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[PDF] Plant Use in Ante- and Postpartum Health Care in Lao PDR
An ethnobotanical study, combining systematic botany, pharmacology and anthropology As a result of the study six species used in postpartum health care,
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A total of 153 medicinal plants belonging to 62 families were used for post pregnancy care at different phases (Table 1) All these medicines were taken in post
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expected to experience normal birth with care provision from midwives Botany I felt the after-birth process was super quick my daughter was
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plants used for childbirth care by ¥unnanese Chinese in northern Thailand with food therapy after birth in order to restore women's health and prevL>nt
[PDF] Understanding your Options for Maternity Care
27 fév 2016 · 6 weeks after the birth of your baby • Care during your labour is provided by midwives at the birthing facility of your choice; Botany
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plants and their ethno botanical importance in Central India plants in post-partum care among Malavedar and Pulaya caste, part of plant used,
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care of neonates and pregnant and post-partum Mahafaly women in care Moreover, botanists who exclusively survey plants used by
[PDF] East Auckland Area - Find Your Midwife
Tuesday and Thursday afternoons from Botany Downs Maternity Unit provide care through pregnancy, during labour and birth and after baby is born
[PDF] Options for Maternity Care in Counties Manukau
Pregnancy Information Pack available from your Botany - 292 Botany Rd, 09 259 5032 specialises in pregnancy care and is responsible for providing
[PDF] Women's Health and Newborn Annual Report - Counties Manukau
Women booked at CM Health facility with care provided by a community Method of birth at Middlemore Hospital, 2016–2018 actively birth at Botany Downs
- PDF document for free
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34891_72019_CM_Health__Womens_Health_and_Newborn_Annua_Report.pdf ????-???? Introduction
CM HEALTH
The following people are acknowledged for their contribution to this report:Alanna Soupen
ʹůĂŶŶŝŶŐĂŶĚĞƉŽƌƟŶŐĚǀŝƐŽƌʹŽƉƵůĂƟŽŶĞĂůƚŚ͕ƚƌĂƚĞŐLJĂŶ
ŶǀĞƐƚŵĞŶƚ
Amanda Hinks
ʹĞƌǀŝĐĞĞǀĞůŽƉŵĞŶƚĂŶĂŐĞƌ͕ŚŝůĚŽƵƚŚĂŶĚĂƚĞƌŶŝƚLJ;Ϳ
Andrea O'Brien
ʹĂƚĂŶĂůLJƐƚ͕ĞĂůƚŚ ŶƚĞůůŝŐĞŶĐĞĂŶĚŶĨŽƌŵĂƟĐƐAnna Hawkins
ʹůŝŶŝĐĂůŽŽƌĚŝŶĂƚŽƌ͕ ĞƌŝŶĂƚĂůĞƌǀŝĐĞƐBev Pownall
ʹĞĂŵĞĂĚĞƌ͕ĂĐƚĂƟŽŶ ƵƉƉŽƌƚĞƌǀŝĐĞƐCarmel Ellis
ʹĞŶĞƌĂůĂŶĂŐĞƌ͕ŶƚĞŐƌĂƚĞĚ ŚŝůĚ͕ŽƵƚŚĂŶĚĂƚĞƌŶŝƚLJCaroline Crowther
ʹƌŽĨĞƐƐŽƌ͕ŝŐŐŝŶƐŶƐƟƚƵƚĞ͕ŶŝǀĞƌƐŝƚLJŽĨƵĐŬůĂŶĚ
Celeste Stark
ʹŚŽƚŽŐƌĂƉŚĞƌ
ƌŚĂƌůŽƩĞLJƐƚŽŶ ʹďƐƚĞƚƌŝĐŝĂŶĂŶĚLJŶĂĞĐŽůŽŐŝƐƚ͕ĞŶŝŽƌĞĐƚƵƌĞƌďƐƚĞƚƌŝĐƐ
ĂŶĚLJŶĂĞĐŽůŽŐLJ͕ŶŝǀĞƌƐŝƚLJŽĨƵĐŬůĂŶĚ
ƌŚƌŝƐĐŝŶůĂLJ
ʹĞŽŶĂƚŽůŽŐŝƐƚ͕ŝĚnjŝƌƐƚĞŽŶĂƚĂůĂƌĞ͕ĞŶŝŽƌĞĐƚƵƌĞƌ͕
ŝŐŐŝŶƐŶƐƟƚƵƚĞ͕ŶŝǀĞƌƐŝƚLJŽĨƵĐŬůĂŶĚ
ůĂƵĚĞůůĞŝůůĂLJ ʹŵŵƵŶŝƐĂƟŽŶƵƌƐĞĞĂĚĞƌ
ƌŚƌŝƐƟŶĞĐŶƚŽƐŚ - General ƌĂĐƟƟŽŶĞƌŝĂŝƐŽŶDebra Fenton
ʹĂƚĞƌŶŝƚLJĞƌǀŝĐĞManager
ĞĂŶĂƉĂĐŽŶƐƚĂŶƟŶŽƵʹĂƚĂŶĂůLJƐƚͲ
ŽƉƵůĂƟŽŶĞĂůƚŚĞĂŵDiane Evans
ʹĐƟŶŐŚĂƌŐĞƵƌƐĞManager
Donna Ritchie
ʹŽŵŵƵŶŝƚLJŝĚǁŝĨĞŝĂŝƐŽŶ
ůŝnjĂďĞƚŚŝůůĂLJ ʹƌŽŐƌĂŵŵĞŽŽƌĚŝŶĂƚŽƌʹĞĂůƚŚLJŽŵĞƐŶŝƟĂƟǀĞŚŝůĚŽƵƚŚĂŶĚ
ĂƚĞƌŶŝƚLJƌŵŵĂĂƌƌLJʹďƐƚĞƚƌŝĐŝĂŶĂŶĚ
LJŶĂĞĐŽůŽŐŝƐƚ͕ƐƵďƐƉĞĐŝĂůŝƐƚŝŶĂƚĞƌŶĂů
ĞƚĂůĞĚŝĐŝŶĞ
Estelle Mulligan
ʹĂĨĞůĞĞƉŽŽƌĚŝŶĂƚŽƌƌƐƚŚĞƌƵƩLJ
ʹďƐƚĞƚƌŝĐƐĂŶĚ LJŶĂĞĐŽůŽŐLJĞŐŝƐƚƌĂƌGail Mciver
ʹŝƌƚŚŝŶŐĂŶĚƐƐĞƐƐŵĞŶƚŝĚǁŝĨĞĂŶĂŐĞƌ
ĂLJůĞLJŝůů
ʹĂƚĞƌŶŝƚLJůŝŶŝĐĂůŶĨŽƌŵĂƟŽŶLJƐƚĞŵůŝŶŝĐĂůŝĚǁŝĨĞ
ƉĞĐŝĂůŝƐƚ
ƐĂďĞůůĂŵĂƌƚ
ʹŝĚǁŝĨĞĂŶĂŐĞƌ͕ ŽŵŵƵŶŝƚLJŝĚǁŝĨĞƌLJĞƌǀŝĐĞDr Joana De Sousa
ʹĂƚĞƌŶĂůĞƚĂů
ĞĚŝĐŝŶĞƵďƐƉĞĐŝĂůŝƐƚŽLJĐĞŽǁĂŶ
ʹĞĂĚĚƵĐĂƚŽƌ͕
ŝĚǁŝĨĞ
Dr Kara Okesene-Gafa
ʹďƐƚĞƚƌŝĐŝĂŶĂŶĚLJŶĂĞĐŽůŽŐŝƐƚ͕ĞŶŝŽƌĞĐƚƵƌĞƌŶŝǀĞƌƐŝƚLJ
ŽĨƵĐŬůĂŶĚ
ĂƚŚLJŐŝůǀLJ
ʹƌŽĨĞƐƐŝŽŶĂůĞǀĞůŽƉŵĞŶƚĞĂŵĞĂĚ͕ŽŵĞŶ͛ƐĞĂůƚŚĂŶĚŝĚnjŝƌƐƚ
ĂƟĞĞƌŐƵƐŽŶ
ʹĞĂŵĂŶĂŐĞƌ͕
ƉƌŝŶŐƐŽĂĚŝƐƚƌŝĐƚͲǁŝĚĞĞƌǀŝĐĞƐ
ƌŝŶĚƐĂLJŝůĚĞŶŚĂůůʹůŝŶŝĐĂůĞĂĚ͕
ĞŽŶĂƚĞƐ
LJŶƚĂƌŬ
ʹĂƚĞƌŶŝƚLJƵĂůŝƚLJĂŶĚĂĨĞƚLJŽͲŽƌĚŝŶĂƚŽƌ
Dr Maisie Wong
ʹĞŽŶĂƚŽůŽŐŝƐƚFepulea'i Margie Apa
ʹŚŝĞĨdžĞĐƵƟǀĞ
ĸĐĞƌ
Michelle Lee
ʹŵŽŬĞĨƌĞĞĚǀŝƐŽƌ͕ĂƚĞƌŶŝƚLJ
Ngatepaeru Marsters
ʹĂƐŝĮŬĂŝĚǁŝĨĞƌLJ ŝĂŝƐŽŶĂŶĚƚƵĚĞŶƚƵƉƉŽƌƚ͕ĞƫĞŶĞƚƐĐŚ
ʹĞŶĞƌĂůĂŶĂŐĞƌ͕ŝĚnjŝƌƐƚĂŶĚŽŵĞŶ͛ƐĞĂůƚŚDr Pip AndersonʹƵďůŝĐĞĂůƚŚŚLJƐŝĐŝĂŶ
ĂĞǁLJŶĂŬĞĂ
ʹͬĞĐƌĞƚĂƌLJĂƚĞƌŶŝƚLJĞƌǀŝĐĞƐ
ĂƉŚƌŽŶĂǁůĞLJĂƚĂŵƵĂ -ŚŽƚŽŐƌĂƉŚĞƌ
Sarah Taane
ʹĞŶŝŽƌŽŵŵƵŶŝĐĂƟŽŶƐAdvisor
Dr Sarah Tout
ʹůŝŶŝĐĂůŝƌĞĐƚŽƌ͕ŽŵĞŶ͛ƐĞĂůƚŚ
Sharon Arrol
ʹĂƚĂŶĂůLJƐƚ͕ĞĂůƚŚ ŶƚĞůůŝŐĞŶĐĞĂŶĚŶĨŽƌŵĂƟĐƐƌƵĞƵƩLJ
ʹĞŶĞƌĂůƌĂĐƟƟŽŶĞƌŝĂŝƐŽŶDr Sarah Wadsworth
ʹůŝŶŝĐĂůĞĂĚ
ďƐƚĞƚƌŝĐƐ͕ŽŵĞŶ͛ƐĞĂůƚŚTeresa Krishnan
ʹƵĐŬůĂŶĚŶŝǀĞƌƐŝƚLJŽĨĞĐŚŶŽůŽŐLJĂĂŽƌŝŝĚǁŝĨĞƌLJƚƵĚĞŶƚ
ŝĂŝƐŽŶ
Tina Higgins
ʹƌŽŐƌĂŵŵĞĂŶĂŐĞƌThelma Thompson
ʹŝƌĞĐƚŽƌŽĨŝĚǁŝĨĞƌLJĂLJŶĞĂǁŶ
ʹƌŽũĞĐƚĂŶĂŐĞƌCM Health would like to thank
all the people whose photos have featured in this report including:ŚĞŚĂƚĂƌĂŶŐŝ͕ŚŝƚĞ͕ŽƵŶĨĞLJ͕Žǁ͕
ĞƵďĞŶ͕ƵŶƚ͕ŚŝŽŶŐ͕ĞĚĚLJ͕ǁĞŶĂŶĚ
ƌĞƐƐĞLJĨĂŵŝůŝĞƐͬǁŚĂĂŶĂƵ 1Table of Contents
? Foreword Chief Executive's Foreword ........................................................................ ........ ?Purpose of this Annual Report
........................................................................ . ?Alignment with Key Strategic Documents
................................................... ?Data Notes
........................................................................ ....................................... ?Counties Manukau Health Maternity Strategy
........................................... ?Quality and Safety
........................................................................ ......................... ? CM Health Quality and Safety Programme Projects -Crown Funding Agreement 2018-2020
...................................................... ??Our Population
........................................................................ ............................. ? ? Our maternity services The Women We Serve ........................................................................ ............... ??Our Maternity Facilities
........................................................................ .............. ?? Community (Primary) and Hospital/Specialist (Secondary)Services in Counties Manukau
...................................................................... Maternity care is provided in a culturally appropriate way that protects promotes and supports normal childbirth with evidence based medical intervention when required Counties Manukau Birthing Community: A Facilities View .................Birthing Closer to Home in Counties Manukau
........................................ ?Primary Birthing Promotion
........................................................................ ..... ? Women Birthing at CM Health: January to December 2018 ...............NZ Maternity Clinical Indicators
.................................................................... ?Clinical Indicators 11 and 12: Women Requiring a
Blood Transfusion after a Vaginal or Caesarean Birth ........................... ? Women will easily access a local lead maternity carer who will provide individualised care, navigate and support the woman and her family/whaanau through the maternity care system as close to home as possible Timely Registration with a Community LMC Midwife .............................The First Antenatal Visit
........................................................................ ............ ?? Having a baby and the transition to parenthood is recognised as a socially signicant event for families/whaanauConnecting and Supporting Our Maternity
Consumer Groups
........................................................................ ...................... ??Whakawhanaungatanga - A Process for Care
Promoting Engagement in Maternity Care
................................................. ??Healthy Home Initiative - AWHI
................................................................... ?? Elective Caesarean Section Request and Booking Pathway ............... ?Increasing Scheduling to Improve Women's
Elective Caesarean Experience
...................................................................... ??Maternity Facilities Achieve Baby Friendly
Hospital Re-accreditation
........................................................................ ....... ? Childbearing women and families are supported to make choices which are underpinned by the maternity care providers sharing evidence-based information Maternal Immunisation - Part of a Healthy Pregnancy......................... ??Preterm Birth Clinic
........................................................................ .................... ?Smokefree
........................................................................ ...................................... ?Weight Management
........................................................................ .................. ?Obesity in Women's Health: A Growing Issue
........................................... ??The Healthy Mums and Babies (HUMBA)
Randomised Controlled Trial
........................................................................ . ??GEMS Study (Gestational Diabetes Mellitus
Study of Detection Thresholds)
...................................................................... ?? Maternity care is coordinated across settings and disciplines to maximise safety, and uses resources wisely Equitable Access to Ultrasound Scans During Pregnancy .................. ?National Maternity Clinical Information System
....................................... ?? Birthing and Assessment North: Why, What For and How Long? ...... ?The Maternity Assessment Clinic
................................................................... ?? Women's Health Ward 21 - Increasing Inpatient Capacity .................. ?? Alignment of Maternal and Infant Mental Health Services .................. ??Embedding the Growth Assessment Protocol
........................................ ?Health Equity Review
........................................................................ ................. ?Contraception
........................................................................ .............................. ? ? People who work in the maternity care system are provided with a safe and respectful environment in which they can learn and grow togetherBirthing and Assessment Project ................................................................. ??
Our Midwifery Workforce
........................................................................ ......... ??Monthly Access Holder Meetings
................................................................ ? Pu Ora Matatini - Maaori Midwifery Undergraduate Support ............Pasika Midwifery Graduates
........................................................................ Newborn care at CM Health Embedding the Neonatal Early Warning Score System ....................... ?Sudden Unexpected Death in Infancy
........................................................ ?Transforming Support and Information for
Parents of Critically Unwell Neonates
........................................................ ?Neonatal Outcomes
........................................................................ ..................Admissions to Neonatal Care
...................................................................... ?Australian and New Zealand Neonatal Network Data
.......................... ??The Cressey Family
........................................................................ .................... ??Maternity Quality Improvement Workplan ????-????
................. ?? ?? Appendices & Glossary Appendix 1: Terms of Reference Midwifery Workforce Group ........... ?? Appendix 2: Women's Health Quality Groups and Meetings ............. ???Glossary
........................................................................ ......................................... ??? 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21.22.
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?CM HEALTH
Total admissions to Middlemore Neonatal care,
Level 2 and 3, 2012-2017
........................................................................ ...... 100 Number of admissions by gestation and percentage survival for Middlemore Hospital, 2007-2018, compared to ANZNN survival by gestation, 2013-2016 ........................................................................ ......... 101 Number of admissions by birth weight and percentage survival by birth weight for Middlemore Hospital, 2007-2018, compared toANZNN survival by birth weight, 2013-2016
........................................... 101Incidence of chronic lung disease, 2013-2018
..................................... 102Incidence of late-onset sepsis, 2013-2018
........................................... 102Incidence of necrotising enterocolitis, 2013-2018 ............................. 102 Incidence of severe intraventricular haemorrhage, 2013-2018 .... 102 Incidence of severe retinopathy of prematurity, 2013-2018 ............ 103Severity of functional impairment, 2011-2014
..................................... 103 Number of babies with meconium syndrome admitted toMiddlemore Hospital Neonatal Care, 2013-2018
................................. 103Mode of ventilation for meconium
aspiration syndrome, 2013-2018 ............................................................... 104List of Tables
Location of birthing for Counties Manukau Women, 2015-2018 ......... 16 Demography of women living in Counties Manukau who birthed in2015-2018, regardless of DHB where birthed
............................................ 16All births by location and age
........................................................................ . 26All births by location and ethnicity
............................................................... 27All births by location and domicile group
................................................... 27All births by location and provider
................................................................ 27Lambie Drive community midwifery service
non-engagement rates ........................................................................ ............ 46Live births at Middlemore Hospital, 2016-2018
....................................... 51Births 12 months to December 2018 and
enrolled in a PHO Q1 2019 ........................................................................ ....... 56 Pertussis coverage for pregnant women by DHB and ethnicity ....... 56Pertussis coverage for pregnant women by
DHB and deprivation
........................................................................ ................ 56Number of women, by smoking status and by ethnicity, who birthed at a CM Health facility, 2018 ................................................. 60Booking BMI by ethnicity for all births at
CM Health facilities, 2018
........................................................................ ....... 63 Reasons for presentation to Birthing and Assessment North, excluding presentations in labour and planned inductions,14 May to 10 June 2018
........................................................................ ............. 73 Outcomes and duration of stay for women presenting to Birthing and Assessment North (excluding presentations in labour, and planned inductions), 14 May to 10 June 2018 ............................................................ 73 Maaori midwifery students - AUT enrolment statistics (2008 to 2019) ........................................................................ ............................. 91Pasika midwifery students, 2016 to 2019
................................................ 93 Total admissions to Middlemore Neonatal Care Unit,Level 2 and 3, 2018
........................................................................ ................. 100Summary of WIES by calendar year 2013-2018
.................................. 100Incidence of hypoxic ischaemic
encephalopathy, 2012-2018 ........................................................................ 104List of Abbreviations
AUT Auckland University of Technology
BMI Body Mass Index DHB district health board FTE full-time equivalent GAP Growth Assessment Protocol LMC lead maternity carerMCIS Maternity Clinical Information System NGO non-governmental organisation POAC Primary Options for Acute Care PPH post-partum haemorrhage SGA small for their gestational age SUDI sudden unexplained death in infancy WOMEN "S HEALTH AND NEWBORN ANNUAL REPORT ??????? 3 ΎŽƚĞƚŚĂƚƚŚƌŽƵŐŚŽƵƚƚŚŝƐƌĞƉŽƌƚ͕͚ĐŽŵŵƵŶŝƚLJŵŝĚǁŝĨĞ͛ŝƐƚŚĞƚĞƌŵƵƐĞĚƚŽĚĞƐĐƌŝďĞŵŝĚǁŝǀĞƐǁŚŽĐůĂŝŵĨƵŶĚŝŶŐĨƌŽŵƚŚĞŝŶŝƐƚƌLJ
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ŚĞŽŵĞŶ͛ƐĞĂůƚŚĂŶĚĞǁďŽƌŶŶŶƵĂůĞƉŽƌƚ
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ƚŚĂƚƌĞŇĞĐƚĞĂůƚŚ͛ƐĐŽŵŵŝƚŵĞŶƚƚŽĞƋƵŝƚĂďůĞĂŶĚ
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ĐŽǀĞƌƐƚŚĞƌĞĐŽŵŵĞŶĚĂƟŽŶƐŽĨƚŚĞĂƟŽŶĂůĂƚĞƌŶŝƚLJ
ŽŶŝƚŽƌŝŶŐƌŽƵƉĂŶĚƚŚĞĞƌŝŶĂƚĂůĂŶĚĂƚĞƌŶĂů
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ĞĂƌĞƉƌŽƵĚŽĨƚŚĞǁŽƌŬƚŚĞLJĚŽƐƵƉƉŽƌƟŶŐƚŚĞŚĞĂůƚŚ
ŽĨǁŽŵĞŶůŝǀŝŶŐŝŶƚŚĞŽƵŶƟĞƐĂŶƵŬĂƵĚŝƐƚƌŝĐƚĂŶĚƚŚĞŝƌ
ǁŚĂĂŶĂƵ͘ƵƌƚĞĂŵƐǁŽƌŬƵŶĚĞƌĐŚĂůůĞŶŐŝŶŐĐŽŶĚŝƟŽŶƐ
ʹĂŐĞŝŶŐĨĂĐŝůŝƟĞƐ͕ǁŽƌŬĨŽƌĐĞƐŚŽƌƚĂŐĞƐĂŶĚƚŚĞŝŶĐƌĞĂƐŝŶŐ
ĐůŝŶŝĐĂůĐŽŵƉůĞdžŝƚLJƚŚĂƚĂƌŝƐĞƐĨƌŽŵŽďĞƐŝƚLJĂŶĚƚŚĞŵĂŶLJ
ƐŽĐŝŽĞĐŽŶŽŵŝĐĚĞƚĞƌŵŝŶĂŶƚƐƚŚĂƚŝŵƉĂĐƚŽŶŽƵƌĐŽŵŵƵŶŝƚLJ͘
ŚĞƋƵĂůŝƚLJĂŶĚůĞǀĞůŽĨĐĂƌĞǁĞƉƌŽǀŝĚĞƵŶĚĞƌƚŚĞƐĞ
ĐŝƌĐƵŵƐƚĂŶĐĞƐŝƐƌĞŵĂƌŬĂďůĞĂŶĚĂƚƌŝďƵƚĞƚŽŽƵƌ
ƉƌŽĨĞƐƐŝŽŶĂůƐ͘ĞĂƌĞ͕ŚŽǁĞǀĞƌ͕Ăƚ;ŝĨŶŽƚĂůƌĞĂĚLJƉĂƐƚͿƚŚĞ
ƟƉƉŝŶŐƉŽŝŶƚŽĨŶĞĞĚŝŶŐƐŝŐŶŝĮĐĂŶƚŝŶǀĞƐƚŵĞŶƚŝŶŽƵƌƉĞŽƉůĞ
ĂŶĚƚŚĞĞŶǀŝƌŽŶŵĞŶƚƐƚŚĞLJǁŽƌŬŝŶ͘ŚŝƐŝƐĂƐƚƌĂƚĞŐŝĐĨŽĐƵƐ
ĨŽƌƚŚĞĚŝƐƚƌŝĐƚŚĞĂůƚŚďŽĂƌĚ;ͿŝŶƚŚĞĐŽŵŝŶŐLJĞĂƌƐ͘
ĞŶŽƚĞƚŚĂƚ͕ĂƐǁŽŵĞŶĂƌĞĂďůĞƚŽĐŚŽŽƐĞǁŚĞƌĞƚŚĞLJŐŝǀĞ
ďŝƌƚŚ͕ǁĞĂůƐŽƉƌŽǀŝĚĞĐĂƌĞĨŽƌƐŽŵĞǁŽŵĞŶƌĞƐŝĚŝŶŐŽƵƚƐŝĚĞ
ŽƵƌĂƌĞĂĂŶĚƐŽŵĞǁŽŵĞŶůŝǀŝŶŐŝŶŽƵŶƟĞƐĂŶƵŬĂƵĂƌĞ
ĐĂƌĞĚĨŽƌĞůƐĞǁŚĞƌĞ͘ŚĞĂĐƟǀŝƟĞƐĚĞƐĐƌŝďĞĚŝŶƚŚĞƌĞƉŽƌƚĂůƐŽĂůŝŐŶǁŝƚŚƚŚĞ
ĞĂůƚŚĂĂŽƌŝĐƟŽŶĞĂůƚŚůĂŶĂŶĚƚŚĞĞǁĞĂůĂŶĚ
ĂƚĞƌŶŝƚLJƚĂŶĚĂƌĚƐ͘ĞĐŽŶƟŶƵĞƚŽƐƚƌĞŶŐƚŚĞŶŽƵƌĞīŽƌƚƐ
ƚŽŝŵƉƌŽǀĞƚŚĞŚĞĂůƚŚŽĨǁŽŵĞŶůŝǀŝŶŐŝŶŽƵŶƟĞƐĂŶƵŬĂƵ
ďLJŝĚĞŶƟĨLJŝŶŐĂŶĚĂĐƟŶŐŽŶŽƉƉŽƌƚƵŶŝƟĞƐƚŽĂĐŚŝĞǀĞďĞƩĞƌ
ŽƵƚĐŽŵĞƐƚŚĂƚŵĞĞƚƚŚĞŝƌŶĞĞĚƐ͘ĞĂƌĞƉĂƌƟĐƵůĂƌůLJƉƌŽƵĚŽĨƐĞƌǀŝĐĞĚĞǀĞůŽƉŵĞŶƚƐŝŶƚŚĞ
ƉĂƐƚLJĞĂƌƚŚĂƚƌĞůĂƚĞ͕ďƵƚĂƌĞŶŽƚĞdžĐůƵƐŝǀĞƚŽ͗
•ĞƐƚĂďůŝƐŚŝŶŐƚŚĞĂƚĞƌŶŝƚLJƐƐĞƐƐŵĞŶƚůŝŶŝĐ
•ĞƐƚĂďůŝƐŚŝŶŐƚŚĞƌĞƚĞƌŵŝƌƚŚůŝŶŝĐ
•ŝŶĐƌĞĂƐŝŶŐƟŵĞůLJƌĞŐŝƐƚƌĂƟŽŶƐǁŝƚŚĂĐŽŵŵƵŶŝƚLJŵŝĚǁŝĨĞ
•ŝŵƉƌŽǀŝŶŐƚŚĞĞůĞĐƟǀĞĐĂĞƐĂƌĞĂŶƐĞĐƟŽŶƐƉĂĐĞ
•ĂĐŚŝĞǀŝŶŐĂďLJƌŝĞŶĚůLJŽƐƉŝƚĂůŶŝƟĂƟǀĞ
ĂĐĐƌĞĚŝƚĂƟŽŶ
•ƐƵƐƚĂŝŶŝŶŐĂĐĐĞƐƐƚŽƐŵŽŬŝŶŐĐĞƐƐĂƟŽŶĨŽƌĂĂŽƌŝĂŶĚ
ĂĐŝĮĐƉƌĞŐŶĂŶƚǁŽŵĞŶĂŶĚƚŚĞŝƌǁŚĂĂŶĂƵ͘
ŶĂĚĚŝƟŽŶ͕ǁĞŚĂǀĞƌĞƚĂŝŶĞĚƚŚĞƵƐĞƌͲĨƌŝĞŶĚůLJĚĞƐŝŐŶŽĨ
ƚŚŝƐƌĞƉŽƌƚ͘ĞĂĚĞƌƐŚĂǀĞƚŽůĚƵƐƚŚĞLJĮŶĚŝƚĞŶŐĂŐŝŶŐĂŶĚ
ĂĐĐĞƐƐŝďůĞ͕ĂŶĚŝƚŝƐƌĞůĞǀĂŶƚƚŽŬĞLJƐƚĂŬĞŚŽůĚĞƌƐ͕ŝŶĐůƵĚŝŶŐ
ƐƚĂī͕ĐŽŵŵƵŶŝƚLJůĞĂĚŵĂƚĞƌŶŝƚLJĐĂƌĞƌ;ͿŵŝĚǁŝǀĞƐ
*͕ŐĞŶĞƌĂů
ƉƌĂĐƟƟŽŶĞƌƐ;ƐͿ͕ĂŶĚǁŽŵĞŶĂŶĚǁŚĂĂŶĂƵǁŚŽǁŽƌŬ͕
ůŝǀĞ͕ĂŶĚďŝƌƚŚŝŶŽƵŶƟĞƐĂŶƵŬĂƵ͘ŚĞƌĞƉŽƌƚǁĂƐƉƵďůŝĐůLJ
ůĂƵŶĐŚĞĚŝŶŽǀĞŵďĞƌϮϬϭϵ͕ĂŶĚŝƐĂǀĂŝůĂďůĞŽŶĂĂŶƵŝ;ƚŚĞ
ĞĂůƚŚŝŶƚƌĂŶĞƚǁĞďƐŝƚĞͿĂŶĚƚŚĞĞĂůƚŚǁĞďƐŝƚĞ͘
ǁŽƵůĚůŝŬĞƚŽƚŚĂŶŬƚŚĞĂƚĞƌŶŝƚLJƵĂůŝƚLJĂŶĚĂĨĞƚLJ
ŽǀĞƌŶĂŶĐĞƌŽƵƉĂŶĚŽƵƌĞŶƟƌĞŽŵĞŶ͛ƐĞĂůƚŚƚĞĂŵǁŚŽ
ǁŽƌŬǁŝƚŚŝŶŝĚĚůĞŵŽƌĞŽƐƉŝƚĂů͕ƚŚĞĂŶƵŬĂƵƵƉĞƌůŝŶŝĐ
ĂŶĚŽƵƌƚŚƌĞĞďŝƌƚŚŝŶŐƵŶŝƚƐ͕ĂƐǁĞůůĂƐŽƵƌĂŶĚĐŽŵŵƵŶŝƚLJ
ŵŝĚǁŝĨĞƌLJǁŽƌŬĨŽƌĐĞďĂƐĞĚŽƵƚŝŶŽƵƌĐŽŵŵƵŶŝƟĞƐ͘
ŽƵƌĚĞĚŝĐĂƟŽŶĂŶĚĐŽŶƚƌŝďƵƟŽŶƐĂƌĞĞŶƐƵƌŝŶŐƚŚĂƚŽƵŶƟĞƐ
ĂŶƵŬĂƵǁŽŵĞŶĂŶĚǁŚĂĂŶĂƵĂƌĞŐŝǀĞŶƚŚĞďĞƐƚƉŽƐƐŝďůĞĐĂƌĞ͘
ĞĂůƚŚƌĞŵĂŝŶƐĐŽŵŵŝƩĞĚƚŽƚŚĞŶĞĞĚƐŽĨŽƵƌ
ĐŽŵŵƵŶŝƚLJĂŶĚƐƚƌŝǀĞƐƚŽƉƌŽǀŝĚĞĂƉƉƌŽƉƌŝĂƚĞ͕ĂĐĐĞƐƐŝďůĞ͕
ƋƵĂůŝƚLJĐůŝŶŝĐĂůĐĂƌĞƚŽŽƵƌǁŽŵĞŶ͕ďĂďŝĞƐĂŶĚǁŚĂĂŶĂƵ͘
Fepulea"i Margie Apa
ŚŝĞĨdžĞĐƵƟǀĞĸĐĞƌ ?CM HEALTHThe purpose of the CM Health's Women's Health
and Newborn Annual Report ????/???? is to: •ďĞƚƌĂŶƐƉĂƌĞŶƚĂŶĚĂĐĐŽƵŶƚĂďůĞƚŽƚŚĞǁŽŵĞŶĂŶĚ
ǁŚĂĂŶĂƵǁĞƐĞƌǀĞĂŶĚƚŚĞǁŽƌŬĨŽƌĐĞĂŶĚƐƚĂŬĞŚŽůĚĞƌƐ
ǁŚŽĐŽŶƚƌŝďƵƚĞƚŽƚŚĞŝƌĐĂƌĞ •ĚĞƐĐƌŝďĞƚŚĞƉŽƉƵůĂƟŽŶǁĞƐĞƌǀĞĂŶĚƚŚĞǁŽƌŬǁĞĚŽ
•ƉƌŽǀŝĚĞŝŶĨŽƌŵĂƟŽŶĂďŽƵƚƚŚĞƋƵĂůŝƚLJŝŵƉƌŽǀĞŵĞŶƚǁŽƌŬ
ƵŶĚĞƌǁĂLJŝŶƚŚĞŽƵŶƟĞƐĂŶƵŬĂƵĂƌĞĂĨŽƌǁŽŵĞŶůŝǀŝŶŐ
ĂŶĚďŝƌƚŚŝŶŐŝŶŽƵƌĚŝƐƚƌŝĐƚ •ƉƌŽǀŝĚĞŝŶĨŽƌŵĂƟŽŶĂďŽƵƚƚŚĞŵĂƚĞƌŶŝƚLJǁŽƌŬĨŽƌĐĞ͕
ŝŶĐůƵĚŝŶŐƋƵĂůŝƚLJŝŵƉƌŽǀĞŵĞŶƚǁŽƌŬƌĞůĂƟŶŐƚŽƚŚŝƐ
ǁŽƌŬĨŽƌĐĞƚŚĂƚŝƐƵŶĚĞƌǁĂLJŝŶŽƵŶƟĞƐĂŶƵŬĂƵ
•ĚŽĐƵŵĞŶƚĞĂůƚŚ͛ƐƉƌŽŐƌĞƐƐƚŽǁĂƌĚƐĂĐŚŝĞǀŝŶŐƚŚĞ
ĂƚĞƌŶŝƚLJƵĂůŝƚLJĂŶĚĂĨĞƚLJƌŽŐƌĂŵŵĞŽƌŬƉůĂŶ
ĚĞůŝǀĞƌĂďůĞƐŝŶϮϬϭϴͬϮϬϭϵ •ĚĞƐĐƌŝďĞƚŚĞǁŽƌŬƉůĂŶŶĞĚ͕ĂƐŝĚĞŶƟĮĞĚŝŶƚŚĞĂƚĞƌŶŝƚLJ
ƵĂůŝƚLJŵƉƌŽǀĞŵĞŶƚŽƌŬƉůĂŶ͕ƚŽŝŵƉƌŽǀĞƚŚĞƋƵĂůŝƚLJĂŶĚ
ƐĂĨĞƚLJŽĨŵĂƚĞƌŶŝƚLJƐĞƌǀŝĐĞƐƚŽďĞĚĞůŝǀĞƌĞĚŝŶϮϬϭϵͬϮϬϮϬ
•ďĞŶĐŚŵĂƌŬŽƵƌƉĞƌĨŽƌŵĂŶĐĞĂŐĂŝŶƐƚƚŚĞĞǁĞĂůĂŶĚ
ĂƚĞƌŶŝƚLJůŝŶŝĐĂůŶĚŝĐĂƚŽƌƐ •ĚĞƐĐƌŝďĞƚŚĞǁŽƌŬƵŶĚĞƌǁĂLJƚŽĂĚĚƌĞƐƐƚŚĞƉƌŝŽƌŝƟĞƐ
ŝĚĞŶƟĮĞĚďLJƚŚĞĞƌŝŶĂƚĂůĂŶĚĂƚĞƌŶĂůŽƌƚĂůŝƚLJĞǀŝĞǁ
ŽŵŵŝƩĞĞĂŶĚƚŚĞĂƟŽŶĂůĂƚĞƌŶŝƚLJŽŶŝƚŽƌŝŶŐƌŽƵƉ
•ƉƌŽǀŝĚĞƚŚĞŝŶŝƐƚƌLJŽĨĞĂůƚŚǁŝƚŚƚŚĞĐŽŶƚƌĂĐƚƵĂůůLJƌĞƋƵŝƌĞĚ
ŝŶĨŽƌŵĂƟŽŶ͕ĂƐƐĞƚŽƵƚŝŶĞĐƟŽŶϮŽĨƚŚĞĂƚĞƌŶŝƚLJƵĂůŝƚLJ
ĂŶĚĂĨĞƚLJƌŽŐƌĂŵŵĞƌŽǁŶƵŶĚŝŶŐŐƌĞĞŵĞŶƚĂƌŝĂƟŽŶ͘
LJŶĂĞĐŽůŽŐLJĞƌǀŝĐĞůƚŚŽƵŐŚĞŶƟƚůĞĚŽƵƌ͞ŽŵĞŶ͛ƐĞĂůƚŚĂŶĚĞǁďŽƌŶŶŶƵĂů
ĞƉŽƌƚ͟ƚŚŝƐLJĞĂƌĚŽĞƐŶŽƚŝŶĐůƵĚĞĚĂƚĂŽƌŶĂƌƌĂƟǀĞƚŽĚĞƐĐƌŝďĞ
ƚŚĞĞdžĐĞůůĞŶƚĚĂLJƚŽĚĂLJǁŽƌŬƉƌŽǀŝĚĞĚƚŽƚŚĞǁŽŵĞŶŽĨ
ŽƵƚŚƵĐŬůĂŶĚďLJƚŚĞŐLJŶĂĞĐŽůŽŐLJƐĞƌǀŝĐĞ͖ŝŶĐůƵĚŝŶŐĐĂƌĞƚŽ
ǁŽŵĞŶǁŝƚŚĞĂƌůLJƉƌĞŐŶĂŶĐLJĐŽŵƉůŝĐĂƟŽŶƐ͘ŚŝƐŚĂƐďĞĞŶ
ĂƚƵŵƵůƚƵŽƵƐLJĞĂƌĨŽƌƚŚĞƐĞƌǀŝĐĞǁŚŝĐŚŚĂƐŵĂŝŶƚĂŝŶĞĚĂ
ĚĞĚŝĐĂƚĞĚĂĐƵƚĞƐĞƌǀŝĐĞĂŶĚĂĨŽĐƵƐŽŶǁŽŵĞŶǁŝƚŚƉŽƐƐŝďůĞ͕
ĂŶĚĚĞĮŶŝƟǀĞ͕ŐLJŶĂĞĐŽůŽŐŝĐĂůĐĂŶĐĞƌĂŶĚŽƚŚĞƌƵƌŐĞŶƚ
ŐLJŶĂĞĐŽůŽŐŝĐĂůĐŽŶĚŝƟŽŶƐ͘ŶƚŚĞŵĞĂŶƟŵĞĐŽŶƐŝĚĞƌĂďůĞĞīŽƌƚ
ŝƐďĞŝŶŐĚŝƌĞĐƚĞĚƚŽĨŽĐƵƐŽŶƚŚĞƵŶŵĞƚŶĞĞĚŽĨƚŚŝƐƐĞƌǀŝĐĞ͘
ĞdžƚLJĞĂƌ͛ƐƌĞƉŽƌƚ͕ǁŝƚŚŵŽƌĞƌĞƐŽƵƌĐĞƐĂǀĂŝůĂďůĞ͕ǁŝůůŝŶĐůƵĚĞ
ĂĨƵůůĚĞƐĐƌŝƉƟŽŶŽĨƚŚĞĐĂƌĞƉƌŽǀŝĚĞĚĂŶĚĞdžĐŝƟŶŐŝŶŝƟĂƟǀĞƐ
ǁŚŝĐŚĂƌĞĐƵƌƌĞŶƚůLJŝŶƚŚĞŝƌŝŶĨĂŶĐLJ͘
ΎŚƩƉƐ͗ͬͬŶƐŇ͘ŚĞĂůƚŚ͘ŐŽǀƚ͘ŶnjͬƐLJƐƚĞŵͬĮůĞƐͬĚŽĐƵŵĞŶƚƐͬ
ƉĂŐĞƐͬϮϬϭϴͲϭϵͺĂƵĐŬůĂŶĚͺŵĞƚƌŽͺƐůŵͺŝŵƉƌŽǀĞŵĞŶƚͺƉůĂŶ͘ƉĚĨ
The New Zealand Maternity Standards
ŚĞĞǁĞĂůĂŶĚĂƚĞƌŶŝƚLJƚĂŶĚĂƌĚƐƉƌŽǀŝĚĞŐƵŝĚĂŶĐĞĨŽƌ
ƚŚĞƉƌŽǀŝƐŝŽŶŽĨĞƋƵŝƚĂďůĞ͕ƐĂĨĞĂŶĚŚŝŐŚͲƋƵĂůŝƚLJŵĂƚĞƌŶŝƚLJ
ƐĞƌǀŝĐĞƐƚŚƌŽƵŐŚŽƵƚĞǁĞĂůĂŶĚ͘
CM Health Healthy Together Strategic
Plan ???-????
ŚĞƉůĂŶƐĞƚƐŽƵƚĞĂůƚŚ͛ƐƐƚƌĂƚĞŐŝĐŐŽĂůƚŽǁŽƌŬǁŝƚŚ
ŽƚŚĞƌƐƚŽĂĐŚŝĞǀĞĞƋƵŝƚLJŝŶŬĞLJŚĞĂůƚŚŝŶĚŝĐĂƚŽƌƐĨŽƌĂĂŽƌŝ͕
ĂĐŝĮĐƉĞŽƉůĞĂŶĚĐŽŵŵƵŶŝƟĞƐǁŝƚŚŚĞĂůƚŚĚŝƐƉĂƌŝƟĞƐďLJ
ϮϬϮϬ͘
CM Health Maaori Health Plan
ŶϮϬϭϴͬϮϬϭϵ͕ĞĂůƚŚĚĞǀĞůŽƉĞĚĂĂĂŽƌŝĞĂůƚŚ
ŽĂĚŵĂƉ͘ŚĞƌŽĂĚŵĂƉ͗ •ŝĚĞŶƟĮĞƐƚŚĞŵĂũŽƌŚĞĂůƚŚŶĞĞĚƐŽĨŽƵƌĐŽŵŵƵŶŝƟĞƐ
•ƉƌŽǀŝĚĞƐĂŶŽǀĞƌǀŝĞǁŽĨŚŽǁĞĂůƚŚǁŝůůǁŽƌŬƚŽ
ƌĞƐƉŽŶĚƚŽƚŚĞƐĞŶĞĞĚƐ •ĚƌĂǁƐƚŽŐĞƚŚĞƌĂĐƟŽŶƐĨƌŽŵƚŚĞĞĂůƚŚŶŶƵĂů
ůĂŶ͕ƚŚĞĂŶĂǁŚĞŶƵĂĂƵŽƌĂůĂŶ͕ƚŚĞϮϬϭϴͬϮϬϭϵ
ĞƚƌŽƵĐŬůĂŶĚLJƐƚĞŵĞǀĞůĞĂƐƵƌĞƐŵƉƌŽǀĞŵĞŶƚ
Plan *͕ĂŶĚŽƚŚĞƌƐĞƌǀŝĐĞͲůĞǀĞůƉůĂŶŶŝŶŐĂŶĚǁŽƌŬĨŽƌĐĞ
ĚĞǀĞůŽƉŵĞŶƚĚŽĐƵŵĞŶƚƐĂŶĚŝŶŝƟĂƟǀĞƐ͘
ŚĞƌŽĂĚŵĂƉŝŶĐůƵĚĞƐĂĐƟŽŶƐƚŽŝŶĐƌĞĂƐĞƚŚĞƉĞƌĐĞŶƚĂŐĞŽĨ
ǁŽŵĞŶƌĞŐŝƐƚĞƌĞĚǁŝƚŚĂŵŝĚǁŝĨĞ͕ŝŵƉƌŽǀĞŵĂƚĞƌŶĂůƐŵŽŬŝŶŐ
ĐĞƐƐĂƟŽŶ͕ŝŵƉƌŽǀĞĂĐĐĞƐƐƚŽƐĂĨĞƐůĞĞƉĂĚǀŝĐĞĂŶĚĚĞǀŝĐĞƐ͕
ŝŵƉƌŽǀĞŝŵŵƵŶŝƐĂƟŽŶĐŽǀĞƌĂŐĞ͕ŝŵƉƌŽǀĞƐŽƌĞƚŚƌŽĂƚ
ŵĂŶĂŐĞŵĞŶƚĂŶĚŝŵƉƌŽǀĞĐŚŝůĚŽƌĂůŚĞĂůƚŚ͘ŚĞƌĞ
ŝƐǁŚŽůĞͲ
ŽĨͲƐLJƐƚĞŵĂĐĐŽƵŶƚĂďŝůŝƚLJĨŽƌĚĞůŝǀĞƌLJŽĨƚŚĞƐĞĂĐƟŽŶƐ͘
WOMEN "S HEALTH AND NEWBORN ANNUAL REPORT ??????? 5 https://www.dropbox.com/s/zkx?h?ufuxvrxww/NMMG_Report_Revised_Final_V_%?Pages%.pdf?dl=
ŚĞĂƟŽŶĂůĂƚĞƌŶŝƚLJŽŶŝƚŽƌŝŶŐƌŽƵƉŽǀĞƌƐĞĞƐĂŶĚ
ƌĞǀŝĞǁƐŶĂƟŽŶĂůŵĂƚĞƌŶŝƚLJƐƚĂŶĚĂƌĚƐ͕ĂŶĂůLJƐŝƐĂŶĚƌĞƉŽƌƟŶŐ͕
ĂŶĚƉƌŽǀŝĚĞƐĂĚǀŝĐĞƚŽƚŚĞŝŶŝƐƚƌLJŽĨĞĂůƚŚĂŶĚƐŽŶ
ƉƌŝŽƌŝƟĞƐĨŽƌŝŵƉƌŽǀŝŶŐŵĂƚĞƌŶŝƚLJƐĞƌǀŝĐĞƐ͘
https://www.hqsc.govt.nz/our-programmes/mrc/pmmrc/publications- and-resources/publication/?/ŚĞĞƌŝŶĂƚĂůĂŶĚĂƚĞƌŶĂůŽƌƚĂůŝƚLJĞǀŝĞǁŽŵŵŝƩĞĞŝƐ
ĂŶŝŶĚĞƉĞŶĚĞŶƚĐŽŵŵŝƩĞĞƚŚĂƚƌĞǀŝĞǁƐƚŚĞĚĞĂƚŚƐŽĨďĂďŝĞƐ
ĂŶĚŵŽƚŚĞƌƐŝŶĞǁĞĂůĂŶĚ͘ https://www.hqsc.govt.nz/our-programmes/mrc/pmmrc/publications- and-resources/publication/??/Data Notes
Through the CM Health Women's Health and
Newborn Annual Report data is used from
a number of sources and is provided for different populations.ŚĞƌĞƉŽƌƚĞƐƐĞŶƟĂůůLJƉƌŽǀŝĚĞƐƚǁŽǀŝĞǁƐ͖ƚŚĂƚŽĨƚŚĞĚŽŵŝĐŝůĞĚ
ƉŽƉƵůĂƟŽŶ;ƚŚŽƐĞǁŽŵĞŶƚŚĂƚůŝǀĞŝŶŽƵŶƟĞƐĂŶƵŬĂƵĞĂůƚŚ
ĂƌĞĂͿĂŶĚƚŚĞƉƌŽǀŝĚĞƌĂƌŵǀŝĞǁ;ƚŚĞƉŽƉƵůĂƟŽŶƚŽǁŚŽŵ
ĞĂůƚŚĨĂĐŝůŝƟĞƐƉƌŽǀŝĚĞƐƐĞƌǀŝĐĞƚŽƌĞŐĂƌĚůĞƐƐŽĨǁŚĞƌĞƚŚŽƐĞ
ƉĞŽƉůĞůŝǀĞͿ͘ŝīĞƌĞŶƚĚĂƚĂƐŽƵƌĐĞƐƉƌŽǀŝĚĞŝŶĨŽƌŵĂƟŽŶĂďŽƵƚ
ƚŚĞƐĞƚǁŽƉŽƉƵůĂƟŽŶƐ͘ŽŵĞŽĨƚŚŽƐĞĚĂƚĂƐŽƵƌĐĞƐĐĂŶƉƌŽǀŝĚĞ
ďŽƚŚǀŝĞǁƐŝ͘Ğ͘ĂĚŽŵŝĐŝůĞĂŶĚƉƌŽǀŝĚĞƌĂƌŵǀŝĞǁǁŚŝůĞƐŽŵĞ
ĐĂŶŽŶůLJƉƌŽǀŝĚĞĂƉƌŽǀŝĚĞƌĂƌŵǀŝĞǁ͘ŚĞŵĂũŽƌŝƚLJŽĨĚĂƚĂŝƐ
ƉƌĞƐĞŶƚĞĚĨŽƌƚŚĞϮϬϭϴĐĂůĞŶĚĂƌLJĞĂƌ͘
ŚĞ
ĂƟŽŶĂůŝŶŝŵƵŵĂƚĂƐĞƚ;ͿŝƐŵĂŝŶƚĂŝŶĞĚďLJ
ƚŚĞŝŶŝƐƚƌLJŽĨĞĂůƚŚĂŶĚŝƐĂŶĂƟŽŶĂůĐŽůůĞĐƟŽŶŽĨƉƵďůŝĐůLJ
ĨƵŶĚĞĚŚŽƐƉŝƚĂůĚŝƐĐŚĂƌŐĞŝŶĨŽƌŵĂƟŽŶ͕ŝŶĐůƵĚŝŶŐĐůŝŶŝĐĂů
ŝŶĨŽƌŵĂƟŽŶ͕ĨŽƌŝŶƉĂƟĞŶƚƐĂŶĚĚĂLJƉĂƟĞŶƚƐ͘ůůŚŽƐƉŝƚĂů
ĂĚŵŝƐƐŝŽŶƐĚƵƌŝŶŐƉƌĞŐŶĂŶĐLJĂƌĞĐĂƉƚƵƌĞĚŝŶƚŚŝƐĚĂƚĂƐĞƚ͕
ĂŶĚďŝƌƚŚĞǀĞŶƚƐĂƌĞƌĞĐŽƌĚĞĚĨŽƌďŽƚŚŵŽƚŚĞƌƐĂŶĚŝŶĨĂŶƚƐ͘ƚ
ƐŚŽƵůĚďĞŶŽƚĞĚƚŚĞĚŝƐƚƌŝĐƚůĞǀĞůĂŶĂůLJƐŝƐŽŶůLJĐĂƉƚƵƌĞƐďŝƌƚŚƐ
ƚŚĂƚŽĐĐƵƌŝŶŚŽƐƉŝƚĂů;ϯϳͿ͖ƚŚĞƌĞĨŽƌĞŚŽŵĞďŝƌƚŚƐĂŶĚďŝƌƚŚƐ
ƚŚĂƚŽĐĐƵƌďĞĨŽƌĞĂƌƌŝǀĂůĂƚŚŽƐƉŝƚĂů;Ğ͘Ő͘ŝŶĂĐĂƌŽƌĂŵďƵůĂŶĐĞͿ
ĂƌĞŶŽƚĐĂƉƚƵƌĞĚ͘ŚŝƐĐĂŶƉƌŽǀŝĚĞĂĚŽŵŝĐŝůĞŽƌĨĂĐŝůŝƟĞƐǀŝĞǁ͘
ŚĞ
ĂƟŽŶĂůĂƚĞƌŶŝƚLJŽůůĞĐƟŽŶ;ͿĚĂƚĂŝƐĚĞƌŝǀĞĚ
ĨƌŽŵƚŚĞĂƟŽŶĂůŝŶŝŵƵŵĂƚĂĞƚ;Ϳ͕ĐůĂŝŵƐ
ĨŽƌƐĞƌǀŝĐĞƐƉƌŽǀŝĚĞĚƵŶĚĞƌƚŚĞƌŝŵĂƌLJĂƚĞƌŶŝƚLJĞƌǀŝĐĞƐŽƟĐĞ͕ĂƐǁĞůůĂƐĚĂƚĂĨƌŽŵŝƌƚŚƐ͕ĞĂƚŚƐĂŶĚĂƌƌŝĂŐĞƐ
ĐŽůůĞĐƚĞĚďLJƚŚĞĞƉĂƌƚŵĞŶƚŽĨŶƚĞƌŶĂůīĂŝƌƐ͘ŚŝƐŝƐĂďůĞ
ƚŽƉƌŽǀŝĚĞďŽƚŚĂĨĂĐŝůŝƟĞƐĂŶĚĚŽŵŝĐŝůĞǀŝĞǁĂůƚŚŽƵŐŚƚŚĞƌĞ
ĂƌĞůŝŵŝƚĂƟŽŶƐŽĨƚŚĞǀĂƌŝĂďůĞƐĂǀĂŝůĂďůĞĨŽƌǁŽŵĞŶƌĞĐĞŝǀŝŶŐ
ĐĂƌĞĨƌŽŵĞĂůƚŚƐĞƌǀŝĐĞƐĐŽŵƉĂƌĞĚƚŽĐŽŵŵƵŶŝƚLJ
ŵŝĚǁŝǀĞƐϭ͘
ŚĞ
ĂƚĞƌŶŝƚLJůŝŶŝĐĂůŶĨŽƌŵĂƟŽŶLJƐƚĞŵ;Ϳ
ĚĂƚĂ͕ŝŶ
ĐŽŶũƵŶĐƟŽŶǁŝƚŚŽƐƚƌŽĂŶĚϭϬĚŝĂŐŶŽƐŝƐĂŶĚƉƌŽĐĞĚƵƌĞ
ĐŽĚĞƐĂƌĞƉƌŽǀŝĚĞĚĨƌŽŵŽƵƌĞĂůƚŚŶƚĞůůŝŐĞŶĐĞĂŶĚ
ŶĨŽƌŵĂƟĐƐƚĞĂŵĂŶĚƚŚŝƐƉƌŽǀŝĚĞƐŝŶĨŽƌŵĂƟŽŶĨŽƌǁŽŵĞŶ
ĂĐĐĞƐƐŝŶŐĞĂůƚŚĨĂĐŝůŝƟĞƐ;ĨĂĐŝůŝƚLJǀŝĞǁͿ͘
ŽƚĞ͗ŽŵĞŐƌĂƉŚƐĂƌĞŶŽǁƐŚŽǁŶĨƌŽŵϮϬϭϲƚŚĞĮƌƐƚĨƵůů
LJĞĂƌŽĨĚĂƚĂĐŽůůĞĐƟŽŶĨƌŽŵ͘ŚĞ
ůŝŶŝĐĂůŶĚŝĐĂƚŽƌĚĂƚĂĂƌĞĐŽůůĂƚĞĚďLJƚŚĞŝŶŝƐƚƌLJŽĨ
ĞĂůƚŚ͘ŚŝƐŝŶĨŽƌŵĂƟŽŶŝƐƉƌĞƐĞŶƚĞĚĂƐďŽƚŚŽŵŝĐŝůĞ͕ǁŚŝĐŚ
ƌĞůĂƚĞƐƚŽĂůůǁŽŵĞŶůŝǀŝŶŐŝŶƚŚĞĞĂůƚŚĚŝƐƚƌŝĐƚ͕ŽƌƚŚĞ
ŝĚĚůĞŵŽƌĞŽƐƉŝƚĂůĨĂĐŝůŝƚLJǀŝĞǁ͘
ĞĂůƚŚŽƵŶĚƚĂďůĞ;ͿƉƌŽĚƵĐĞƐĂƐƵŝƚĞŽĨĐƵƐƚŽŵŝƐĞĚ
ďƌŝĞĮŶŐƌĞƉŽƌƚƐƚŽĂƐƐŝƐƚŝŶĮŶĚŝŶŐŝŵƉƌŽǀĞŵĞŶƚŽƉƉŽƌƚƵŶŝƟĞƐ
ďLJďĞŶĐŚŵĂƌŬŝŶŐĂĐƌŽƐƐƵƐƚƌĂůĂƐŝĂŶŚŽƐƉŝƚĂůƐ͘ŚĞƌĞƉŽƌƚ
ƉƌŽǀŝĚĞƐĂŶŽǀĞƌǀŝĞǁŽĨŵĂƚĞƌŶŝƚLJĂĐƟǀŝƚLJĂŶĚƉĞƌĨŽƌŵĂŶĐĞ
ĂŶĚŝƐďĂƐĞĚŽŶƚŚĞĂƐĞŵŝdžĚĂƚĂĂŶĚƐƵƉƉůĞŵĞŶƚĞĚďLJƚŚĞ
ƉĂƌŝƚLJĂŶĚŶĞŽŶĂƚĞĚĂƚĂƉƌŽǀŝĚĞĚďLJƚŚĞŚĞĂůƚŚƐĞƌǀŝĐĞƐ͘ŚĞ
ĞĂůƚŚŶƚĞůůŝŐĞŶĐĞĂŶĚŶĨŽƌŵĂƟĐƐƚĞĂŵƉƌŽǀŝĚĞĚĂƚĂƚŽƚŚĞ
ŵĂƚĞƌŶŝƚLJƐƵďŵŝƐƐŝŽŶŽŶĂŶĂŶŶƵĂůďĂƐŝƐ͘
ŚƌŽƵŐŚŽƵƚƚŚĞĞĂůƚŚŽŵĞŶ͛ƐĞĂůƚŚĂŶĚĞǁďŽƌŶ
ŶŶƵĂůĞƉŽƌƚĨƵůůƟƚůĞƐŚĂǀĞďĞĞŶƵƐĞĚƌĂƚŚĞƌƚŚĂŶ
ĂĐƌŽŶLJŵƐǁŚĞƌĞĞǀĞƌƉŽƐƐŝďůĞĨŽƌĞĂƐĞŽĨƌĞĂĚŝŶŐ͘
CM HEALTH
Hauora o Tamaki ki Raro Manukau Rautaki Whanau
Ko ta taatau kaupapa ki te Hauora o Counties Manukau ko te tautoko i te toha o te atawhai tuakiri kounga e tutuki ana te wahine, he haumaru, he tika hoki mo nga whaea me nga kohungahunga katoa."Our aim at Counties Manukau
Health is to support the provision of quality maternity care which is woman centred, safe and equitable for all mothers and babies"
AimPrinciplesKaupapa
ĂƚĞƌŶŝƚLJĐĂƌĞŝƐƉƌŽǀŝĚĞĚŝŶĂĐƵůƚƵƌĂůůLJĂƉƉƌŽƉƌŝĂƚĞ
ǁĂLJǁŚŝĐŚƐƵƉƉŽƌƚƐĐĂƌĞƚŚĂƚƉƌŽƚĞĐƚƐ͕ƉƌŽŵŽƚĞƐ͕ĂŶĚ
ƐƵƉƉŽƌƚƐŶŽƌŵĂůĐŚŝůĚďŝƌƚŚĨŽƌǁŽŵĞŶĂŶĚďĂďŝĞƐ͕ǁŝƚŚ
ĞǀŝĚĞŶĐĞďĂƐĞĚŵĞĚŝĐĂůŝŶƚĞƌǀĞŶƟŽŶǁŚĞŶƌĞƋƵŝƌĞĚ͘
ŽŵĞŶǁŝůůĞĂƐŝůLJĂĐĐĞƐƐĂůŽĐĂůůĞĂĚŵĂƚĞƌŶŝƚLJĐĂƌĞƌ
ǁŚŽǁŝůůƉƌŽǀŝĚĞŝŶĚŝǀŝĚƵĂůŝƐĞĚĐĂƌĞ͕ŶĂǀŝŐĂƚĞĂŶĚ
ƐƵƉƉŽƌƚƚŚĞǁŽŵĂŶĂŶĚŚĞƌĨĂŵŝůLJͬǁŚĂĂŶĂƵƚŚƌŽƵŐŚ
ƚŚĞŵĂƚĞƌŶŝƚLJĐĂƌĞƐLJƐƚĞŵĂƐĐůŽƐĞƚŽŚŽŵĞĂƐƉŽƐƐŝďůĞ͘
ĂǀŝŶŐĂďĂďLJĂŶĚƚŚĞƚƌĂŶƐŝƟŽŶƚŽƉĂƌĞŶƚŚŽŽĚ
ŝƐƌĞĐŽŐŶŝƐĞĚĂƐĂƐŽĐŝĂůůLJƐŝŐŶŝĮĐĂŶƚĞǀĞŶƚĨŽƌ
ĨĂŵŝůŝĞƐͬǁŚĂĂŶĂƵ͘ Z]o
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