Maternity - Birth place by age group, ethnic group, neighbourhood deprivation quintile and DHB of residence 2008–2022
Te Whatu Ora - Health New Zealand
Definitions
When the term 'people giving birth' is used, the numbers presented are births and are the number of people giving birth during the calendar year (ie, from 1 January to 31 December). A person who had twins or a multiple birth is counted as having had one birth. A person 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 people giving birth before 2010, on the 2013 Deprivation Index for people giving birth from 2010 to 2015 and on the 2018 Deprivation Index from 2016 onwards.
Primary facility: a maternity unit that provides care for people expected to experience normal birth with care provision from midwives. It is usually community based and specifically for people assessed as being at low risk of complications for labour and birth care. Access to specialist secondary maternity services and care will require transfer to a secondary/tertiary facility. Primary facilities do not provide epidural analgesia or operative birth services.
Secondary facility: a hospital that can provide care for normal births, complicated pregnancies and births including operative births and caesarean sections plus specialist adjunct services including anaesthetics and paediatrics. As a minimum, secondary facilities include an obstetrician rostered on site during working hours and on call after hours, with access to support from an anaesthetist, paediatrician, radiological, laboratory and neonatal services.
Tertiary facility: a hospital that can provide care for people with high-risk, complex pregnancies by specialised multidisciplinary teams. Tertiary maternity care includes an obstetric specialist or registrar immediately available on site 24 hours a day. Tertiary maternity care includes an on-site, level 3, neonatal service.
Home birth: an intended home birth that took place in a person’s home and not in a maternity facility.
Data calculation/treatment
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.
Inclusions
It is important to note that the data collection 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 (people 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
Te Whatu Ora - Health New Zealand
Dataset name
Report on Maternity: Birth Place dataset 2022
Webpage:
https://tewhatuora.shinyapps.io/report-on-maternity-web-tool/
How to find the data
At URL provided, under 'Labour and birth ' heading, select 'Download full datasets' and 'WGB_birth_place_table' file.
Import & extraction details
File as imported: Report on Maternity: Birth Place dataset 2022
From the dataset Report on Maternity: Birth Place dataset 2022, this data was extracted:
- Rows: 2-4,108
- Columns: 6-8
- Provided: 12,099 data points
Dataset originally released on:
June 06, 2024
About this dataset
The National Maternity Collection collates data from three different sources to provide statistical, demographic and clinical information about people 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 14 June 2024.
Purpose of collection
To provide annual health statistics about people 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.