Midwifery Care Activities and Outcomes

MMPO 2012 report cover 697-web

New Zealand’s MMPO Midwives: Care Activities and Outcomes Reports

Lead Maternity Carer (LMC) midwife members of the New Zealand College of Midwives can join the Midwifery and Maternity Provider Organisation (MMPO), which is a nationwide organisation offering a practice management service for community based LMC midwives.

Members of the MMPO contribute to a national midwifery activities and outcomes database, namely COMCORD (College of Midwives Clinical Outcomes and Research Database).

All midwifery data obtained through the MMPO practice management system is anonymised, aggregated and developed into a series of reports for benchmarking, research and service monitoring. This data is used to provide direction for midwifery practice and maternity service development, both nationally and internationally.

The College and the MMPO would like to take the opportunity to thank all the midwives and women who contribute to these annual reports.



In 2012, MMPO midwives throughout New Zealand provided a complete episode of care for:

  • 33,931 mothers who gave birth between 01 January and 31 December 2012 and were registered into the MMPO system
  • 34,313 babies were born to these women

Mothers and pregnancy

  • The majority of women (72.8 percent) registered with an MMPO midwife prior to 15 weeks gestation.
  • Nearly 30 percent of women were pregnant for the first time.
  • More than half of the women who registered with MMPO midwives were aged between 25 and 34 years old with 15.6 percent over the age of 35 years.
  • The majority of women identified their ethnicity as NZ European/Pakeha (61.5 percent), followed by Māori (19.0 percent) and Asian (9.6 percent).
  • Fifty per cent of women had a healthy body mass index, with a further 25.5 per cent classed as overweight and 23.1% obese
  • Seventeen percent of pregnancy women were current smokers during pregnancy

Labour and births

  • The majority of babies (69.4 percent) were born to women who had a normal vaginal birth.
  • The combined caesarean section (elective and emergency) rate was 22.9 percent.
  • A further 7.7 percent of babies were instrumental vaginal births.
  • The largest proportion of births (47.3 percent) occurred in secondary facilities.
  • 4.5 percent of babies were born at home.
  • 23.9 percent of women used water immersion for pain management during labour and 7.1 percent of babies were born in water.
  • Women who had active management of the third stage of labour experienced greater blood loss (more than 500mls) than those who had a physiological pathway for the third stage (10.9 percent versus 6.3 percent).


  • The majority of babies were born after 37 weeks of pregnancy with 6.0 percent born prematurely.
  • The majority of babies weighed between 2.5 and 4.5 kg (91.6 percent) with 5.6% less than 2.5kg and 2.8% more than 4.5kg.
  • Babies born to younger mothers (under 20 years of age) had higher normal vaginal birth rates (78.4 percent), with the rates of caesarean sections increasing as the mothers’ age increased (peaking at 36.4 percent at 40+ years of age).

Postnatal period

  • The majority of babies (70.3 percent) were fully or exclusively breastfed at 2 weeks following birth.
  • Smoking rates decreased to 15.2 per cent during the postnatal period.
  • The majority of women (45.7 per cent) received between 1 and 2 visits by their LMC when in a maternity facility and a further 27.6 per cent received between 3 and 5 visits
  • The majority of women (71.4 per cent) received between 6 and 9 home visits during the post-natal period with a further 13 per cent receiving between 10 and 14 visits.