Concept: Maternal and Newborn Health Status Indicators

Introduction

This concept identifies and lists the maternal and newborn health status indicators presented in the Perinatal Services and Outcomes in Manitoba deliverable by Heaman et al. (2012). The report focuses on women giving birth in Manitoba between 2001/02 to 2008/09.

The health status indicators are divided into maternal and newborn categories; following Chapters 2 to 6 in the report, five distinct categories are presented. Each indicator includes links to relevant glossary definitions and to the corresponding discussion, figures and methodology that are presented in the deliverable.

Maternal and Newborn Health Status Indicator Categories

The health status indicators presented in this concept are divided into five main categories. These include:


1. Profile of Women Giving Birth;
   
2. Maternal Prenatal Health;
   
3. Giving Birth;
   
4. Maternal Postpartum Health; and
   
5. Fetal and Newborn Health

Within each category, individual indicators are listed with links to indicators or relevant terms that are defined in the MCHP on-line glossary. Additional links are provided to the corresponding Discussion and Methods presented in the report. The discussion section includes background information, how the indicator is calculated, key observations, comparison to other findings, limitations, summary and a reference list. It also contains a number of figures (graphs) that present findings related to each indicator. These include geographic analysis (Region, Regional Health Authority (RHA) and Winnipeg Community Areas) and a variety of Sociodemographic and Other (SDO) characteristics. Examples of these SDO characteristics include age categories, income quintiles and education level.

Links are also provided to the corresponding summary of Methods for each indicator. Appendix Table A.4 - Table of Codes contains an alphabetical listing of the indicators, and for each indicator includes: the chapter of the report where the indicator is discussed, a definition (including ICD codes and/or other coding values/ranges where appropriate), the years of data analyzed, any exclusions applied, and the databases (data source(s)) from the Manitoba Population Research Data Repository (Repository) where the data was collected.

1. Profile of Women Giving Birth

This section profiles the women giving birth in Manitoba. The Introduction Section provides details and discussion of the profile and presents table/graphical information on pregnancy outcomes, birth outcomes, hospital and medical facilities where women gave birth, and age categories of women who gave birth in each RHA. The health status indicators in this section include:


• Women Giving Birth with Less Than a Grade 12 Education == [ Discussion ; Methods ]
  
• Women Giving Birth Who are Single Parent (formerly Lone Parent) == [ Discussion ; Methods ]
  
• Social Isolation == [ Discussion ; Methods ]
  
• Women Giving Birth who Received Income Assistance == [ Discussion ; Methods ]
  
• Healthy Baby Prenatal Benefit == [ Discussion ; Methods ]
  
• Participation in a Healthy Baby Community Support Program == [ Discussion ; Methods ]
  
• Live Births to Teen Mothers == [ Discussion ; Methods ]
  
• Live Births to Women Aged 35 and older == [ Discussion ; Methods ]
  
• Delayed Childbearing == [ Discussion ; Methods ]
  
• Primiparas == [ Discussion ; Methods ]
  
• Short Interpregnancy Interval (IPI) == [ Discussion ; Methods ]

2. Maternal Prenatal Health

This section lists health status indicators related to the mother during pregnancy. The indicators include:


• Alcohol Consumption During Pregnancy == [ Discussion ; Methods ]
  
• Smoking During Pregnancy == [ Discussion ; Methods ]
  
• Illicit Drug Use During Pregnancy == [ Discussion ; Methods ]
  
• Ectopic Pregnancies == [ Discussion ; Methods ]
  
• Use of Infertility Drugs Prior to Live Birth == [ Discussion ; Methods ]
  
• Prenatal Care == [ Background ]
  
  • Late Initiation of Prenatal Care == [ Discussion ; Methods ]
    
  • Low Number of Prenatal Visits == [ Discussion ; Methods ]
    
  • Inadequate Prenatal Care (see Revised-Graduated Prenatal Care Utilization Index (R-GINDEX) ) == [ Discussion ; Methods ]
• Healthcare Provider for Prenatal Care == [ Discussion ; Methods ]
  
• Prenatal Psychological Distress == [ Discussion ; Methods ]
  
• Antenatal Hospitalization == [ Discussion ; Methods ]

3. Giving Birth

This section lists health status indicators related to the time of birth. The indicators include:


• Travelling to Give Birth - By Distance or Outside of RHA == [ Discussion ; Methods ]
  
• Healthcare Provider for Delivery == [ Discussion ; Methods ]
  
• Induction of Labour == [ Discussion ; Methods ]
  
• Vaginal Births with Epidural Anesthesia == [ Discussion ; Methods ]
  
• Assisted Vaginal Birth == [ Discussion ; Methods ]
  
• Caesarean Birth == [ Discussion ; Methods ]
  
• Vaginal Birth After Caesarean (VBAC) == [ Discussion ; Methods ]
  
• Breech Births == [ Discussion ; Methods ]
  
• Vaginal Breech Birth == [ Discussion ; Methods ]
  
• Severe Maternal Morbidities == [ Discussion ; Methods ]

4. Maternal Postpartum Health

This section lists health status indicators related to the time period after childbirth. The indicators include:


• Breastfeeding Initiation == [ Discussion ; Methods ]
  
• Maternal Postpartum Hospital Readmission == [ Discussion ; Methods ]
  
• Postpartum Psychological Distress == [ Discussion ; Methods ]

5. Fetal and Newborn Health

This section lists health status indicators related to the fetus and newborn. The indicators include:


• Stillbirths == [ Discussion ; Methods ]
  
• Preterm Birth == [ Discussion ; Methods ]
  
• Postterm Birth == [ Discussion ; Methods ]
  
• Small-for-Gestational-Age == [ Discussion ; Methods ]
  
• Large-for-Gestational-Age == [ Discussion ; Methods ]
  
• Multiple Births == [ Discussion ; Methods ]
  
• Five-Minute Apgar Score of 7 or Less == [ Discussion ; Methods ]
  
• Severe Neonatal Morbidity == [ Discussion ; Methods ]
  
• Neonatal Special Care Unit (SCU) Admissions == [ Discussion ; Methods ]
  
• Neonatal Hospital Readmission == [ Discussion ; Methods ]
  
• Neonatal, Postneonatal, and Infant Mortality == [ Preamble ]
  
  • Neonatal Mortality Rate == [ Discussion ; Methods ]
    
  • Postneonatal Mortality Rate == [ Discussion ; Methods ]
    
  • Infant Mortality Rate == [ Discussion ; Methods ]