Version 1.9.1f
Health Statistics New South Wales

Antenatal care

Before 14 weeks, 2009 78.9Before 14 weeks, 2008 81.9Before 14 weeks, 2007 76.4Before 14 weeks, 2006 68.7Before 14 weeks, 2005 68.1Before 14 weeks, 2004 65.2Before 14 weeks, 2003 63.5Before 14 weeks, 2002 64.2Before 14 weeks, 2001 63.6Before 14 weeks, 2000 63.9Before 14 weeks, 1999 63.5Before 14 weeks, 1998 62.1Before 14 weeks, 1997 62.6Before 14 weeks, 1996 63.9Before 14 weeks, 1995 63Before 14 weeks, 1994 62.1Before 20 weeks, 2009 91.9Before 20 weeks, 2008 93.3Before 20 weeks, 2007 90.7Before 20 weeks, 2006 87.5Before 20 weeks, 2005 88Before 20 weeks, 2004 87.5Before 20 weeks, 2003 86.6Before 20 weeks, 2002 86.4Before 20 weeks, 2001 86.2Before 20 weeks, 2000 86.5Before 20 weeks, 1999 86.2Before 20 weeks, 1998 84.9Before 20 weeks, 1997 84.8Before 20 weeks, 1996 85.3Before 20 weeks, 1995 85Before 20 weeks, 1994 82.4
 
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Supporting Text
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Sources

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

All births (live births and stillbirths) in NSW were included.
Commentary

The purpose of antenatal visits is to monitor the health of both the mother and baby, provide advice to promote the health of both the mother and baby, to identify antenatal complications, and to provide appropriate intervention at the earliest time.

The proportion of NSW mothers commencing antenatal care in the first trimester of pregnancy  (before 14 weeks) increased gradually over the years and especially so in recent years. In 1994 62% had their first antenatal visit before 14 weeks gestation and in 2010 almost 80% of mothers had their first antenatal visit before 14 weeks. In the 5 years up to 2010 the increase in visits in the first trimester was over 15%.

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NSW Perinatal Data Collection

The New South Wales Perinatal Data Collection (PDC), formerly called Midwives Data Collection (MDC) is a population-based collection covering all births in NSW public and private hospitals, as well as home births. It does not receive notifications of interstate births where the mother is resident in NSW.

The data collection has operated continuously since 1990 and covers: up to 2005, all births in NSW of at least 400 grams birth weight or 20 weeks gestation; and for 2006, stillbirths of at least 400 grams birthweight or 20 weeks gestation and all live births. The information is recorded by either the midwife or medical practitioner and includes demographic, medical and obstetric information on the mother and information on the labour, delivery and condition of the infant.

The collection has undergone three revisions over the years. Data on antenatal visits have been collected since 1994. The PDC database is compiled in the Information Management and Support Branch of the NSW Ministry of Health.

For this report, the PDC was accessed via HOIST. Data are presented for calendar years.

Perinatal deaths data for all population in NSW are obtained from the Australian Bureau of Statistics, but perinatal death data by baby's Aboriginal status are available only from the NSW PDC.

 

 

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Codes: NSW Perinatal Data Collection

 

These data come from the NSW Perinatal Data Collection (PDC) where they are coded according to a completed NSW Perinatal Data Collection Form, which can be accessed via the intranet by NSW Health staff at http://internal.health.nsw.gov.au/data/collections/mdc/NSWH%20Perinatal%20Data.pdf.

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Antenatal care by Aboriginality

Number and proportion by weeks gestation, Aboriginality, Local Health District, remoteness from service centres and year.
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Key points: Pregnancy and the newborn period

• In 2010, 92,744 births occurred in NSW.

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

• Among NSW mothers:

teenage mothers account for 3% of all births, while mothers aged 35 years and over account for 24% of all births

around 55% of mothers take folate supplements, both one month before and in the first trimester of pregnancy, as recommended to prevent neural tube defects

around 79% make their first antenatal visit before 14 weeks and 92% before 20 weeks gestation

around 12.7% report smoking during pregnancy, with this percentage varying markedly according to Local Government Area of residence.

• Among NSW babies:

around 7.3% are born prematurely, and 6.0% are of low birth weight

babies born to teenage mothers had the highest rates of low birth weight (7.9%)

there were 838 perinatal deaths in NSW in 2009. Almost half of the perinatal deaths are related to the length of gestation and fetal growth.

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 continue to decline.

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 age 29 years and at subsequent birth over 30 and a half years. The proportion of teenage mothers among all 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.

More than 90% of NSW mothers commence antenatal care in the first half of pregnancy, however there are differences between regions of NSW, Aboriginality and country-of-birth.

Interventions: Pregnancy and the newborn period

The NSW Department of Health maintains two population-based surveillance systems the NSW Midwives Data Collection and the NSW Register of Congenital Conditions. These assist in monitoring health of mother and babies and service planning in NSW.

The implementation of the NSW Aboriginal Maternal and Infant Health Strategy has been very successful in improving access to culturally appropriate maternity services for Aboriginal mothers.

Neonatal Intensive Care Units have been established in NSW hospitals to ensure that the best possible specialist care is provided to babies that require it.

The NSW Maternal and Perinatal Committee  reviews each maternal death to identify any possible avoidable factors and to determine whether the death was related to pregnancy and its management or whether it was incidental.

For more information: Pregnancy and the newborn period

Useful websites include:

NSW Department of Health at http://health.nsw.gov.au . Especially see annual publication by Centre for Epidemiology and Research New South Wales Mothers and Babies, published as an edition of the NSW Public Health Bulletin Supplement.

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

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

HealthInsite at http://www.healthinsite.gov.au

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