Map of Simcoe Muskoka

Pregnancy and Before

Labour and Birth

Labour

Birth and Delivery

By Maternal Age

Care Provider Who Attended Birth

Interventions During or Following Birth

Pregnancy ends when the baby exits the mother’s womb. Labour is the process of childbirths, from initial contractions to the delivery of the baby. Birth of the baby can occur naturally, through the birth canal, or can occur via a Caesarean section. Additional interventions may be used during the birth process to help the mother deliver.

For more information on Labour and Birth, please visit the labour and birth section of the health unit’s website.

Labour

According to the Better Outcomes Registry & Network (BORN) for 2014, 61.9% (60.5%, 63.3%) of Simcoe Muskoka women had spontaneous onset of labour. Less than one-quarter of women were induced (23.9% (22.7%, 25.1%) and 14.2% (13.2%, 15.2%) had no labour. This was similar to Ontario where 62.2% (62.0%, 62.5%) on women had spontaneous onset of labour in 2014.

LabourType_SMON2014

Birth and Delivery

In 2014, approximately three-fourths (73.1% (71.8%, 74.3%)) of pregnant women in Simcoe Muskoka had a vaginal birth. The majority of the vaginal births were  spontaneous (89.8% (88.7%, 90.7%)). Similarly, in Ontario, 73.3% (73.1%, 73.5%) of pregnant women had a vaginal birth in 2014.

BirthType_SM2014

Twenty-seven percent (27.1% (25.9%, 28.4%)) of women in Simcoe Muskoka delivered their newborn via Caesarean section (C-section). Most C-sections were either planned as scheduled (42.8% (39.9%, 45.5%)) or unplanned (46.4% (43.6%, 49.2%)). Similarly, in Ontario, 26.7% (26.5%, 26.9%) of women delivered via C-section in 2014. The main indications for C-section in both Simcoe Muskoka and Ontario were previous C-section, non-progressive labour, malposition of fetus and abnormal fetal surveillance.

CSType_SM2014

Just under half (43.4% (40.8%, 46.2%)) of C-sections in Simcoe Muskoka were repeat caesarean deliveries in 2014. This is similar to Ontario overall for 2014, where 42.7% (42.2%, 43.3%) of C-sections were repeat.

By Maternal Age

While the majority of pregnant women in 2014, regardless of age had vaginal births in Simcoe Muskoka, approximately one-third (33.8% (30.3%, 37.2%)) of pregnant women aged 35-49 years underwent a C-section, which is significantly higher than younger pregnant women. Less than one in four (22.0% (19.1%, 24.9%)) pregnant women aged 15-24 years underwent C-section and 26.8% (25.2%, 28.4%) of pregnant women aged 25-34 years had a C-section.

BirthType_MatAge

Care Provider Who Attended Birth

In 2014, the majority of women in Simcoe Muskoka were attended by an obstetrician (72.1% (70.8%, 73.3%)) during their delivery. Family physicians provided care for 13.1% (12.2%, 14.1%) of women during childbirth, while midwifes provided care for 10.9% (10.0%, 11.8%) of women.

In comparison, a significantly higher proportion of women were attended by an obstetrician in Ontario overall in 2014 (79.4% (79.2%, 79.7%)). Midwives attended 9.5% (9.4%, 9.7%) of women during childbirth across Ontario, and family physicians attended 8.1% (8.0%, 8.3%).

ProviderBirth_SMON2014

Interventions During or Following Birth

Interventions during or following childbirth can include medical treatments or procedures to reduce pain or assist the mother in delivering the newborn.

In 2014, over half (57.2% (55.7%, 58.7%)) of Simcoe Muskoka women reported having an epidural  during childbirth. For 8.4% (7.2%, 8.8%) of Simcoe Muskoka women, the birth was assisted using a vacuum, while 3.1% (2.6%, 3.6%) were assisted using forceps. Less than one in ten Simcoe Muskoka women (9.2% (8.4%, 10.0%)) received an episiotomy during childbirth.

In Ontario, 9.2% (9.0%, 9.4%) of women were assisted during childbirth using vacuum and 3.3% (3.2%, 3.4%) were assisted using forceps.

Thirteen percent (13.4% (12.5%, 14.4%)) of newborns in Simcoe Muskoka were admitted to the neonatal intensive care unit (NICU) following their birth in 2014.