% 0.0%
Modes of birth following induction (% of women whose labour was induced)
% spontaneous vaginal birth 66.0% 47.4% 83.5%
% ventouse/vacuum birth 15.8% 26.0% 6.2%
% forceps birth 1.9% 2.9% 1.0%
% caesarean birth 15.0% 22.7% 7.8%
In spontaneous labour (% of women who went into labour spontaneously)
% artificial rupture of membranes (ARM) 44.5% 44.9% 44.2%
% syntocinon 15.5% 24.4% 9.2%
% spontaneous vaginal birth 70.4% 55.4% 81.0%
"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 12.1% 5.7% 16.6%
Normal birth % of women who went into labour spontaneously 23.2% 10.8% 32.1%
Breech Babies
% of breech babies born vaginally 18.3% 11.5% 26.2%
% of breech babies born by caesarean birth 81.7% 88.5% 73.8%
Twin births
% of twin babies born vaginally 46.3% 37.1% 53.2%
% of twin babies born by caesarean birth 53.7% 62.9% 46.8%
VBAC (Vaginal Birth After Caesarean)
VBAC as % of all mothers who gave birth in the unit 3.0%
% of mothers with one prior caesarean birth who opted to labour 74.7%
% of mothers with one prior caesarean birth who had a VBAC 25.3%
% VBAC rate of those who opted to labour 33.8%
Fetal Monitoring
Approx. 20 min admission trace
Intermittent auscultation during labour 15.6% 9.2% 20.1%
Continuous electronic fetal monitoring – external > 1hr during labour 83.9% 90.1% 79.6%
Continuous electronic fetal monitoring – internal (fetal scalp electrode) > 1 hr during labour 0.2% 0.1% 0.2%
Fetal blood sampling
Pharmacological Pain relief
% use of entonox (gas & air) 73.1% 80.3% 68.1%
% use of epidural / spinal anaesthesia (induced/labouring women only – excluding pre-labour caesarean section) 27.7% 39.7% 19.3%
% use of pethidine / diamorphine 18.1% 24.2% 13.9%
Episiotomy / Tears
% intact perineum 54.3% 43.5% 61.9%
% 1st degree tears 11.1% 8.6% 12.9%
% 2nd degree tears 14.7% 15.5% 14.1%
% 3rd degree tears 0.8% 1.6% 0.2%
% 4th degree tears 0.0% 0.0% 0.0%
% episiotomy – spontaneous vaginal birth 5.0% 8.3% 2.8%
% episiotomy - instrumental birth 8.5% 17.5% 2.2%
% total episiotomy 13.6% 25.8% 5.0%
3rd Stage
% physiological 3rd stage of labour
% actively managed 3rd stage of labour 100.0% 100.0% 100.0%
Breastfeeding
% initiated breastfeeding within 1 hr of birth 57.3%
% exclusively breastfeeding on discharge 44.8%
Babies born outside of the unit
% born before arrival (booked for hospital birth but born before reaching hospital)
% births at home with hospital community midwives
Gestational age at birth (from last menstrual period date or by ultrasound scan):
≤ 370 weeks 5.4% 5.4% 5.3%
371 – 380 weeks 4.7% 4.3% 4.9%
381 – 390 weeks 15.8% 12.4% 18.2%
391 – 400 weeks 26.9% 23.8% 29.1%
401 – 410 weeks 40.7% 45.1% 37.6%
411 – 420 weeks 6.3% 8.7% 4.6%
421 – 430 weeks 0.0% 0.0% 0.0%
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.