Full Birth Statistics (2009) for Rotunda Hospital

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All mothers First time mothers 2nd & subsequent time mothers
No. of mothers (whose babies > 500g) 8,729 4,131 4,598
No. of babies born > 500g 8,912 4,228 4,684
Onset of Labour
% spontaneous onset of labour 60.8% 61.1% 60.5%
% labour induced 23.3% 27.8% 19.3%
% elective caesarean birth 12.8% 8.1% 17.0%
% pre-labour emergency caesarean birth 3.2% 2.9% 3.4%
Mode of Birth
% spontaneous vaginal birth 51.9% 37.4% 64.9%
% ventouse/vacuum birth 14.8% 23.8% 6.6%
% forceps birth 5.0% 9.2% 1.3%
% total instrumental birth 19.8% 33.1% 7.9%
% unplanned/emergency caesarean birth in labour 12.5% 18.6% 7.1%
% all emergency caesarean birth
% total caesarean birth 28.5% 29.7% 27.3%
Induction Details (% of women whose labour was induced)
% by prostaglandin (PG) only 15.7% 17.7% 13.1%
% by artificial rupture of membranes (ARM) only 11.7% 7.8% 16.7%
% by syntocinon only (if previous SROM) 7.7% 8.5% 6.7%
% by combination: PG + ARM 16.4% 15.2% 17.9%
% by combination: PG + ARM + syntocinon 20.4% 23.7% 16.1%
% by combination: ARM + syntocinon 21.4% 18.0% 25.7%
% by other method 6.7% 9.1% 3.7%
Modes of birth following induction (% of women whose labour was induced)
% spontaneous vaginal birth 51.2% 30.4% 78.0%
% ventouse/vacuum birth 20.0% 25.9% 12.3%
% forceps birth 5.1% 8.3% 1.0%
% caesarean birth 24.0% 35.6% 8.9%
In spontaneous labour (% of women who went into labour spontaneously)
% artificial rupture of membranes (ARM) 32.4% 34.3% 30.6%
% syntocinon 20.8% 33.5% 9.3%
% spontaneous vaginal birth 55.9% 46.7% 64.4%
"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 19.6% 10.9% 27.5%
Normal birth % of women who went into labour spontaneously 32.3% 17.9% 45.4%
Breech Babies
% of breech babies born vaginally 9.5% 6.5% 13.4%
% of breech babies born by caesarean birth 90.5% 93.5% 86.6%
Twin births
% of twin babies born vaginally 33.7% 27.0% 41.7%
% of twin babies born by caesarean birth 66.3% 73.0% 58.3%
VBAC (Vaginal Birth After Caesarean)
VBAC as % of all mothers who gave birth in the unit 3.9%
% of mothers with one prior caesarean birth who opted to labour 59.8%
% of mothers with one prior caesarean birth who had a VBAC 40.8%
% VBAC rate of those who opted to labour 68.3%
Fetal Monitoring
Approx. 20 min admission trace
Intermittent auscultation during labour 81.6% 88.2% 75.7%
Continuous electronic fetal monitoring – external > 1hr during labour 81.6%
Continuous electronic fetal monitoring – internal (fetal scalp electrode) > 1 hr during labour 1.5% 1.9% 1.2%
Fetal blood sampling 1.0% 1.6% 0.5%
Pharmacological Pain relief
% use of entonox (gas & air) 41.4% 43.8% 39.2%
% use of epidural / spinal anaesthesia (induced/labouring women only – excluding pre-labour caesarean section) 53.1% 69.3% 38.5%
% use of pethidine / diamorphine 5.1% 7.7% 2.7%
Episiotomy / Tears
% intact perineum 14.9% 5.5% 23.3%
% 1st degree tears 14.0% 8.2% 19.2%
% 2nd degree tears 18.6% 18.2% 18.9%
% 3rd degree tears 1.6% 2.6% 0.7%
% 4th degree tears 0.0% 0.0% 0.0%
% episiotomy – spontaneous vaginal birth 4.3% 6.2% 2.5%
% episiotomy - instrumental birth 13.1% 23.9% 3.3%
% total episiotomy 17.3% 30.1% 5.8%
Grazes/lacerations 5.1% 5.6% 4.7%
3rd Stage
% physiological 3rd stage of labour 1.3% 0.7% 1.8%
% actively managed 3rd stage of labour 98.7% 99.1% 98.3%
Breastfeeding
% initiated breastfeeding within 1 hr of birth
% exclusively breastfeeding on discharge 47.7% 53.5% 42.5%
Babies born outside of the unit
% born before arrival (booked for hospital birth but born before reaching hospital) 0.5% 0.1% 0.9%
% births at home with hospital community midwives
Gestational age at birth (from last menstrual period date or by ultrasound scan):
≤ 370 weeks 6.3% 6.3% 6.2%
371 – 380 weeks 4.8% 4.7% 4.9%
381 – 390 weeks 10.5% 8.8% 12.1%
391 – 400 weeks 21.1% 18.8% 23.2%
401 – 410 weeks 23.3% 23.6% 23.0%
411 – 420 weeks 18.3% 21.5% 15.4%
421 – 430 weeks 4.1% 4.7% 3.6%
431 – 440 weeks 1.6% 1.8% 1.5%
≥ 441 weeks 2.1% 2.1% 2.1%

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.