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Rotunda Hospital Dublin clinical report 1st January 2000 to 31st January 2000
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| Title: | Rotunda Hospital Dublin clinical report 1st January 2000 to 31st January 2000 |
| Authors: | Rotunda Hospital Dublin |
| Publisher: | Rotunda Hospital Dublin |
| Issue Date: | 2000 |
| URI: | http://hdl.handle.net/10147/247483 |
| Type: | Report |
| Language: | en |
| Description: | In 2000 the Rotunda delivered 6211 mothers of 6310 babies. There were
65 perinatal deaths (8 of these were unbooked) giving an uncorrected
perinatal mortality rate of 9.0. At least part of the increase in the perinatal
mortality rate is due to the occurrence of unusual pathology peculiar to the
increased number of non-national patients delivering in Ireland. Examples
of these pathologies would be intrauterine syphilis and intrauterine malaria.
In addition to unusual pathologies a large number of non-nationals have
not been able to avail of antenatal care, due to their late arrival in Ireland.
The continued increase in the number of non-nationals delivering in the
hospital has put a considerable strain on diminishing midwifery numbers.
In 1999 we delivered approximately 500 non-nationals and in 2000 we
delivered approximately 850. These figures have continued to rise in 2001
and now approximately 20% of the mothers delivering in this hospital are
now newly arrived non#nationals. At a time when health care issues have
never been discussed so widely and dissatisfaction so frequently expressed,
it is paradoxical that so many people are travelling to this country to avail
of health care facilities in the maternity hospitals. The demographics of
Dublin continue to change rapidly and in ways that could not have been
predicted as recently as four or five years ago. The Rotunda was able to deal
with the arrival of non-nationals with relatively minor adjustments until
recently when the proportion has grown to such an extent that the
increased workload and complexity has presented real challenges for the
institution to cope with. It is unfortunate that the subject of non-nationals
and refugees in Ireland produces such polarised responses that moderate
discussion and reasonable planning appear overwhelmed.
The continued decline in the number of midwifery staff available is a
serious source of concern to the hospital. Whilst the buoyancy in the Irish
economy have contributed to this shortage by offering many attractive
I employment options to traditional midwifery students, there is no doubt
that until the role of the midwife is acknowledged in financial terms their
numbers will continue to be in short supply. This year the hospital started
a pilot project of direct entry to midwifery studies and it is hoped that this
will have some contribution to make to alleviating the shortage of midwives
in years to come. |
| Keywords: | BIRTH RATE
PERINATAL MORTALITY |
| Appears in Collections: | Rotunda Hospital
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