HealthStats NSW
HealthStats NSW
HealthStats NSW

Perineal outcomes - Part 1

Sydney, 2018
7.4Sydney, 2017
7.2Sydney, 2016
7.6Sydney, 2015
7.8Sydney, 2014
8.3Sydney, 2013
9.5Sydney, 2012
11.9Sydney, 2011
12Sydney, 2010
12.7Sydney, 2009
10.7Sydney, 2008
13.9Sydney, 2007
14.2South Western Sydney, 2018
8.6South Western Sydney, 2017
10.7South Western Sydney, 2016
11.3South Western Sydney, 2015
16.8South Western Sydney, 2014
18.2South Western Sydney, 2013
18.7South Western Sydney, 2012
18.6South Western Sydney, 2011
17.4South Western Sydney, 2010
18.2South Western Sydney, 2009
20.4South Western Sydney, 2008
21.6South Western Sydney, 2007
19.9South Eastern Sydney, 2018
7.2South Eastern Sydney, 2017
7.2South Eastern Sydney, 2016
8.1South Eastern Sydney, 2015
10.8South Eastern Sydney, 2014
10.2South Eastern Sydney, 2013
11.2South Eastern Sydney, 2012
14South Eastern Sydney, 2011
13.4South Eastern Sydney, 2010
15South Eastern Sydney, 2009
17.7South Eastern Sydney, 2008
17South Eastern Sydney, 2007
20.6Illawarra Shoalhaven, 2018
10.2Illawarra Shoalhaven, 2017
13.2Illawarra Shoalhaven, 2016
11.9Illawarra Shoalhaven, 2015
20Illawarra Shoalhaven, 2014
18.3Illawarra Shoalhaven, 2013
21.9Illawarra Shoalhaven, 2012
17.8Illawarra Shoalhaven, 2011
19.6Illawarra Shoalhaven, 2010
22.5Illawarra Shoalhaven, 2009
22.3Illawarra Shoalhaven, 2008
24.6Illawarra Shoalhaven, 2007
18Western Sydney, 2018
4.9Western Sydney, 2017
5.2Western Sydney, 2016
5.4Western Sydney, 2015
8.3Western Sydney, 2014
8.3Western Sydney, 2013
9.1Western Sydney, 2012
10.6Western Sydney, 2011
12.4Western Sydney, 2010
13Western Sydney, 2009
13.2Western Sydney, 2008
15.5Western Sydney, 2007
15Nepean Blue Mountains, 2018
6.8Nepean Blue Mountains, 2017
9.5Nepean Blue Mountains, 2016
9.6Nepean Blue Mountains, 2015
15.5Nepean Blue Mountains, 2014
15.3Nepean Blue Mountains, 2013
15.5Nepean Blue Mountains, 2012
19.5Nepean Blue Mountains, 2011
18.8Nepean Blue Mountains, 2010
18.7Nepean Blue Mountains, 2009
20.9Nepean Blue Mountains, 2008
21.7Nepean Blue Mountains, 2007
25.1Northern Sydney, 2018
7.4Northern Sydney, 2017
7.9Northern Sydney, 2016
8.5Northern Sydney, 2015
12.1Northern Sydney, 2014
13.1Northern Sydney, 2013
13Northern Sydney, 2012
15Northern Sydney, 2011
13.2Northern Sydney, 2010
18.1Northern Sydney, 2009
16.7Northern Sydney, 2008
17.5Northern Sydney, 2007
19.9Central Coast, 2018
8.5Central Coast, 2017
8.9Central Coast, 2016
10.2Central Coast, 2015
13.6Central Coast, 2014
13.8Central Coast, 2013
14.4Central Coast, 2012
21.1Central Coast, 2011
14.4Central Coast, 2010
13.4Central Coast, 2009
18.2Central Coast, 2008
22.8Central Coast, 2007
20.4Hunter New England, 2018
10.8Hunter New England, 2017
12.5Hunter New England, 2016
15.3Hunter New England, 2015
18.9Hunter New England, 2014
18.1Hunter New England, 2013
21Hunter New England, 2012
20.8Hunter New England, 2011
18.8Hunter New England, 2010
22.1Hunter New England, 2009
23.4Hunter New England, 2008
25.9Hunter New England, 2007
27.5Northern NSW, 2018
14.6Northern NSW, 2017
20.2Northern NSW, 2016
21.1Northern NSW, 2015
22.6Northern NSW, 2014
28.4Northern NSW, 2013
29.2Northern NSW, 2012
24.7Northern NSW, 2011
31.6Northern NSW, 2010
30.3Northern NSW, 2009
28.2Northern NSW, 2008
30.1Northern NSW, 2007
30.9Mid North Coast, 2018
12.4Mid North Coast, 2017
13.7Mid North Coast, 2016
16.2Mid North Coast, 2015
16.3Mid North Coast, 2014
15.5Mid North Coast, 2013
20.2Mid North Coast, 2012
18.7Mid North Coast, 2011
24.3Mid North Coast, 2010
20.8Mid North Coast, 2009
22.9Mid North Coast, 2008
29.3Mid North Coast, 2007
29.5Southern NSW, 2018
16.1Southern NSW, 2017
24.7Southern NSW, 2016
30.1Southern NSW, 2015
33.5Southern NSW, 2014
31.1Southern NSW, 2013
27.9Southern NSW, 2012
29.7Southern NSW, 2011
29Southern NSW, 2010
34.2Southern NSW, 2009
38.6Southern NSW, 2008
33.6Southern NSW, 2007
40Murrumbidgee, 2018
15.9Murrumbidgee, 2017
21.8Murrumbidgee, 2016
22.7Murrumbidgee, 2015
25.4Murrumbidgee, 2014
29.4Murrumbidgee, 2013
36.2Murrumbidgee, 2012
30.7Murrumbidgee, 2011
34.4Murrumbidgee, 2010
34.2Murrumbidgee, 2009
32Murrumbidgee, 2008
34.4Murrumbidgee, 2007
35.2Western NSW, 2018
10.3Western NSW, 2017
12.5Western NSW, 2016
16.6Western NSW, 2015
23Western NSW, 2014
20.3Western NSW, 2013
22.5Western NSW, 2012
28Western NSW, 2011
27.5Western NSW, 2010
30.6Western NSW, 2009
32.2Western NSW, 2008
29Western NSW, 2007
29.6Far West, 2018
18.9Far West, 2017
29Far West, 2016
45.2Far West, 2015
43.5Far West, 2014
46.2Far West, 2013
22.7Far West, 2012
29.6Far West, 2011
54.8Far West, 2010
37.5Far West, 2009
50Far West, 2008
40.5Far West, 2007
50Private Hospitals, 2018
5.6Private Hospitals, 2017
5.5Private Hospitals, 2016
6.3Private Hospitals, 2015
9.6Private Hospitals, 2014
10.8Private Hospitals, 2013
10.6Private Hospitals, 2012
11.4Private Hospitals, 2011
12Private Hospitals, 2010
11.3Private Hospitals, 2009
13.6Private Hospitals, 2008
13.9Private Hospitals, 2007
11.8All LHDs, 2018
8All LHDs, 2017
9All LHDs, 2016
9.9All LHDs, 2015
13.5All LHDs, 2014
13.9All LHDs, 2013
14.9All LHDs, 2012
15.9All LHDs, 2011
16.1All LHDs, 2010
16.9All LHDs, 2009
18.2All LHDs, 2008
19.4All LHDs, 2007
19.3
  • + Source

    NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.

  • + Notes

    Definitions:

    3.1 Intact perineum: Total number of selected primipara with an intact perineum or unsutured perineal tear as a percentage of the total number of selected primipara delivering vaginally.

    3.2 Intact perineum with episiotomy: Total number of selected primipara undergoing episiotomy with an intact perineum and no perineal tear while giving birth vaginally as a percentage of the total number of selected primipara delivering vaginally.

    3.3 Perineal tear and no episiotomy: Total number of selected primipara sustaining a perineal tear and no episiotomy as a percentage of the total number of selected primipara delivering vaginally.

    Selected first time mother (primipara) is a woman 20-34 years of age at the time of giving birth, giving birth for the first time at greater than 20 weeks gestation; singleton pregnancy; cephalic presentation; and at 37 to 40 completed weeks gestation. Episiotomy is an surgical incision that enlarges the birth canal. See Methods Tab for further information.

    Total NSW (or All LHDs) includes births at home assisted by independent midwives. Totals include Other and not stated category.

    Data include all mothers who gave birth (stillbirth or live birth) in a NSW facility (or a home) regardless of place of permanent residence.

    The number of ‘not stated’ cases varied by geographic area and year. This may reduce the reliability of the estimates in the instances where ‘not stated’ cases are a large proportion.

    This is a clinical indicator definied in: Australian Council of Healthcare Standards. Obstetrics Indicators Users' Manual 2017. Obstetrics version 8. Sydney: ACHS, 2017.

    Clinical indicators 3.1-3.3: Major perineal tears and surgical repair of the perineum.

  • + Data Table
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  • + Methods
  • + Codes
    • Codes: NSW Perinatal Data Collection

      The current data collection form for the NSW Perinatal Data Collection (PDC) commenced in 2016. Codes are described in the NSW Perinatal Data Collection Manual - 2016 Edition, which is available on the internet at http://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2015_025.pdf

  • + Related Indicators
  • + Associated Information
    • Key points: Pregnancy and the newborn period

      Recent trends

      In 2019 there were 95,133 births to 93,758 mothers in NSW, a decrease of 1.3% from 96,391 births in 2015.  The percentage of multiple (twin and triplet) pregnancies has remained fairly stable over recent years at about 1.4%. 

      Between 2015 and 2019:

      • The proportion of mothers who were teenagers continued to fall, from 2.5% to 1.7%.

      • The proportion of births to mothers over 35 years of age has increased slightly from 23.4% to 25.9%.

      • The rate of low birth weight (less than 2,500 grams) has remained stable, ranging from 6.4% to 6.8%.

      • The perinatal mortality rate was 8.0 per 1,000 births in 2019,  decreased from 8.2 per 1,000 births in 2015.

      Aboriginal and Torres Strait Islander mothers and babies

      Between 2015 and 2019:

      • The number of reported births to Aboriginal or Torres Strait Islander mothers increased from 3,872 to 4,479, representing 4.0% and 4.7% respectively of all babies born in NSW.

      • The percentage of Aboriginal or Torres Strait Islander mothers who were teenagers fell substantially from 15.4% to 10.5%.

      • The perinatal mortality rate of 10.3 per 1,000 births in Aboriginal or Torres Strait Islander mothers in 2019 is higher than the rate of 7.9 per 1,000 births experienced among babies born to non-Aboriginal or Torres Strait Islander mothers.

      The percentage of Aboriginal or Torres Strait Islander mothers who commenced antenatal care before 14 weeks increased from 55.6% to 75.3%.

    • Introduction: Pregnancy and the newborn period

      Demography

      The health of Australian mothers and babies is generally good by world standards. Maternal deaths are rare, and perinatal mortality rates are low.

      The average woman in NSW can currently expect to give birth to 1.9 babies in her lifetime.

      NSW mothers are getting older with the mean maternal age at first birth around 29 years and at subsequent birth just over 30. The proportion of teenage mothers is declining.

      Burden of disease and social and economic disadvantage 

      Aboriginal mothers and babies, those from socioeconomically disadvantaged areas, and some overseas-born mothers and their babies continue to experience worse outcomes than other NSW mothers and babies.

    • Interventions: Pregnancy and the newborn period

      The NSW Ministry of Health maintains two population-based surveillance systems that collect information concerning pregnancy and birth: the NSW Perinatal Data Collection and the NSW Register of Congenital Conditions. They assist in monitoring the health of mothers and babies, and maternity service planning in NSW.

      The implementation of the NSW Aboriginal Maternal and Infant Health Strategy has improved access to culturally appropriate maternity services for Aboriginal mothers.

      The NSW Maternal and Perinatal Mortality Review Committee reviews each death of a mother or newborn baby to assess the cause and identify any possible avoidable factors. This information is used to improve services for mothers and babies.

    • For more information: Pregnancy and the newborn period

      Useful websites

      NSW Ministry of Health at http://health.nsw.gov.au, in particular see the annual New South Wales Mothers and Babies report, published by the Centre for Epidemiology and Evidence. The latest edition is available at http://www.health.nsw.gov.au/hsnsw/Publications/mothers-and-babies-2018.pdf

      Australian Bureau of Statistics at http://www.abs.gov.au, in particular see Births (ABS Cat no 3301.0)

      Australian Institute of Health and Welfare at http://www.aihw.gov.au in general and in particular the AIHW's National Perinatal Statistics Unit and the annual publication: Australia’s mothers and babies.

      healthdirect at http://www.healthdirect.gov.au

      Population and Public Health Division. Improved reporting of Aboriginal and Torres Strait Islander peoples on population datasets in New South Wales using record linkage–a feasibility study. Sydney: NSW Ministry of Health, 2012. Available at: http://www.health.nsw.gov.au/hsnsw/Publications/atsi-data-linkage-report.pdf

      Australian Council on Healthcare Standards. Obstetrics Indicator User Manual. Sydney: ACHS. Available at: https://www.achs.org.au/

Last Updated At: Wednesday, 16 September 2020