National Maternity Hospital Dublin clinical report for the year 2003

Abstract

2003 with continuing rise in the birth rate in the hospital. 82,55 mothers give birth to 8378 infants. This was the busiest year since 1983 and was a 3% Increase on births compared to the previous year. Forty five per cent of the mothers were primigravidae, which was a slight decrease on the previous year. The Caesarean section rate for the year was 16%. a slight increase on the previous year. A full analysis of the Caesarean section can be found in the appropriate chapter. The most significant reason for the increase with a risk in the section in both spontaneously labouring and. in particular. in induced primagr.wid patients. The perinatal mortality rate for the hospital "The congenital anomalies. was 7.4 per 1.000 - a rate consistent with previous years. The continuing rise in perinatal mortality rate among non-national was a concern to the hospital and the number of non-national patients attending the hospital increased to 20.7%. There were no maternal mortalities for the year which was welcome considering the busy workload and the complexity of cases seen. With regard 10 gynaecology the hospital remained busy with over 9,300 women seen at seven gynaecological clinics during the year. Se chapters for Gynaecological Oncology. Urogynaecology and Reproductive Medicine further indicate the sub-specialisution within the fields. There was a slight increase in gynaecological major options in 2003 comfirmed 10 the previous year. The further increase in Caesarean Section rates puts an even greatcr pressure on the gynaecological themes. It is, therefore envisaged that the hospital will have its third theatre dedicated 10 obstetrical activity with its new interim development