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Figures for 2005-06 have been reproduced for comparison purposes. Please see explanatory notes document for full details of updated methodology.HTable 24: Complications during non-delivery obstetric episodes, 2009-10*<*Important gestation information: LUTON AND DUNSTABLE HOSPITAL NHS FOUNDATION TRUST (RC9) / THE LEWISHAM HOSPITAL NHS TRUST (RJ2) / SOUTH LONDON HEALTHCARE NHS TRUST (RYQ) recorded gestation length incorrectly, which accounts for 19,663 deliveries in 2009-10. These trusts have been excluded from table 26 in order to avoid artificially inflating the rate of low gestation lengths. For this reason the gestation length should be treated with caution as it does not include any potentially genuine gestation lengths at these trusts. These trusts have also been excluded from other tables containing gestation length counts within the 2009-10 HES maternity publication. For this reason the total number of deliveries in these tables is not consistent with the total number of deliveries reported in other tables which is 652,377."S \  gTable 26: Singleton, twin and higher order multiple deliveries** by gestation and birth status, 2009-10VTable 28: Singleton and multiple deliveries* by birth weight and birth status, 2009-10**Still born singletons per 1,000 deliveries is calculated for singleton deliveries where the birth status is known (live born or still born) for each birth weight group. QTable 29: Birth weight of live born singleton deliveries by ethnic group, 2009-10***All publication tables represent data for the first baby born from a delivery episode; therefore excluding information about additional babies from multiple deliveries which is likely to be inaccurate. Please see explanatory notes for further details. Multiple deliveries***Total gestations****4****Important gestation information: LUTON AND DUNSTABLE HOSPITAL NHS FOUNDATION TRUST (RC9) / THE LEWISHAM HOSPITAL NHS TRUST (RJ2) / SOUTH LONDON HEALTHCARE NHS TRUST (RYQ) recorded gestation length incorrectly, which accounts for 19,663 deliveries. These trusts have been excluded from table 30 in order to avoid artificially inflating the rate of low gestation lengths. For this reason the gestation length should be treated with caution as it does not include any potentially genuine gestation lengths at these trusts. These trusts have also been excluded from other tables containing gestation length counts within the 2009-10 HES maternity publication. For this reason the total number of deliveries in these tables is not consistent with the total number of deliveries reported in other tables which is 652,377.**Please note due to the local sensitivity of certain fields, some organisations submit data with default values for date of birth, before submitting to SUS. The default values are 1900/1901, and as a result there may be high proportions on 108 / 109 / 110 year olds in the 2009-10 dataset. Sensitive records should have all personal identifiable fields set to null so for this table these data have been allocated to the unknown age group.,* Some complications from earlier in the pregnancy may be recorded during the delivery episode if they are relevant to the patient's care. This does not necessarily mean the patient was admitted to hospital for all complications. See table 24 for complications during non-delivery obstetric episodes.O10-O16 ex O12O342 O35,O36,O43 O40,O41,O42O60O630O631O639 O64,O65,O66Method of onset Hypertension Pre-eclampsiaMalpresentation of fetusDUterine scar from previous surgery (inc. previous caesarean section)Foetal and placental problems<Disorders of amniotic fluid and membranes; premature rupture"Long labour, prolonged first stage#Long labour, prolonged second stageLong labour, unspecifiedObstructed labourPercentages are derived from the total number of delivery episodes. Please see explanatory notes for more information about denominators.TPercentage of births with a primary or secondary diagnosis of selected complications ICD 10 codeNumber of births ** PercentageTotal Births (England)eFetus and newborn affected by maternal factors and by complications of pregnancy, labour and deliveryP00\Fetus and newborn affected by maternal conditions that may be unrelated to present pregnancyP01AFetus and newborn affected by maternal complications of pregnancyP02KFetus and newborn affected by complications of placenta, cord and membranesP03HFetus and newborn affected by other complications of labour and deliveryP04XFetus and newborn affected by noxious influences transmitted via placenta or breast milk9Disorders related to length of gestation and fetal growthP05(Slow fetal growth and fetal malnutritionP07:Disorders relating to short gestation and low birth weightP089Disorders related to long gestation and high birth weight Birth TraumaP10;Intracranial laceration and haemorrhage due to birth injuryP11.Other birth injuries to central nervous systemP12Birth injury to scalpP13Birth injury to skeletonP14)Birth injury to peripheral nervous systemP15Other birth injuriesIRespiratory and cardiovascular disorders specific to the perinatal periodP20Intrauterine hypoxiaP21Birth asphyxiaP22Respiratory distress of newbornP23Congenital pneumoniaP24Neonatal aspiration syndromesP25OInterstitial emphysema & related conditions originating in the perinatal periodP269Pulmonary haemorrhage originating in the perinatal periodP27?Chronic respiratory disease originating in the perinatal periodP28@Other respiratory conditions originating in the perinatal periodP29<Cardiovascular disorders originating in the perinatal period+Infections specific to the perinatal periodP35Congenital viral diseasesP36Bacterial sepsis of newbornP372Other congenital infectious and parasitic diseasesP386Omphalitis of newborn with or without mild haemorrhageP391Other infections specific to the perinatal period?Haemorrhagic and haematological disorders of fetus and new bornP50Fetal blood lossP51 Umbilical haemorrhage of newbornP52:Intracranial nontraumatic haemorrhage of fetus and newbornP53)Haemorrhagic disease of fetus and newbornP54Other neonatal haemorrhagesP55'Haemolytic disease of fetus and newbornP56)Hydrops fetalis due to haemolytic diseaseResponsible statistician:2Chris Dew, HES/SUS Analysis (Service) Section Head0Contact via enquiries@ic.nhs.uk or 0845 300 6016 Figure 1: Miscarriages and ectopic pregnancies that resulted in a NHS hospital stay rates per 100 deliveries, 1997-98 to 2009-10NHS Hospitals, England mFigure 2: Ectopic pregnancies that resulted in an NHS hospital stay: rates per 100 deliveries by age, 2009-10fFigure 3: Miscarriages that resulted in an NHS hospital stay: rates per 100 deliveries by age, 2009-10P57 KernicterusP583Neonatal jaundice due to other excessive haemolysisP593Neonatal jaundice from other and unspecified causesP60;Disseminated intravascular coagulation of fetus and newbornP61(Other perinatal haematological disordersJTransitory endocrine and metabolic disorders specific to fetus and newbornP70LTransitory disorder of carbohydrate metabolism specific to fetus and newbornP71ATransitory neonatal disorders of calcium and magnesium metabolismP72-Other transitory neonatal endocrine disordersP74@Other transitory neonatal electrolyte and metabolic disturbances/Digestive system disorders of fetus and newbornP75Meconium ileusP76'Other intestinal obstruction of newbornP77.Necrotizing enterocolitis of fetus and newbornP78*Other perinatal digestive system disordersSConditions involving the integument and temperature regulation of fetus and newbornP80Hypothermia of newbornP817Other disturbances of temperature regulation of newbor< nP83<Other conditions of integument specific to fetus and newborn3Other disorders originating in the perinatal periodP90Convulsions of newbornP910Other disturbances of cerebral status of newbornP92Feeding problems of newbornP930Contact via enquiries@ic.nhs.uk or 0845 300 6016 6Consultant wardConsultant / Midwife / GP ward FPlease see the explanatory notes file on HESonline for more details. Surgical and medical combinedHReactions & intoxications due to drugs administered to fetus and newbornP94#Disorders of muscle tone of newbornP964Other conditions originating in the perinatal periodBPercentages are derived from the total number of birth episodes. * The total number of birth complications does not equal the total number of birth episodes as not all births will experience complications, equally a number of births will have more than one complication recorded during the birth episode. R** This figure relates to birth episodes (see explanatory notes for more details). Birth status: Live born StillbornBirth status UnknownGestation (weeks)Total deliveries*Parity:Singleton deliveriesSingleton deliveries %Twin deliveriesTwin deliveries %#Triplet and higher order deliveries%Triplet and higher order deliveries %Number of babies unknownNumber of babies unknown %All parity groupsAll parity groups %&Total excl. not known gestation lengthUnder 2020-2324-2728-3132-3637-4142-47 48 or over*** The number of unknown/other were not published prior to 2006-07 data. Based on 2006-07 methodology, unknown refers to delivery episodes where the main procedure/ intervention OPCS code was not in the range R17-25 or where there was no OPCS code recorded. Percentages are derived from the total excluding unknown length of gestation for that particular birth status and parity group; except for unknown length of gestation which is derived from the overall total for that particular birth status and parity group.RTable 27: Deliveries by length of gestation and method of onset of labour, 2009-10Length of gestation(weeks) %'Total excl. unknown length of gestation 31 and under32 to 36 42 and overPercentages are derived from the total excluding unknown length of gestation; except for unknown length of gestation which is derived from the overall total.1*Important gestation information: LUTON AND DUNSTABLE HOSPITAL NHS FOUNDATION TRUST (RC9) / THE LEWISHAM HOSPITAL NHS TRUST (RJ2) / SOUTH LONDON HEALTHCARE NHS TRUST (RYQ) recorded gestation length incorrectly, which accounts for 19,663 deliveries. These trusts have been excluded from table 27 in order to avoid artificially inflating the rate of low gestation lengths. For this reason the gestation length should be treated with caution as it does not include any potentially genuine gestation lengths at these trusts. These trusts have also been excluded from other tables containing gestation length counts within the 2009-10 HES maternity publication. For this reason the total number of deliveries in these tables is not consistent with the total number of deliveries reported in other tables which is 652,377."S \  Singleton3Multiple (weight of the first baby in the delivery)Unknown parityBirth weight (grams)"Total excl. not known birth weight999 and under 1000-1499 1500-1999 2000-2499 2500-2999 3000-3499 3500-3999 4000-4499 4500-4999 5000 and overn/aPercentages are derived from the total for each birth status group excluding not known birth weights; except for not known birth weights which are derived from the overall total for each birth status groupPrimary or secondary diagnosis!Non - delivery obstetric episodes=Maternal care for known or suspected malpresentation of fetusAMaternal care for known or suspected fetal abnormality and damage3Maternal care for known or suspected fetal problemsAObstructed labour due to malposition and malpresentation of fetus* This table does not contain the total number of non-delivery obstetric episodes in 2009-10 as some patients may have more than one complication. Ethnic GroupAsian and Asian BritishAsian and Asian British %Black and Black BritishBlack and Black British %Chinese and otherChinese and other % Under 2500g 2500-2999g 3000-3499g 3500-3999g4000g and overPercentages are derived from the total known live born singleton births for each ethnic group except for unknown birth weight which is derived from the overall total.Length of gestation (weeks)**Number of live birth deliveriesAll known gestations 44 or overLPercentages are derived from total known gestation length and birth weights.b*There were a low number of deliveries recorded at gestation weeks marked with an asterisk ("*"). DATA QUALITY WARNING: A number of median calculations were based on a limited number of deliveries, particularly for multiple births and lower gestations, please treat with caution. MiscarriageCountRate per 100 deliveriesFigure 2: Total deliveries and ectopic pregnancies that resulted in an NHS hospital stay: rates per 100 deliveries by age, 2009-10Age/Ectopic pregnancies that resulted in a NHS stayTotal delivery episodes/Rate of ectopic pregnancies per 100 deliveries 20-2425-2930-3435-3940-4445-4950+*r* Due to low numbers please interpret these figures with caution. Please see accompanying table for raw numbers. Figure 3: Total deliveries and miscarriages that resulted in an NHS hospital stay including rates per 100 deliveries by age, 2009-108Total miscarriages that resulted in a NHS hospital stay (Rate of miscarriages per 100 deliveries 50 and over*?*Due to low numbers please interpret this figure with caution. 9*RD3 Poole Hospital NHS Foundation Trust and RJZ King's College Hospital NHS Foundation Trust have high percentages of deliveries where the actual location of delivery recorded as at home. This is due to these providers having technical problems recording the data. Caution is advised when interpreting this data..Table 1: Place of delivery, 1989-90 to 2009-10NHS Hospitals, EnglandKnown place of delivery (%)**YearTotal deliveriesUnknown place of delivery* Total knownGP ward1989-90"1990-911991-921992-931993-94Unknown birth statusUnknown birth status %1994-951995-961996-971997-981998-991999-002000-012001-022002-032003-042004-052005-06Updated methodology***2006-072007-082008-092009-10dPercentages using the updated methodology are derived from the total known place of delivery figure.?**Percentages may not add up due to rounding of decimal places.*** Data from 2006-07 to 2009-10 is not comparable with previous years due to changes in methodology. Figures for 2005-06 have been reproduced for comparison purposes. Please see explanatory notes document for full details on methodology changes.XTable 2: Reason for change of delivery location by intended and actual location, 2009-10 Reason for changeIntended location:HospitalHome*%Actual location:Total Total excl. unknown Change of AddressPrior to labour:ClinicalOtherDuring labour: UnintentionalUnknownPercentages are derived from the total excluding unknown reason for change; except for unknown reason for changed location which is derived from the overall total.7Table 3: Person conducting delivery, 1989-90 to 2009-10&Known person conducting delivery (%)**#Unknown person conducting delivery*Midwife GP & Other****mPercentages using the updated methodology are derived from the total known person conducting delivery figure.H*Unknown figures were never published prior to the 2006-07 publication. ***Data from 2006-07 to 2009-10 is not comparable with previous years due to changes in methodology. 2005-06 figures have been reproduced for comparison purposes. Please see explanatory notes document for full details of methodology changes.**Please note this tab< le excludes 'under 20 gestation length' due to data quality, but are included in the total. Please also note unknown number of babies is also excluded from this table.**Please note due to the local sensitivity of certain fields, some organisations submit data with default values for date of birth, before submitting to SUS. The default values are 1900 / 1901, and as a result there may be high proportions on 108 / 109 / 110 year olds in the 2009-10 dataset. Sensitive records should have all personal identifiable fields set to null so for this table these data have been cleaned to the unknown age group.***Data from 2006-07 to 2009-10 is not comparable with previous years due to changes in methodology. Figures for 2005-06 have been reproduced for comparison purposes. Please see explanatory notes document for full details on methodology changes.**All publication tables represent data for the first baby born from a delivery; therefore excluding information about additional babies from multiple deliveries which is likely to be inaccurate. Please see explanatory notes for further details.*All publication tables represent data for the first baby born from a delivery; therefore excluding information about additional babies from multiple deliveries which is likely to be inaccurate. Please see explanatory notes for further details.***RFF-Barnsley Hospital NHS Foundation Trust, RXK-X-Sandwell and West Birmingham Hospitals NHS Trust, RD8-Milton Keynes Hospital NHS Foundation Trust have high percentages of their maternity data submitted with the status of person conducting delivery as 'other'. This is due to these providers having technical problems recording the data. Caution is advised when interpreting the data.qTable 30: Median birth weight (grams) of live born singleton and multiple deliveries by gestation length, 2009-10tTable 30: Median birth weight (grams) of live born singleton and multiple deliveries*** by gestation length, 2009-10Median birth weightThe number deliveries reflected in this table will not match the national number of deliveries as this table includes only live born deliveries and also excludes deliveries with unknown birth weight and an unknown number of babies.>The birth weight of the baby in grams immediately after birth."Miscarriage and ectopic pregnancy ****RFF-Barnsley Hospital NHS Foundation Trust, RXK-X-Sandwell and West Birmingham Hospitals NHS Trust, RD8-Milton Keynes Hospital NHS Foundation Trust have high percentages of their maternity data submitted with the status of person conducting delivery as 'other'. This is due to these providers having technical problems recording the data. Caution is advised when interpreting this data.BTable 4: Method of delivery by person conducting delivery, 2009-10Person conducting deliveryMethod of delivery*TotalTotal excl. unknownHospital doctorHospital doctor %GP and other***GP and other %***Midwife Midwife % Unknown %Total (England) Spontaneous VertexForcepsLowVentouseBreech Breech extraction Caesarean Elective Other/Emergency Not Known**Percentages are derived from the total excluding unknown person conducting delivery; except for the proportion of unknowns, which are derived from the overall total.D* See explanatory notes document for OPCS method of delivery codes. ** 'Not known' refers to delivery episodes where the main procedure/intervention OPCS code was not in the range R17-25 or where there was no OPCS code recorded.qTable 5: Anaesthetics used before or during delivery by method of onset of labour and method of delivery, 2009-10Method of onset of labour>Types of anaesthetic/ analgesic used before or during delivery)Total excl. not known type of anaestheticGeneral anaestheticGeneral anaesthetic %Epidural or caudal Epidural or caudal %Spinal anaestheticSpinal anaesthetic %General & epidural or caudalGeneral & epidural or caudal %General anaesthetic & spinal General anaesthetic & spinal % Epidural or caudal & spinal Epidural or caudal & spinal %Other Other %Not applicableNot applicable % Not known Not known % Spontaneous Instrumental Unknown**Induced Not Known Percentages are derived from the total excluding not known type of anaesthetic column. The percentage for the not known type of anaesthetic column itself is derived from the overall total.**Unknown refers to delivery episodes where the main procedure/ intervention OPCS code was not in the range R17-25 or where there was no OPCS code recorded.HTable 6: Anaesthetics used before or during delivery, 1989-90 to 2009-10Unknown type of anaesthetic*Other* Not applicable*Unknown*Percentages using the updated methodology are derived from the total excluding unknown type of anaesthetic used before or during delivery.e* The data for other, not applicable and unknown were not published prior to the 2006-07 publication.3Table 7: Method of onset of labour, 1980 to 2009-10%Known method of onset of labour (%)**"Unknown method of onset of labour*Caesarean section InductionTotal inductionSurgical inductionMedical induction.2005-06 2006-07 DPercentages are derived from the total known method of onset figuresA** Percentages may not add up due to rounding of decimal places. G*The number of unknown were not published prior to 2006-07 publication.,Table 8: Method of delivery, 1980 to 2009-10Known method of delivery***Unknown method of delivery*Breech extractionElectiveOther/ EmergencyTotal**2005-06 (OPCS codes)2006-07 (OPCS codes)2007-08 (OPCS codes)2008-09 (OPCS codes)2009-10 (OPCS codes)APercentages are derived from the total excluding unknown figure. ?**Percentages may not add up due to rounding of decimal places. *The number of unknown were not published prior to 2006-07 publication. Based on the revised methodology introduced in 2006-07, unknown refers to delivery episodes where the main procedure/ intervention OPCS code was not in the range R17-25 or where there was no OPCS code recorded. |*** Data from 2006-07 to 2009-10 is not comparable with previous years due to changes in methodology. Method of delivery has been identified using OPCS codes from 2009-10 to 2006-07. Data for 2005-06 has also been reproduced using OPCS codes for comparison purposes. Please see explanatory notes document for OPCS method of delivery codes and full details of methodology changes. ATable 9: Method of delivery by method of onset of labour, 2009-10 Ventouse %Breech %Breech extraction % Caesareans Unknown** %Vertex %Low % Elective %Emergency / OtherEmergency / Other %All Caesareans Induction: Surgical MedicalSurgical and MedicalPercentages are derived from the total excluding unknown; except for the proportion of unknowns, which are derived from the overall total.**Unknown' refers to delivery episodes where the main procedure/ intervention OPCS code was not in the range R17-25 or where there was no OPCS code recorded.QTable 10: Method of delivery by method of onset of labour; summary table, 2009-10Method of delivery * Unknown **Surgical and medical}Figure 2 (graph): Ectopic pregnancies that resulted in an NHS hospital stay: rates per 100 deliveries by age, England 2009-10Figure 2 (data table): Total deliveries and ectopic pregnancies that resulted in an NHS hospital stay: rates per 100 deliveries by age, 2009-10gFigure 1: Total deliveries, miscarriages and ectopic pregnancies per 100 deliveries, 1997-98 to 2009-10tFigure 1 (data table): Total deliveries, miscarriages and ectopic pregnancies per 100 deliveries, 1997-98 to 2009-10Figure 1 (graph): Miscarriages and ectopic pregnancies that resulted in a NHS hospital stay rates per 100 deliveries, 1997-98 to 2009-10Figure 3 (data table): Total deliveries and miscarriages that resulted in an NHS hospital stay including rates per 100 deliveries by age, 2009-10oFigure 3 (graph): Miscarriages that resulted in an NHS hospital stay: rates per 100 deliveries by age, 2009-10 < Percentages are derived from the total excluding unknown; except for the proportion of unknowns, which are derived from the overall total.STable 11: Method of delivery and method of onset of labour by ethnic group, 2009-10 Ethnic groupAsian or Asian BritishAsian or Asian British %Black or black BritishBlack or Black British %Chinese & other ethnic groupChinese & other ethnic group %WhiteWhite %MixedMixed % Not stated Not stated %Ethnicity not knownEthnicity not known%JTotal excl. unknown onset of labour category & unknown method of delivery Instrumental **'Unknown' refers to delivery episodes where the main procedure/ intervention OPCS code was not in the range R17-25 or where there was no OPCS code recorded.Percentages are derived from the total excluding the unknown onset of labour category and unknown method of delivery for that particular ethnic group; except for method of onset unknown category and the method of deliveries which are unknown, which is derived from the overall total.MTable 12: Number of caesareans*; length of stay and anaesthetic used, 2009-10:Delivery episode duration for caesareans* (number of days)0-2 days 0-2 days %3 days3 days %4 days4 days %5 days5 days %6 days6 days %7 or more days7 or more days %unknown no. of daysunknown days %Emergency/ OtherEmergency/Other+General anaesthetic and epidural or caudal General anaesthetic and spinal Epidural or caudal and spinal Percentages are derived from the total excluding unknown number of days; except unknown number of days which are derived from the overall total.9*See explanatory notes document for OPCS caesarean codes.LTable 13: Deliveries with episiotomy* by method of delivery, 1975 to 2009-10HPercentage of deliveries with main or secondary procedure of episiotomy* Known method of delivery (%)**Unknown method of delivery***Other***Percentage of all deliveries EmergencyUpdated methodologyPercentages are derived from the total number of deliveries for each method of delivery category. Please see explanatory notes for more details about denominators.* The OPCS code R27  Other operations to facilitate delivery was used to identify episiotomies. This includes other procedures to facilitate delivery. Please see explanatory note for further details. W** 2006-07 to 2009-10 data are not comparable with previous years due to changes in methodology. Method of delivery has been identified using OPCS codes for 2006-07 to 2009-10. Data for 2005-06 has also been reproduced using OPCS codes for comparison purposes. Please see explanatory notes document for full details of the updated methodology.qTable 14: Deliveries with episiotomy** by method of delivery and strategic health authority of treatment, 2009-10Method of delivery*** Unknown**** Unknown %****'Strategic health authority of treatment Emergency Emergency %ENGLANDQ30 North EastQ31 North West*Q32Yorkshire and the HumberQ33 East MidlandsQ34 West MidlandsQ35UCopyright 2010, The Health and Social Care Information Centre. All Rights Reserved.5NHS Maternity Statistics, 2009-10: Table of Contents XAntenatal: The number of days between the start of the episode and the date of delivery.ZPostnatal: The number of days between the baby's birth and the end of the finished episodeThe number of completed weeks of gestation according to the World Health Organization definition; which specifies time from the first day of the last menstrual period.Midwife ward / Other wardX*The number of unknown place of delivery was not published prior to 2006-07 publication.)Not ApplicableEast of EnglandQ36LondonQ37South East CoastQ38 South CentralQ39 South WestPercentages are derived from the total number of deliveries. Please see explanatory notes for more details about denominators.**The OPCS code R27  Other operations to facilitate delivery was used to identify episiotomies. This includes other procedures to facilitate delivery. Please see explanatory note for further details. E***See explanatory notes document for OPCS method of delivery codes. ****Unknown refers to delivery episodes where the main procedure/ intervention OPCS code was not in the range R17-25 or where there was no OPCS code recorded.N*Due to reasons of confidentiality, figures between 1 and 5 have been suppressed and replaced with  * (an asterisk). Where it was possible to identify numbers from the total due to a single suppressed number in a row or column, an additional number (the next smallest) has been suppressed in order to protect patient confidentiality.XTable 15: Duration of antenatal stay by strategic health authority of treatment, 2009-10&Days from start of       !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxy{|}~episode to deliverySame day 7 or moreunknownEngland8Table 16: Duration of antenatal stay, 1989-90 to 2009-10OKnown duration of antenatal stay (days from start of episode to delivery) (%)**$Unknown duration of antenatal stay * 4 or more fPercentages using the updated methodology are derived from the total known duration of antenatal stay.XTable 17: Duration of postnatal stay by strategic health authority of treatment, 2009-10$Days from delivery to end of episode7or more5Table 18: Duration of postnatal stay, 1975 to 2009-10MKnown duration of postnatal stay (days from delivery to end of episode) (%)**$Unknown duration of postnatal stay * Total known*0 to 34 to 62003-04 fPercentages using the updated methodology are derived from the total known duration of postnatal stay.!"." means data is not applicable.F*Unknown figures were not published prior to the 2006-07 publication. *Delivery episodes may be double counted as some patients will have more than one complication recorded during the delivery episode, therefore the total delivery episodes with complications will be greater than the total number of deliveries of 652,377.pTable 23: Deliveries* with selected complications by method of onset of labour and method of delivery, 2009-10**+**Some complications from earlier in the pregnancy may be recorded during the delivery episode if they are relevant to the patients care. This does not necessarily mean the patient was admitted to hospital for all complications. See table 24 for complications during non-delivery obstetric episodes.Method of delivery*** : Live born % Stillborn %+Stillborn singletons per 1,000 deliveries**Place of deliveryPerson conducting delivery Anaesthetics2The actual location where the delivery took place.-Status of the person conducting the delivery.BType of anaesthetic (pain relief) given during labour or delivery.&Method of onset and method of deliveryThe method used to induce (initiate) labour, rather than to accelerate it and the method used to deliver a baby that is a registrable birth.LTable 12: Number of caesareans; length of stay and anaesthetic used, 2009-10KTable 13: Deliveries with episiotomy by method of delivery, 1975 to 2009-10oTable 14: Deliveries with episiotomy by method of delivery and strategic health authority of treatment, 2009-10mTable 23: Deliveries with selected complications by method of onset of labour and method of delivery, 2009-10 EpisiotomyrAn incision (surgical cut) made into the thinned-out perineal body to enlarg<e the vaginal orifice during delivery.Antenatal/postnatal stay Complications>Complications occurring before, during and after the delivery.ETable 22: Complications recorded during the delivery episode, 2009-10GTable 24: Complications during non-delivery obstetric episodes, 2009-10-Table 25: Births with complications, 2009-10*,Table 25: Births with complications, 2009-10 GestationeTable 26: Singleton, twin and higher order multiple deliveries by gestation and birth status, 2009-10UTable 28: Singleton and multiple deliveries by birth weight and birth status, 2009-10 Birth weightGMiscarriages and ectopic pregnancies which resulted in a hospital stay.***Data from 2006-07 to 2009-10 is not comparable with previous years due to changes in methodology. Figures for 2005-06 have been reproduced for comparison purposes. Please see explanatory notes document for full details on methodology changes. aTable 19: Duration of antenatal stay by method of onset of labour and method of delivery, 2009-100Total excl. not known duration of antenatal stayPercentages are derived from the total excluding not known duration of antenatal stay; except for not known duration of antenatal stay, which is derived from the overall total.** Unknown refers to delivery episodes where the main procedure/intervention OPCS code was not in the range R17-25 or where there was no OPCS code recorded.aTable 20: Duration of postnatal stay by method of onset of labour and method of delivery, 2009-100Total excl. not known duration of postnatal stayPercentages are derived from the total excluding not known duration of postnatal stay; except for not known duration of postnatal stay, which is derived from the overall total.cTable 21: Duration of delivery episode by method of onset of labour and method of delivery, 2009-10*Delivery episode duration (number of days)/Total excl. not known delivery episode duration Not KnownPercentages are derived from the total excluding not known delivery episode duration; except for not known delivery episode duration, which is derived from the overall totalFTable 22: Complications recorded during the delivery episode, 2009-10* ICD-10 codePrimary or Secondary DiagnosisDelivery episodes**Percentage of all deliveries!Total delivery episodes (England)ZOedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperiumO00Ectopic PregnancyO10OPre-existing hypertension complicating pregnancy, childbirth and the puerperiumO11@Pre-existing hypertensive disorder with superimposed proteinuriaO12KGestational (pregnancy-induced) oedema and proteinuria without hypertensionO13LGestational (pregnancy-induced) hypertension without significant proteinuriaO14YGestational (pregnancy-induced) hypertension with significant proteinuria (pre-eclampsia)O15 EclampsiaO16!Unspecified maternal hypertension;Other maternal disorders predominantly related to pregnancyO20Haemorrhage in early pregnancyO21Excessive vomiting in pregnancyO22!Venous complications in pregnancyO23.Infections of genitourinary tract in pregnancyO24Diabetes mellitus in pregnancyO25Malnutrition in pregnancyO26EMaternal care for other conditions predominantly related to pregnancyO282Abnormal findings on antenatal screening of motherO29-Complications of anaesthesia during pregnancyUMaternal care related to the fetus and amniotic cavity and possible delivery problemsO30Multiple gestationO31,Complications specific to multiple gestationO32>Maternal care for known or suspected malpresentation of foetusO332Maternal care for known or suspected disproportionO34AMaternal care for known or suspected abnormality of pelvic organs O342L Uterine scar from previous surgery (including previous caesarean section)O35BMaternal care for known or suspected foetal abnormality and damageO364Maternal care for known or suspected foetal problemsO40PolyhydramniosO41/Other disorders of amniotic fluid and membranesO42Premature rupture of membranesO43Placental disordersO44Placenta praeviaO455Premature separation of placenta (abruptio placentae)O460Antepartum haemorrhage not elsewhere classified.O47 False labourO48Prolonged pregnancy$Complications of labour and deliveryO60 Preterm deliveryO61Failed induction of labourO62!Abnormalities of forces of labourO63 Long labour O630 prolonged first stage O631 prolonged second stage O632/ delayed delivery of second twin, triplet etcO64BObstructed labour due to malposition and malpresentation of foetusO654Obstructed labour due to maternal pelvic abnormalityO66Other obstructed labourO67TLabour and delivery complicated by interpartum haemorrhage, not elsewhere classifiedO68:Labour and delivery complicated by fetal stress (distress)O69?Labour and delivery complicated by umbilical cord complicationsO70#Perineal laceration during deliveryO71Other obstetric traumaO72Postpartum haemorrhageO734Retained placenta and membranes, without haemorrhageO747Complications of anaesthesia during labour and deliveryO75DOther complications of labour and delivery, not elsewhere classified5Complications predominantly related to the puerperiumO85Puerperal sepsisO86Other puerperal infectionsO87&Venous complications in the puerperiumO88Obstetric embolismO89 2Complications of anaesthesia during the puerperiumO909Complications of the puerperium, not elsewhere classifiedO91/Infections of breast associated with childbirthO92BOther disorders of breast and lactation associated with childbirthPOther obstetric conditions complicating pregnancy, childbirth and the puerperiumO98+Maternal infectious and parasitic diseases O99Other maternal diseasesFPercentages are derived from the total number of delivery episodes. ** Delivery episodes may be double counted as some patients will have more than one complication recorded during the delivery episode, therefore the total delivery episodes with complications will be greater than the total number of deliveries of 652,377.I FPWXl3YZ\e]]/^_g|_`ha|b3c dne; go)hhC jKjlTnGnopr$wd w Dyz{(}A,l1]9y\2N a} ˕ 2N טLhb~ŸEafv2+ʫ/(oh#tm   rk*#c\SLh=V+ tI f lA : $ )zOvK~SR'ccB  $a95-  dMbP?_*+%&?'?(?)?M \\UK-HEME-FPS004\Canon Secure   ߁ 4dXA4Canon   Canon iR C2570 PCL5canddd      d d d d d dd@@d  d  d dd d"edd !'  ddd      !"#$%&'()*-./01234567d!!d     d !"#$%&'()*+,-dA     Ad      dK8@ 4 77c 1 4 77c 1@FXXdd Arial\CNZSRGBA.ICC\CNZSRGBA.ICC\CNZSRGBA.ICC CONFIDENTIALCONFIDENTIALHArialDefault Settings@  " <XX??&U} ۍ} & ;k  ,,;,,,;,,,!;"$,&, / c f  A d g S h e h   k !i "j $ &,|  (,*,,,.,0,2,4,6,8,:,<,>;?A,C,E;FG ( * , .k 0l 2m 4~ 6 8 :n < >o ?p Al Cm Eq F0 G1(dTHI,K,M,O,Q,S,U,V,WY;Z\,^,`,b,d;e@g,H ID KJ MO OR Q~ S UV W/ Yr Zs \t"\ ^n"^ `u"` bw"b dx e2"e gy*<h  44444i,k,m,o,q;rst,v,x,z;{|,@},~&&,&,&g&~&Y!&w i kz m oa q{ res tz v xa zf {|| } } ~ ~          .P%R% vP%2  22 2222bV&~&~!&, wP% P%   "(bb$ (    A??HESonlineLogo3Picture 1HESonlineLogo3 -i]&`  A0??0NHS_Info_Centre_for_webPicture 2NHS_Info_Centre_for_web]&`@>  A0??0NHS_Info_Centre_for_webPicture 6NHS_Info_Centre_for_web]&``?>@<d`?b?* ee \ yK  'Table 1'!A1 'Table 1'!A1`yK 'Table 2 '!A1'Table 2 '!A1\yK  'Table 3'!A1 'Table 3'!A1\yK  'Table 5'!A1 'Table 5'!A1AAyK LTable 13: Deliveries with episiotomy by method of delivery, 1975 to 2009-10'Table 13'!A1OOyK 6Table 18: Duration of postnatal stay, 1975 to 2009-10'Table 18 '!A1ggyK fTable 26: Singleton, twin and higher order multiple deliveries by gestation and birth status, 2009-10'Table 26'!A1mmyK RTable 29: Birth weight of live born singleton deliveries by ethnic group, 2009-10'Table 29'!A1vvyK RTable 29: Birth weight of live born singleton deliveries by ethnic group, 2009-10'Table 29'!A1}}yK VFigure 1: Miscarriages and ectopic pregnancies per 100 deliveries, 1997-98 to 2009-10'Figure 1 (data)'!A1|yK 'Figure 3 (data)'!A1'Figure 3 (data)'!A1PyK ~Figure 2 (graph): Ectopic pregnancies that resulted in an NHS hospital stay: rates per 100 deliveries by age, England 2009-10'Figure 2 (graph)'!A1yK CTable 4: Method of delivery by person conducting delivery, 2009-10 'Table 4'!A1yK ITable 6: Anaesthetics used before or during delivery, 1989-90 to 2009-10 'Table 6'!A1yK MTable 12: Number of caesareans; length of stay and anaesthetic used, 2009-10'Table 12'!A1$$yK 4Table 7: Method of onset of labour, 1980 to 2009-10 'Table 7'!A1&&yK -Table 8: Method of delivery, 1980 to 2009-10 'Table 8'!A1((yK BTable 9: Method of delivery by method of onset of labour, 2009-10 'Table 9'!A1**yK RTable 10: Method of delivery by method of onset of labour; summary table, 2009-10'Table 10'!A1,,yK TTable 11: Method of delivery and method of onset of labour by ethnic group, 2009-10'Table 11'!A1..yK MTable 12: Number of caesareans; length of stay and anaesthetic used, 2009-10'Table 12'!A100yK LTable 13: Deliveries with episiotomy by method of delivery, 1975 to 2009-10'Table 13'!A1$22yK pTable 14: Deliveries with episiotomy by method of delivery and strategic health authority of treatment, 2009-10'Table 14'!A144yK bTable 19: Duration of antenatal stay by method of onset of labour and method of delivery, 2009-10'Table 19'!A166yK bTable 20: Duration of postnatal stay by method of onset of labour and method of delivery, 2009-10'Table 20'!A1 88yK dTable 21: Duration of delivery episode by method of onset of labour and method of delivery, 2009-10'Table 21'!A1 ::yK nTable 23: Deliveries with selected complications by method of onset of labour and method of delivery, 2009-10'Table 23'!A1<<yK STable 27: Deliveries by length of gestation and method of onset of labour, 2009-10'Table 27'!A1$CCyK pTable 14: Deliveries with episiotomy by method of delivery and strategic health authority of treatment, 2009-10'Table 14'!A1IIyK YTable 15: Duration of antenatal stay by strategic health authority of treatment, 2009-10'Table 15'!A1KKyK 9Table 16: Duration of antenatal stay, 1989-90 to 2009-10'Table 16'!A1MMyK YTable 17: Duration of postnatal stay by strategic health authority of treatment, 2009-10'Table 17'!A1QQyK bTable 19: Duration of antenatal stay by method of onset of labour and method of delivery, 2009-10'Table 19'!A1SSyK bTable 20: Duration of postnatal stay by method of onset of labour and method of delivery, 2009-10'Table 20'!A1 UUyK dTable 21: Duration of delivery episode by method of onset of labour and method of delivery, 2009-10'Table 21'!A1\\yK FTable 22: Complications recorded during the delivery episode, 2009-10'Table 22'!A1 ^^yK nTable 23: Deliveries with selected complications by method of onset of labour and method of delivery, 2009-10'Table 23'!A1``yK HTable 24: Complications during non-delivery obstetric episodes, 2009-10'Table 24'!A1bbyK -Table 25: Births with complications, 2009-10'Table 25'!A1iiyK STable 27: Deliveries by length of gestation and method of onset of labour, 2009-10'Table 27'!A1kkyK VTable 28: Singleton and multiple deliveries by birth weight and birth status, 2009-10'Table 28'!A1&ooyK qTable 30: Median birthweight (grams) of live born singleton and multiple deliveries by gestation length, 2009-10'Table 30'!A1ttyK VTable 28: Singleton and multiple deliveries by birth weight and birth status, 2009-10'Table 28'!A1&xxyK qTable 30: Median birthweight (grams) of live born singleton and multiple deliveries by gestation length, 2009-10'Table 30'!A1f~~yK Figure 1 (graph): Miscarriages and ectopic pregnancies that resulted in a NHS hospital stay rates per 100 deliveries, 1997-98 to 2009-10'Figure 1 (graph)'!A1ryK Figure 2 (data table): Total deliveries and ectopic pregnancies that resulted in an NHS hospital stay: rates per 100 deliveries by age, 2009-10'Figure 2 (data)'!A1 yK 'Figure 3 (graph)'!A1'Figure 3 (graph)'!A1RyK dCopyright 2010, The Health and Social Care Information Centre. HES Analysis. All Rights Reserved.yK Rhttp://www.hesonline.nhs.uk/yX;H,]ą'cyK mailto:enquiries@ic.nhs.ukyK Nmailto:enquiries@ic.nhs.ukyX;H,]ą'cyK enquiries@ic.nhs.ukyK Nmailto:enquiries@ic.nhs.ukyX;H,]ą'c Sheet5ggD   mEUZgo s  dMbP?_*+%&{Gz?' ףp= ?(Gz?)RQ?M \\UK-HEME-FPS004\Canon Secure   ߁ 4dXA4Canon   Canon iR C2570 PCL5canddd      d d d d d dd@@d  d  d dd d"edd !'  ddd      !"#$%&'()*-./01234567d!!d     d !"#$%&'()*+,-dA     Ad      dK8@ 4 77c 1 4 77c 1@FXXdd Arial\CNZSRGBA.ICC\CNZSRGBA.ICC\CNZSRGBA.ICC CONFIDENTIALCONFIDENTIALHArialDefault Settings@  " LXX `? `?&`U} A}  A} A}  A} A} A} A}  A} A} A} A} $A} A} A} A}  A} $A} $ A} A} $ A} mA} $ Am& J@ ; @  @@@@(((((( ??@@@@ &  I& IBBBBBCBCB( EBBBBBCBCB( FFFFFFFFFFFFFFFFF( FGGGGGGGGGGGGGGGH(FHHHHHHHHHHHHHHHHFFFII F(FFFIIJJKKGGGGGGGH(FFFIIIIIIFFFFFFFFF F F L!I M"M M#   O  I$ O  O 3OFFFLI OOOOOO(FGFPHQHQHGFGFGFGHF R%R~ S8U#A & &~  P@ ~  @ ~  >@~ ?TF R'R~ S#A & &~  O@ ~  @ ~  A@~ TF R(R~ S#A & &~  O@ ~  @ ~  @@~ TF R)R~ S#A & &~  N@ ~  @ ~  B@~ TF R*R~ SP"A & &~  M@ ~  @ ~  C@~ TF R-R~ Sq"A & &~  M@ ~  @ ~  C@~ TF R.R~ S"A & &~  N@ ~  @ ~  B@~ TF R/R~ S$"A & &~  P@ ~  @ ~  =@~ ?TF R0R~ SP!A & &~  @P@ ~  @ ~  ?@~ ?TF R1R~ S!A & & 6Z|M@  EgH?  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All Rights Reserved.yK Rhttp://www.hesonline.nhs.uk/yX;H,]ą'c yK mailto:enquiries@ic.nhs.ukyK Nmailto:enquiries@ic.nhs.ukyX;H,]ą'c yK enquiries@ic.nhs.ukyK Nmailto:enquiries@ic.nhs.ukyX;H,]ą'c Sheet36ggD  -v  dMbP?_*+%&?'?(?)?M \\UK-HEME-FPS004\Canon Secure   ߁ 4dXA4Canon   Canon iR C2570 PCL5canddd      d d d d d dd@@d  d  d dd d"edd !'  ddd      !"#$%&'()*-./01234567d!!d     d !"#$%&'()*+,-dA     Ad      dK8@ 4 77c 1 4 77c 1@FXXdd Arial\CNZSRGBA.ICC\CNZSRGBA.ICC\CNZSRGBA.ICC CONFIDENTIALCONFIDENTIALHArialDefault Settings@  " OX??&U} $ -&@; @   @ &F!&"&Y!#&w$&%& &&; |  P `aaaaa  $ kkkkkkknnnnnn  !.P!%R" BBBBBBBBBBBBBBBBBBBBBBBBBBB% #vP#     BBBBBBBBBBBBBBBBBBBBBBBBBBB% $wP$% %xP%% &B&C& C2",:bVbbb'&(&)&*&+&,&"'oo *(           n()     ) ) ) ) ) *    nnnn*+nnnn*,nnnnd&.t".$pr(    A??HESonlineLogo3Picture 1HESonlineLogo3p]&``ܡ  A0??0NHS_Info_Centre_for_webPicture 2NHS_Info_Centre_for_web x pK]&`ܡvn  c 4NChart 3 "]@ ݡ  PP PZaajk Page &P&?'?(?)?" XX??3&PH0(  @3d 3QQQQ3_ M *  MM<R R R R R R? S S4ES S 4D$% 0`63O&,Q4$% `63O&,Q4FA3Og V 3 boR RR RV VdN^&,! J  .S S43*N&,! ! R RJ J S S4% R ' 3Opt&PQ &Age group (years)'R R<8?jwt.?u`p xxxxxxxxxxxxxxxxx xS S4% m Z3O&PQ 2Rate per 100 deliveries'R R<sp xxxxxxxxxxxxxxxxxxxxxxx xS S4523   MR R:" S S43" 4S S4Dg V ?}SQ?SS {?5o*&" ? [S S 4eUnder 2020-2425-2930-3435-3940-4445-49! 50 and over*eic@y%@-u@QW;@y* @zr%0T1@7[: @@JAL &3@e  >@<UaaB))++  ##$$%%  R!!yK dCopyright 2010, The Health and Social Care Information Centre. HES Analysis. All Rights Reserved.yK Rhttp://www.hesonline.nhs.uk/yX;H,]ą'c%%yK mailto:enquiries@ic.nhs.ukyK Nmailto:enquiries@ic.nhs.ukyX;H,]ą'c%%yK enquiries@ic.nhs.ukyK Nmailto:enquiries@ic.nhs.ukyX;H,]ą'cggD   !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHJKLMNOPQRSTUVXYZ\DocumentLibraryFormDocumentLibraryFormDocumentLibraryForm This value indicates the number of saves or revisions. The application is responsible for updating this value after each revision. Oh+'0@SummaryInformation( WDocumentSummaryInformation8|FCompObj[rHT l x Louise.Corrigan@cz@A/1u@C F&Microsoft Office Excel 2003 WorksheetBiff8Excel.Sheet.89qp x  MTable of contentsTable 1 Table 2 Table 3Table 4Table 5Table 6Table 7Table 8T 'Table 1'!A1 omailto:enquiries@ic.nhs.uk omailto:enquiries@ic.nhs.uk[http://www.hesonline.nhs.uk/ omailto:enquiries@ic.nhs.uk omailto:enquiries@ic.nhs.uk[http://www.hesonline.nhs.uk/ omailto:enquiries@ic.nhs.uk omailto:enquiries@ic.nhs.uk[http://www.hesonline.nhs.uk/ omailto:enquiries@ic.nhs.uk omailto:enquiries@ic.nhs.uk[http://www.hesonline.nhs.uk/ omailto:enquiries@ic.nhs.uk omailto:enquiries@ic.nhs.uk[http://www.hesonline.nhs.uk/ omailto:enquiries@ic.nhs.uk omailto:enquiries@ic.nhs.uk[http://www.hesonline.nhs.uk/ omailto:enquiries@ic.nhs.uk omailto:enquiries@ic.nhs.uk[http://www.hesonline.nhs.uk/ omailto:enquiries@ic.nhs.uk omailto:enquiries@ic.nhs.uk[http://www.hesonline.nhs.uk/ o mailto:enquiries@ic.nhs.uk o mailto:enquiries@ic.nhs.uk[ http://www.hesonline.nhs.uk/ o mailto:enquiries@ic.nhs.uk o mailto:enquiries@ic.nhs.uk[ http://www.hesonline.nhs.uk/ o mailto:enquiries@ic.nhs.uk o mailto:enquiries@ic.nhs.uk[ http://www.hesonline.nhs.uk/ o mailto:enquiries@ic.nhs.uk o mailto:enquiries@ic.nhs.uk[ http://www.hesonline.nhs.uk/ o mailto:enquiries@ic.nhs.ukr՜.+,D՜.+,\HP X`hp x  MTable of contentsTable 1 Table 2 Table 3Table 4Table 5Table 6Table 7Table 8Table 9 Table 10 Table 11 Table 12 Table 13 Table 14 Table 15 Table 16 Table 17 Table 18 Table 19 Table 20 Table 21 Table 22 Table 23 Table 24 Table 25 Table 26 Table 27 Table 28 Table 29 Table 30Figure 1 (data)Figure 1 (graph)Figure 2 (data)Figure 2 (graph)Figure 3 (data)Figure 3 (graph)'Figure 1 (data)'!Print_Area'Figure 1 (graph)'!Print_Area'Figure 2 (data)'!Print_Area'Figure 2 (graph)'!Print_Area'Figure 3 (data)'!Print_Area'Figure 3 (graph)'!Print_Area'Table 1'!Print_Area'Table 10'!Print_Area'Table 11'!Print_Area'Table 12'!Print_Area'Table 13'!Print_Area'Table 14'!Print_Area'Table 15'!Print_Area'Table 16'!Print_Area'Table 17'!Print_Area'Table 18 '!Print_Area'Table 19'!Print_Area'Table 2 '!Print_Area'Table 20'!Print_Area'Table 21'!Print_Area'Table 22'!Print_Area'Table 23'!Print_Area'Table 24'!Print_Area'Table 25'!Print_Area'Table 26'!Print_Area'Table 27'!Print_Area'Table 28'!Print_Area'Table 29'!Print_Area'Table 3'!Print_Area'Table 30'!Print_Area'Table 4'!Print_Area'Table 5'!Print_Area'Table 6'!Print_Area'Table 7'!Print_Area'Table 8'!Print_Area'Table 9'!Print_Area'Table 22'!Print_Titles'Table 24'!Print_Titles'Table 25'!Print_Titles!'Table of contents'!Print_Titles  Worksheets% Named Ranges($?0ks>? 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