PREGNANCY OUTCOMES – 2015 (compared with SA outcomes 2013)

The most recent available state pregnancy outcomes are from 2013. I have compared them with my most recent pregnancy outcomes for 2015. Since my population consists of a large proportion of high risk patients I am delighted my figures compare favourably with the state figures.

South Australian DELIVERIES Dr Linda McKendrick
Primiparous(First Baby) 47% 43%
Low Risk SA 60% 20%
High Risk 40% 80%
AGE AT DELIVERY
< 35 yo 70% 55%
35-39 yo 16% 32%
40+ yo 4% 13%

Dr Linda McKendricks practice cares for a larger proportion of older pregnant women than the state average

BMI of patients South Australian Average Dr Linda McKendrick
< 30 76% 79%
30-39 20% 19%
40+ 4% 2%

MODE OF DELIVERY

Mode of Delivery South Australian Average Dr Linda McKendrick
Normal Vaginal Delivery (NVD) 54% 50%
Forceps/ventouse 12% 11%
Elective LSCS 16% 18%
Emergency LSCS 18% 20%

Dr McKendricks' induction rate is high because of the disproportionate numbers of high risk pregnancies which she cares for.

ONSET OF LABOUR

Onset of Labour South Australian Average Dr Linda McKendrick
Spontaneous 49% 40%
Induced 32.5% 37%
LSCS no labour 18.5% 23%
INDUCTIONS SA Dr Linda McKendrick
Postmature 16% 17%
Hypertension 15% 9.4%
Gestational diabetes 9.5% 17%
IUGR 9.5% 9.4%

Dr Linda McKendrick LOW RISK PATIENT DELIVERY STATISTICS

Normal Vaginal Delivery (NVD) 68%
Forceps/ventouse 21.5%
Elective LSCS 3.5%
Emergency LSCS 7%

Dr Linda McKendrick STATISTICS FOR MATERNAL AGE AND MODE OF DELIVERY

< 35yo 35-39yo 40+yo
Normal Vaginal Delivery (NVD) 59% 44.4% 28%
Forceps/ventouse 11% 9% 17%
Elective LSCS 10% 26.6% 38%
Emergency LSCS 19% 20% 17%

This data confirms the known fact that there is an increasing incidence of caesarean section as the maternal age rises.

BMI AND MODE OF DELIVERY

BMI < 30(n=111) 30-35(n=14) 35+(n=15)
Normal Vaginal Delivery (NVD) 54% 28.5% 40%
Forceps/ventouse 13% 7% 7%
Elective LSCS 17% 36% 13%
Emergency LSCS 16% 28.5% 40%

It is well documented that there is a proportionate increase in the rate of caesarean section as the maternal BMI increases

MY VAGINAL BIRTHS AFTER CESEAREAN (VBAC) STATSFOR 2015

19pts opted for VBAC

11 had vaginal deliveries (including one after 2 LSCS)- 65% delivery rate of those who laboured

6 had EMLSCS

2 had semi-elective LSCS due to unfavourable cervix. At the time the baby needed delivery the cervix was tightly closed .

MULTIPLE PREGNANCY

4 sets of twins

2 sets had normal vaginal deliveries

1 set had placenta praevia hence LSCS

1 set had severe PET and was delivered by LSCS