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Children’s Health in Northern Ireland

Children’s Health in Northern Ireland. Summary. Births – Summary. Across the UK/RoI, 2016:. Lowest: Still birth rate % breast fed at discharge. Highest: Infant mortality rate Fertility rate. Highest live birth rate in United Kingdom, 2016. % births by HSCT, 2016/17. 2016/17: 7.6%.

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Children’s Health in Northern Ireland

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  1. Children’s Health in Northern Ireland Summary

  2. Births – Summary Across the UK/RoI, 2016: • Lowest: • Still birth rate • % breast fed at discharge • Highest: • Infant mortality rate • Fertility rate Highest live birth rate in United Kingdom, 2016 % births by HSCT, 2016/17 2016/17: 7.6% 2010/11: 15.5% 46.9% of infants breastfed (partial/total), 2016/17 Women with diabetes Women who smoke 2016/17: 13.3% 2010/11: 1.8% Overweight/obese, 2016/17: 18% of P1 girls 25% of P1 boys Graphics downloaded from: thenounproject.com

  3. Trend in births – Northern Ireland • 2016: • 24,158 registered births to NI residents. • Birth rate of 12.9 per 1,000 population. • Livebirth rate (12.9) is the highest across the four UK countries, but lower than Republic of Ireland (13.7). • 82 registered still births. • 17.4% of live births to mothers whose country of birth was not NI. • Report – Tables 1.1 and 1.2 • Source: NISRA https://www.nisra.gov.uk/statistics/births-deaths-and-marriages/births

  4. Births by Hospital

  5. Projected Births – Health Trust • In the next 20 years (2016-2036), the number of births is projected to increase in Southern Trust area, but decrease in all other Trust areas. Report – Table 1.3 Source: NISRA https://www.nisra.gov.uk/statistics/births-deaths-and-marriages/births

  6. United Kingdom/Republic of Ireland - Comparisons • When compared to other UK nations/Republic of Ireland, and based on most recent data available, Northern Ireland had: • Lowest • Still birth rate • Percentage infants breastfed at discharge • Highest • Infant mortality rate • Fertility rate • Report – Comparative data – page 7

  7. Births – Health Trusts • 2016: • Largest number of registered births recorded to NHSCT residents (5,764), with the lowest number in the WHSCT (3,955). • Percentage share of births: • BHSCT = 19.3% • NHSCT = 23.9% • SEHSCT = 17.6% • SHSCT = 22.9% • WHSCT = 16.4% • % change in total births in the last ten years: 4.0% increase in Belfast Trust, 6.4% decrease in South Eastern Trust (NI = -1.6%). • Report – Table 1.2 • Source: NISRA https://www.nisra.gov.uk/statistics/births-deaths-and-marriages/births

  8. Age of mother • 2016/17 • Teenage mothers: • Following reductions, there have been small increases in numbers in the last two years. • 3.2% of all births were to teenage mothers. • 5.7% in the most deprived areas, 1.4% in the least deprived (NIMDM 2017). • Older mothers (aged 40+): • % births increased year on year between 2010/11 and 2015/16. Decreased in 2016/17 (3.8% of all births). • 2.5% in the most deprived areas, 5.6% in the least deprived areas (NIMDM 2017). • Report – Table 3.1 • Source: Child Health System • Source: NISRA, NI Multiple Deprivation Measure 2017 https://www.nisra.gov.uk/statistics/deprivation/northern-ireland-multiple-deprivation-measure-2017-nimdm2017

  9. Maternal risk factors • 2016/17 : • 13.3% of mothers smoked (2010/11 = 15.5%) • 7.6% of mothers had diabetes (2010/11 = 1.8%) Note: increase may be due in part to improved recording of diabetes on NIMATS/CHS • 4.3% had pregnancy induced hypertension (2010/11 = 4.5%) • Report – Table 6.1 • Source: Child Health System

  10. Maternal risk factors - Smoking • 2016/17: • % mothers who smoked at booking decreased with age - 29.7% of those aged <20 years, 7.9% of those aged 40+. • A smaller proportion of first time mothers smoked (11.9%), compared to those who have been pregnant previously (14.4%). • Over 18% of mothers in BHSCT area smoked, compared to 10% in SHSCT (NI=13%). • In the most deprived areas (NIMDM 2017), 25.0% of mothers smoked, compared to 5.5% in the least deprived areas. • Report – Table 6.2 • Source: Child Health System • Source: NISRA, NI Multiple Deprivation Measure 2017 https://www.nisra.gov.uk/statistics/deprivation/northern-ireland-multiple-deprivation-measure-2017-nimdm2017

  11. Maternal risk factors - Diabetes • 2016/17 : • % mothers with diabetes increased with age - 3.7% of those aged less than 20 years, compared to 11.7% of those aged 40+. • Higher proportion of mothers from “non-white” ethnic groups had diabetes (15.1%), compared to those from a “white” ethnic group (7.5%). All mothers = 7.7%. • Little variation by deprivation quintile (NIMDM 2017). • Report – Table 6.2 • Source: Child Health System • Source: NISRA, NI Multiple Deprivation Measure 2017 https://www.nisra.gov.uk/statistics/deprivation/northern-ireland-multiple-deprivation-measure-2017-nimdm2017

  12. Maternal Body Mass Index (BMI) • 2016/17: • 22% of mothers measured as obese at time of booking appointment. Proportion has increased year on year since 2011/12. • 52% of all mothers considered pre-obese or obese.   • Levels of obesity, in general, increased with age. • 26.1% of mothers from most deprived areas (NIMDM 2017) were classified as obese, compared to 17.3% from the least deprived areas. • Report – Table 7.2 • Source: NIMATS • Source: NISRA, NI Multiple Deprivation Measure 2017 https://www.nisra.gov.uk/statistics/deprivation/northern-ireland-multiple-deprivation-measure-2017-nimdm2017

  13. Method of Delivery • 2016/17: • 30.5% of infants born by Caesarean Section (CS), 56% had a normal delivery, 13% had another type of delivery e.g. breech, forceps. • Proportion of infants born by CS increased with age. • Antrim Area Hospital had the highest % CS (34.3%). • Report – Table 8.2 • Source: Child Health System • Source: NISRA, NI Multiple Deprivation Measure 2017 https://www.nisra.gov.uk/statistics/deprivation/northern-ireland-multiple-deprivation-measure-2017-nimdm2017

  14. Infant Birth Weight • 2016/17: • 6.2% of all births were of a low birth weight (6.0% live, 55.2% still). • % low birth weight higher in those mothers aged over 40 (9.6%). (Note that this age group has a higher proportion of multiple births) • 13.6% of live infants were born with a higher birth weight (4,000g+) and of these, 2.0% with a birth weight of 4,500g+. • Mothers from a ‘white’ ethnic group were more likely to have a baby born with a high birth weight (13.7%). ‘Non-white’ = 6.6%. • Report – Table 9.2 • Source: Child Health System

  15. Breastfeeding (total/partial) – at discharge • 2016/17: • 46.9% of live infants breastfed at discharge.   • Increases with age of mother: aged <20 = 21.2%, 40+ = 56.3%. • Much higher rates in infants born to mothers whose ethnic origin was not ‘white’.   • By Council area, % breastfed ranges from 34.5% in Derry and Strabane to 57.2% in Lisburn and Castlereagh. • Markedly lower in more deprived areas (31.5%). Least deprived = 64.1%. • Report – Table 10.2 • Source: Child Health System • Source: NISRA, NI Multiple Deprivation Measure 2017 https://www.nisra.gov.uk/statistics/deprivation/northern-ireland-multiple-deprivation-measure-2017-nimdm2017

  16. Childhood Obesity – Primary 1 • 2016/17: • Higher proportion of girls were overweight / obese (24.5%) compared to boys (17.9%).   All genders = 21.1%. • Causeway Coast and Glens LGD had highest proportion of children overweight / obese = 23.2%. • 23.8% of children living in the most deprived areas were overweight / obese, compared to 16.8% of children from the least deprived areas. • Report – Table 11.2 • Source: Child Health System • Source: NISRA, NI Multiple Deprivation Measure 2017 https://www.nisra.gov.uk/statistics/deprivation/northern-ireland-multiple-deprivation-measure-2017-nimdm2017

  17. Childhood Obesity – Year 8 • 2016/17: • 28.5% of children measured as overweight / obese. This increased from 21.1% of Primary 1 children. • Little difference in the proportion overweight / obese between the two genders (28.2% male, 28.8% female). • Larger proportion of children from more deprived areas were measured as overweight / obese, compared to those living in the least deprived areas. • Report – Table 11.5 • Source: Child Health System • Source: NISRA, NI Multiple Deprivation Measure 2017 https://www.nisra.gov.uk/statistics/deprivation/northern-ireland-multiple-deprivation-measure-2017-nimdm2017

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