Maternity - Primary Maternity Care provider by age group, ethnic group, neighbourhood deprivation quintile and DHB of residence 2008–2021
Te Whatu Ora - Health New Zealand
When the term 'women giving birth' is used, the numbers presented are births and are the number of women giving birth during the calendar year (ie, from 1 January to 31 December). A woman who had twins or a multiple birth is counted as having had one birth. A woman who gave birth twice within the same calendar year is counted twice.
The number of births presented includes only live births recorded in the Maternity Collection (MAT) at any gestation, and where a birth has a registration or birth record reported in the National Minimum Dataset (NMDS). Where a birth has an equivalent death registration recorded in the New Zealand Mortality Collection, the birth is also excluded from the analysis.
Deprivation is derived according to the residence of the individual. Numbers and rates are presented by deprivation quintile, ranging from quintile 1 (least deprived) to quintile 5 (most deprived). Deprivation scores are based on the 2006 New Zealand Deprivation Index for women giving birth before 2010, on the 2013 Deprivation Index for women giving birth from 2010 to 2015 and on the 2018 Deprivation Index from 2016 onwards.
Primary maternity care is usually provided by a community-based Lead Maternity Carer. A Lead Maternity Carer provides a pregnant woman/person and their baby with continuity of care throughout pregnancy, labour and birth and the postnatal period.
Pregnant women/people who do not access a Lead Maternity Carer, either through choice or lack of availability, are entitled to receive primary maternity services from their district.
Most Lead Maternity Carers are midwives, but a GP meeting the required criteria, or an obstetrician may also provide Lead Maternity Carer services.
Each individual represented in the data is allocated to a single ethnic group, using the following priority system: Māori > Pacific peoples > Indian > Asian (excl. Indian) > Other > European. Individuals of European and of Other ethnicities are often grouped together and presented as being part of the 'European or Other' ethnic group due to small numbers in the ''Other' ethnic group.
Limitations of the data
Collection of data from district primary maternity services is under way; currently, only some districts have provided their data.
Most women/people recently giving birth received primary maternity care from an LMC, but a small percentage received care from a district primary maternity service.
Pregnant women/people whose provision of care was unknown were most likely to have received care from their respective district primary maternity services (not yet reporting), but some may not have received any primary maternity care.
While the data is collected for 'women' it is important to note that it actually includes all people who have given birth and that the data may include some transgender people.
Changes to data collection/processing
From 1 July 2019, diagnoses codes are assigned using the 11th Edition of ICD-10-AM (International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification) and procedure codes are assigned using the 11th Edition of ACHI (Australian Classification of Health Interventions) (Source: The Independent Health and Aged Care Pricing Authority).
Some maternity events (women giving birth in hospital and live babies born in hospital) are impacted by changes in the 11th Edition clinical coding standards, particularly place of birth and type of birth data. Therefore, this data may show variation due to the change in coding standards rather than a true increase.
The Primary Maternity Services Notice 2021 came into force on 29th November 2021, introducing changes to the terms and conditions on which maternity providers can claim for providing primary maternity services. This revokes the Primary Maternity Services Notice which came into effect on 1 July 2007 and its amendments.
There are underlying changes to the way some data are now captured (such as smoking status or breastfeeding and Well child referral). Also some metrics are no longer collected (such as height and weight at registration, which impacts on BMI calculation). It is important to consider these changes when comparing claims data pre and post November 2021.
Data provided by
Report on Maternity: Primary Maternity Care dataset 2021
How to find the data
At URL provided, under 'Primary maternity care' heading, select 'Download full datasets' and 'Primary_Mat_Care_table' file.
Import & extraction details
File as imported: Report on Maternity: Primary Maternity Care dataset 2021
From the dataset Report on Maternity: Primary Maternity Care dataset 2021, this data was extracted:
- Rows: 2-7,105
- Columns: 7-9
- Provided: 20,841 data points
Dataset originally released on:
August 17, 2023
About this dataset
The National Maternity Collection collates data from three different sources to provide statistical, demographic and clinical information about women giving birth and live-born babies in New Zealand.
Data for the web tool was extracted from publicly funded maternity events recorded in Te Whatu Ora - Health New Zealand's National Maternity Collection on 12 May 2023.
Purpose of collection
To provide annual health statistics about women giving birth, their pregnancy and childbirth experience and the characteristics of live-born babies in New Zealand.
Method of collection/Data provider
Population data for rate calculations was provided by Stats NZ