Perinatology Census &

Statistics
January to June 2015

Carolina Villanueva-Balangay, M.D.

OB-GYN Resident

January to June 2015

OB Admissions
TOTAL

PRIVATE

WALK-IN/
CHARITY

483

411
(85.09%)

72
(14.91%)

January to June 2015

Deliveries
TOTAL
DELIVERIES

LIVEBIRTHS

STILLBIRTHS

305

306

4 twins

Comparison of Number of Deliveries

January-June 2015
Deliveries
70
60

59

56
50

50

54
45

43

40

Deliveries

30
20
10
0

Jan

Feb

Mar

April

May

June

January to June 2015

Neonates
STILLBIRTH
TOTAL
LIVEBORN
BABIES
NEONATES
BABIES
309

306
Term 277
(90.52%)
Pre Term 29
9.47%
(3 twin)

3
(Preterm)

Route of Deliveries January-June 2015

Total: 305
Cesarean
VBAC

OFE
Vaginal
OVERALL CESAREAN DELIVERIES (47%)

47%

51%
0% 2%

1 CS

2nd CS

3rd CS

>4 CS

Total

95
31.14
%

42
13.77
%

6
1.96%

1
.33%

144

Primary CS Indications
(January- June 2015)
Column2

2% 1%
3%
6% 3%
5%
5%
2%
9%

63%

Failure to progress
Abruptio placenta
Placenta previa
Multiple Gestation
Maternal respiratory
distress

Malpresentation
Preeclampsia
Non reassuring FHR
Cord prolapse
Other medical
condition

ACOG,
SMFM2014

INTERHOSPITAL CS RATES
70.00%
60.00%
50.00%

60.87
%

53.88%

49.48%

40.00%
30.00%

64.99
%

43.08
%

Over all CS rate 2014

Primary CS rate 2014

34.12%
23.81
%

20.00%

13.58
%

10.00%
0.00%

SLUHSH

NDCH

BGH

Pines

600
500
400
300
200
100
0

Comparison of Deliveries

vaginal
CS

509

40.3
%

302

150
20.54%

2009

46.5
%

342

36.6
%

49.4%
43.9
%

312

342
335

264
207

213

26.78
%

30.14
%

21.07
%

2010

398

42.8
%

283

168

Primary
CS

458

457

446

158
22.80
%

2011

2012

230
34.12
%

47.06
%

163
144

92

31.14
%

2013

2014 2015(1st 6mo)

Primary Cesarean Section Rate

January-June 2015

# of Primary Cesarean Births

Total # of Births
(NSD, OFE, VBAC, CS)
31.14 %
SLUHSH,
(JanJun)2015

Primary Cesarean Section Rate

January-June 2015

# of Primary Cesarean Births

Total # of Births
(NSD, OFE, VBAC, CS)
31.14 %
22.7%

SLUHSH,

- Philippines
2009,
POGS
(Jan-

Jun)2015

27%
-Asia, 2009

Obstetric care consensus

..it may be necessary to revisit the definition of labor

dystocia because recent data show that contemporary
labor progresses at a rate substantially slower than
what was historically taught.
by: ACOG and SMFM, 2014

High Risk
Cases
January-June 2015

Total Admission: Jan-Jun 2015

483

154(31.88
%)

TOTAL

High Risk

TOTAL

OB
admission

High Risk Admissions Jan-Jun 2015

Total: 154

25.71
%

28.57
%

23.95
%

21.%

23.52
%

24.75
%

Comparison of High Risks Admission

1200
1000

1012

1067

998

1040
948
838

800
600
30.7
%

400
200
0

311

30.8
%

329

32.7
%

327

27.5
%

287

34.4
%

327

35.%

294

483
31.8
%

154

2009 2010 2011 2012 2013 2014 2015

OB admissions
High risk

Risk Factors

High Risk Deliveries

95 out of 305 deliveries
(31.14%)
TERM

PRETERM

75
(78.95%)

19
(20%)
3 stillbirths

Comparison of High Risk

Deliveries
Total Deliveries
237

228

Total High Risk Deliveries

205

200

144

141
30.48
%

25%

29.6
%

70

69

20%

50

61

28
2009

2010

2011

95

30%

2012

2013

22.5
%

31%

32

30

2014

2015

Route of Delivery of High

Risk
Jan-Jun 2015

VAGINAL
PRIMARY CS

Total: 95

SECONDARY CS
TERTIARY CS
QUARTERNARY

(20%)19
(54%) 51
(21%) 20
(4%) 4
(1%) 1

The overall rate of cesarean sections was 38.3%.

High gestational risk was present in 50.2% of
births. The total incidence of cesearean section,
planned cesarean section or emergency cesarean
section was more frequent in pregnant women at
gestational high risk (p<0.001)

High Risk Cases

Primary CS Indications
Jan Jun 2015

Birthweight of High Risk

Deliveries

STILLBIRTH

(January to June 2015)

Stillbirth
C.R. 34 years old

G2P1(0211) Twin Pregnancy 36 weeks

AOG, cephalic-transverse, delivered via
Primary LSCS due to preterm labor to a
live preterm twin baby girl A in OP,
BW;1.86kg BL: 43cm AS: 7&8 BS: 35-36
weeks; twin baby girl B IUFD due to
cord accident, Wt: 650g (02/09/2015;
11:41am)
;
GDM
Score: 6

Multifetal pregnancy: 3
Preterm labor: 2
GDM: 1

Stillbirth
V,C 42years old
G4P3 (2-2-1-2) Twin Pregnancy at 36 4/7 weeks AOG,
Breech-Cephalic, Twin A delivered via vaginal breech
extraction to a dead male fetus in RST with a BW:
1.89 kg, Twin B cephalic delivered spontaneously to a
dead male fetus with a BW: 2 kg; (7/01/15; Twin A:
10:00 AM and Twin B: 10:09 AM); Perineal support with
first degree laceration with repair
Score:9
Age >35: 2
Oligohydramnios: 2
Multiple Pregnancy: 3
Infection (UTI): 2

Stillbirth
Rate
Jan-Jun 2015

Stillbirth Rate
# of stillborn neonates per 1000
neonates
born
9.7 per
1000 neonates
born

Stillbirth Rate
# of stillborn neonates per 1000
neonates
bornborn
9.77 per
1000 neonates

Comparison of Stillbirth Rate

(2006-2015)
Stillbirth rate
18

16.9

16
14

13.7

12.59

12
9.77

10
8

6.58

6
4

2.75
1.25

2
0

2009

2010

2011

2012

2013

2014

2015

Stillbirth rate

Perinatal Mortality
Rate
January-June 2015

Perinatal Mortality Rate

# of stillbirths + neonatal deaths per
1000 neonates born
19.41 per 1000 neonates

Neonatal & Perinatal Mortality Rates, Country,

Regional & Global Estimates, WHO 2006

Comparison of Perinatal Mortality

Rate (2006-2015)
Perinatal Mortality Rate

25

22.53
20.49

20.15

20

17.45

16.28
13.79

15
10
6.58
5
0

2009

2010

2011

2012

2013

2014

2015

Perinatal Mortality Rate

Neonatal & Perinatal Mortality Rates, Country, Regional & Global Estimates,
WHO 2006

PERINATAL MORTALITY
(January to June 2015)

Perinatal Mortality
O,C 24 years old
G1P1 (0-1-0-1) Pregnancy Uterine 30 2/7
weeks AOG, cephalic, delivered
spontaneously to a live preterm baby girl
BW:1.26kg, BL:35cm, AS: 8&8, BS: 32
weeks s/p RMLE with repair (03/02/15,
12:23AM)
Score: 4
Preterm: 2
UTI: 2

Perinatal Mortality
F.J. 36
G2P1(0-2-0-0) Pregnancy uterine 27 6/7 weeks AOG,
delivered via emergency repeat LSCS under SAB
due to apruptio placenta to a live preterm baby boy
in LOA BW: 775gms, BL: 33cm, AS:5and6 BS:25-26
weeks, Preclampsia, (Previous CS 2011)

Score: 9
Age >35: 2
Previous CS: 2
Preeclampsia: 3
Abnormal CTG: 2

Perinatal Mortality
A.M. 23 years
G3P2 (2-1-0-2) PU old
29 weeks AOG,

Hydrops fetalis, cephalic, delivered via

emergency primary LSCS under SAB
due to maternal respiratory distress to
a live preterm baby girl in LOT BW: 1.9
kg BL: 39 cm, AS: 1&1&1 BS: 24-25
weeks
Score: 9
Pulmo:1
Hydrops:3
Preterm:2
Infection: 2
Anemia: 1

MDGWatch: Statistics at a glance of the

Philippines' Progress based on the MDG
indicators

Thank You!