Page 51 - Regional Services Plan 2016/19

2.7 Maternity services (Midland Maternity Action Group)
Chair: Corli Roodt (Associate Director of Midwifery, Waikato DHB) Project Manager: Suzanne Andrew Lead Chief Executive: TBC
Key objectives:
 People powered – designing people-led maternity service delivery in partnership with consumers
 Closer to home – living well in healthy communities, with increased support to pregnant and postnatal women experiencing mental
health and alcohol and other drug conditions. Promoting healthy nutrition and activity for pregnant women to reduce the prevalence of
adult and childhood obesity. Promoting all birthing options in their local facilities.
 Value and high performance – building leaders and capability for the future. Also building a high performing system that promotes health
and wellbeing, including pae ora (healthy futures), early intervention, and streamlined care across the settings (primary care, secondary
and tertiary services). Fostering and spreading innovation and quality improvements to support equity and efficiency (systems focus)
 One team – Midland DHB maternity services working within the MoH’s Maternity Quality & Safety Programme to support information
sharing and learning, and monitoring performance and variance of the Midland DHBs maternity related data
 Smart system – best use of technology and information - improving coordination and expanded delivery of information to support
consumer self-management in health through the use of digital solutions, including implementation of the National Maternity Information System Platform (MISP) and BreastFedNZ app.
National MoH measures MMAG is working towards:
 Breastfeeding
Targets: 75% at 6 weeks (full or exclusive); 60% at 3 months (full or exclusive); 65% at 6 months (receiving breast milk)
 Smokefree pregnancies
Target: 90 % of pregnant women (who identify as smokers at confirmation of pregnancy in general practice or booking with a Lead Maternity Carer) will be offered advice and support to quit smoking. Capturing and improving the rates of smoke free at two weeks postnatal.
 Sudden Unexpected Death in Infancy (SUDI)
Target: 0.4 SUDI deaths per 1000 Māori live births. This is the five year rate achieved by non- Māori (95%CI 0.34-0.52) (ref Mortality Data Group, Ministry of Health Well Child Tamariki Ora reporting data)
 Maternal mental health, including alcohol and drug addictions
Increase support to pregnant and postnatal women experiencing mental health conditions, including alcohol and drug addictions (ref. a-j of ‘1.Perinatal mortality’ in the PMMRC Ninth Report 2015).
 Healthy weight gain in pregnancy / management of bariatric pregnant women
Promote healthy weight gain in pregnancy, healthy behaviours and self-management as the MoH shares best practices and identify, publicise and spread examples of innovation that demonstrate improved equity of health outcomes, efficiency, quality and safety, and reduction of harm. Work in partnership with Midland Health Promotion Units to reduce maternal obesity locally.
 Primary and rural birthing options for women in their local facilities
Strengthening maternity services for women who reside in rural areas, including more timely access and more equitable access to community based primary care and services.
Line of Sight
 National Maternity Monitoring Group 2015/16 Work Programme
 Māori Health Plan template 2016/17: page 5 – child health (breastfeeding), page 8 – smoking cessation: percentage of pregnant Māori
women who are smoke free at two weeks postnatal, and page 12 – Sudden Unexpected Death in Infancy (SUDI) – actions required from
the Midland DHBs on Māori SUDI rates
 ‘Maternal and Child Health Promotion Service Review Consultation Document’, MoH (December 2015)
 DHB Annual Plans: minimal reference due to MoH requiring separate annual reporting through the Maternity Quality & Safety Programme
 Waikato DHB DAP - Better Help for Smokers to Quit – smoking during pregnancy (pp16, 54-55, 89, 136); breastfeeding (p89)
 Taranaki DHB DAP - Better Help for Smokers to Quit – smoking during pregnancy (p47, 76, 78, 108, 138, 191); Early enrolment with an
LMC (p50); WCTO collaboration (p62); regional linkages (p63, 64, 67); National Maternity Information System Platform (p122)
 Bay of Plenty DHB DAP - Better Help for Smokers to Quit – smoking during pregnancy (p22, 60-62, 87); National Maternity Information
System Platform (p77, 107)
 Lakes DHB DAP - Better Help for Smokers to Quit – smoking during pregnancy (pp33, 92-93, 159); newborn enrolment (p68); National
Maternity Information System Platform (p, 141, 208); maternity services remodeling (p226)
 Hauora Tairāwhiti DAP - Better Help for Smokers to Quit – smoking during pregnancy (p28, 76-78, 128, 169), increased immunisation
(p58); National Maternity Information System Platform (p120, 145)
 DHB Public Health Unit Plans: activities will be informed by evaluation and learning from existing initiatives across Midland region.
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