• Breast feeding practice in the National Maternity Hospital, Dublin: Report of a limited intervention lactation, promotion and educational programme, carried out 1981-1983.

      Connolly, John A.; Foley, Robert; Cullen, John H.; McDonald, Dermot; Irish Foundation for Human Development. Healthcare and Psychosomatic Unit. (Eastern Health Board (EHB), 1983)
    • National Maternity Hospital : Clinical report for the year 1997

      Boylan, Peter (National Maternity Hospital (NMH), 1997)
      The trend of previous years continued with a further increase in deliveries compared to 1996. There were 7682 babies delivered during the year. There has been a 46% increase in primigravidae and an 8% increase in multiparous women delivering at the hospital over the past 7 years. Most of this increase has taken place in the last 3 years. The increase in primigravidae is reflected in their changed portion of the total hospital population . Primjgravidae now make-up 45% of all women delivering at the hospital where as in 1991 they made-up 38%. The changing proportions of primigravidae are partly responsible for the increased incidence of Caesarean Section, from 9% in 1991 to 10.8% in 1997. The other major change in hospital practice has been the increase of epidural anaesthesia which grew from 18% of a1l women in 1991 to 49% in 1997. These changes in practice have strained hospital resources to the limit.
    • National Maternity Hospital Dublin Clinical report 1991

      Boylan, Peter (National Maternity Hospital (NMH), 1991)
      1991 was another busy year with a marginal increase in the number of mothers delivered, but a very substantial increase in gynaecological activity. A total of 7,077 mothers were delivered during 1991 , an increase of 0.2% compared to 1990. The number of primigravidae delivered was 2,322, an increase of 3.1% over the previous year. A total of 6,277 infants weighing 500 grams or more were delivered by 6,178 mothers. Eight hundred and seventy seven mothers miscarried before 24 weeks gestation. There were 4 molar pregnancies and 18 ectopic pregnancies. Two mothers died during the course of pregnancy. The first was a 31 year old from Libya who died from overwhelming infection associated with a spontaneous miscarriage at 18 weeks gestation. She died after a prolonged stay in the intensive care unit of a general hospital. The second mother was also from Libya and she died approximately four weeks following caesarean delivery for eclampsia, also following a prolonged stay in the intensive care unit of a general hospital. Both these tragic deaths occurred despite the full panoply of modern intensive care.
    • National Maternity Hospital Dublin clinical report for the year 2003

      Keane, Declan (National Maternity Hospital (NMH), 2003)
      2003 with continuing rise in the birth rate in the hospital. 82,55 mothers give birth to 8378 infants. This was the busiest year since 1983 and was a 3% Increase on births compared to the previous year. Forty five per cent of the mothers were primigravidae, which was a slight decrease on the previous year. The Caesarean section rate for the year was 16%. a slight increase on the previous year. A full analysis of the Caesarean section can be found in the appropriate chapter. The most significant reason for the increase with a risk in the section in both spontaneously labouring and. in particular. in induced primagr.wid patients. The perinatal mortality rate for the hospital "The congenital anomalies. was 7.4 per 1.000 - a rate consistent with previous years. The continuing rise in perinatal mortality rate among non-national was a concern to the hospital and the number of non-national patients attending the hospital increased to 20.7%. There were no maternal mortalities for the year which was welcome considering the busy workload and the complexity of cases seen. With regard 10 gynaecology the hospital remained busy with over 9,300 women seen at seven gynaecological clinics during the year. Se chapters for Gynaecological Oncology. Urogynaecology and Reproductive Medicine further indicate the sub-specialisution within the fields. There was a slight increase in gynaecological major options in 2003 comfirmed 10 the previous year. The further increase in Caesarean Section rates puts an even greatcr pressure on the gynaecological themes. It is, therefore envisaged that the hospital will have its third theatre dedicated 10 obstetrical activity with its new interim development
    • Neonatal morbidity and mortality of operative vaginal delivery: a 10-year study of 82,000 infants

      Walsh, C; Robson, M; McAulliffe, F (American Journal of Obstetrics and Gynaecology, 2012-01)