Healthy Moms and Infants
Selected Indicators
Prince George
Local Health Area 057
and
Communities
June 2012
Prince George LHA
Page 1 of 17
Selected Indicators 1
During the 2006/07 - 2010/11 period (5 years) 5,419 mothers from the Prince George
Local Health Area (LHA) delivered 5,521 newborns. Here is a summary.
Mothers
Total Number of Mothers
Cesarean Section Deliveries
Births to women ages < 19 yrs (teen moms)
Births to women ages > 35 (elderly gravida)
Mothers who smoked during pregnancy
Newborns
Total Number of Newborns
Total Number of Live Births
Preterm Births
Low Birth-weight ( < 2500 grams )
Small for Gestational Age (SGA)
High Birth-weight ( > 4000 grams)
Large for Gestational Age (LGA)
Prince George
Number
%
5,419
100
1,510
27.86
286
5.28
567
10.46
939
17.33
BC Overall
Number
%
216,439
100
65,918
30.46
5,872
2.71
38,540
17.81
20,752
9.59
Prince George
Number
%
5,521
100
5,489
99.42
515
9.33
330
5.98
386
6.99
816
14.78
754
13.66
BC Overall
Number
%
219,909
100
218,802
99.50
21,405
9.73
12,783
5.81
15,149
6.89
27,042
12.30
27,995
12.73
Low Birth-weight Low birth weight is now the principal risk factor associated with
infant mortality, particularly between the ages of 28 to 365 days. Maternal factors that
are associated with low birth weight include smoking, poor diet during pregnancy, low
weight prior to pregnancy, poverty and pregnancy in very young or very old mothers.2
High Birth-weight Births involving high birth-weight babies tend to have higher rates of
complications due to diabetes, Cephalo-Pelvic Disproportion (CPD) and / or obstructed
labor. Shoulder dystocia and asphyxia in the infant are delivery complications that are
closely associated with delivering high birth weight babies. 3 In BC, dystocia / CPD are
some of the most common indications for Cesarean-section deliveries.4
Births to Teen Moms This indicator can provide indirect information about the
effectiveness of sexuality education, contraceptive and other services for this age group,
as it is assumed that most pregnancies among teens are unintended.5 Northern BC
mothers have some of the highest teen pregnancy and teen birth rates in BC. 6, 7
Mothers Who Smoke Exposure to tobacco smoke during pregnancy is associated with
adverse outcomes including increased risk of preterm birth, stillbirth, low birth-weight,
and placental abruption.8 Mothers from Northern BC have the highest “smoking during
pregnancy” rates in BC.9 Also, the proportion of mothers identified as smokers and, for
whom drugs were a recognized risk factor, is highest amongst northern BC mothers. 10
Prince George LHA
Page 2 of 17
Selected Indicators 11
Mothers who Smoked during Pregnancy by Local Health Area: 2006 - 2011
BC
Fort Nelson
Peace North
Peace South
Prince George
Nechako
Burns Lake
Quesnel
Nisga'a
Stikine / teleg
Terrace
Kitimat
Smithers
Upper Skeena
Prince Rupert
Snow Country
Haida Gwaii
0.0
4.0
8.0
12.0
16.0
20.0
24.0
28.0
32.0
Percent of Mothers
Cesarean Section Deliveries by Local Health Area: 2006 - 2011
BC
Fort Nelson
Peace North
Peace South
Prince George
Nechako
Burns Lake
Quesnel
Nisga'a
Stikine / teleg
Terrace
Kitimat
Smithers
Upper Skeena
Prince Rupert
Snow Country
Haida Gwaii
0.0
4.0
8.0
12.0
16.0
20.0
24.0
28.0
32.0
36.0
40.0
44.0
Percent of Mothers
These figures are based upon mom’s usual place (Local Health Area) of residence, not the facility location where delivery occurred.
Prince George LHA
Page 3 of 17
Selected Indicators
Teen Moms (births to mothers < 19 yrs) by Local Health Area: 2006 - 2011
BC
Fort Nelson
Peace North
Peace South
Prince George
Nechako
Burns Lake
Quesnel
Nisga'a
Stikine / teleg
Terrace
Kitimat
Smithers
Upper Skeena
Prince Rupert
Snow Country
Haida Gwaii
0.0
4.0
8.0
12.0
16.0
20.0
Percent of Mothers
Older Moms (births to mothers > 35 yrs) by Local Health Area: 2006 - 2011
BC
Fort Nelson
Peace North
Peace South
Prince George
Nechako
Burns Lake
Quesnel
Nisga'a
Stikine / teleg
Terrace
Kitimat
Smithers
Upper Skeena
Prince Rupert
Snow Country
Haida Gwaii
0.0
4.0
8.0
12.0
16.0
20.0
Percent of Mothers
These figures are based upon mom’s usual place (Local Health Area) of residence, not the facility location where delivery occurred.
Prince George LHA
Page 4 of 17
Selected Indicators
Low Birthweight Infants (less than 2500 grams) by Local Health Area: 2006 - 2011
BC
Fort Nelson
Peace North
Peace South
Prince George
Nechako
Burns Lake
Quesnel
Nisga'a
Stikine / Telegraph
Terrace
Kitimat
Smithers
Upper Skeena
Prince Rupert
Snow Country
Haida Gwaii
0
2
4
6
8
10
Percent of Newborns
Small for Gestational Age at Birth by Local Health Area: 2006 - 2011
BC
Fort Nelson
Peace North
Peace South
Prince George
Nechako
Burns Lake
Quesnel
Nisga'a
Stikine / teleg
Terrace
Kitimat
Smithers
Upper Skeena
Prince Rupert
Snow Country
Haida Gwaii
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
Percent of Newborns
Small or Large for Gestational Age calculation is based on gender, birth number (singleton, multiple) and birth weight / gestational age charts for BC.
These figures are based upon mom’s usual place (Local Health Area) of residence, not the facility location where delivery occurred.
Prince George LHA
Page 5 of 17
Selected Indicators
High Birthweight Infants (greater than 4000 grams) by Local Health Area: 2006 - 2011
BC
Fort Nelson
Peace North
Peace South
Prince George
Nechako
Burns Lake
Quesnel
Nisga'a
Stikine / Telegraph
Terrace
Kitimat
Smithers
Upper Skeena
Prince Rupert
Snow Country
Haida Gwaii
0.0
4.0
8.0
12.0
16.0
20.0
24.0
28.0
Percent of Newborns
Large for Gestational Age at Birth by Local Health Area: 2006 - 2011
BC
Fort Nelson
Peace North
Peace South
Prince George
Nechako
Burns Lake
Quesnel
Nisga'a
Stikine / teleg
Terrace
Kitimat
Smithers
Upper Skeena
Prince Rupert
Snow Country
Haida Gwaii
0.0
4.0
8.0
12.0
16.0
20.0
24.0
28.0
32.0
36.0
Percent of Newborns
Small or Large for Gestational Age calculation is based on gender, birth number (singleton, multiple) and birth weight / gestational age charts for BC.
These figures are based upon mom’s usual place (Local Health Area) of residence, not the facility location where delivery occurred.
Prince George LHA
Page 6 of 17
Delivery Trends by Community 12
We use information about where mothers live and where they deliver their infants to plan
and deliver maternity care services. This information can also inform other services for
children and families such as immunizations for preventable diseases and the early
screening programs that target vision, hearing, dental and other health concerns.
Deliveries per year by Prince George LHA mothers: 2001/02 – 2010/11 13
Deliveries by Mothers from Prince George LHA
1200
1100
1000
900
800
700
600
2001/02
2002/03
2003/04
2004/05
2005/06
2006/07
2007/08
2008/09
2009/10
2010/11
1024
1012
997
1002
1068
1011
1115
1102
1129
1058
Total
Where mothers from the Prince George LHA delivered: 2001/ 02 – 2010/11
Delivery
Location
Deliveries in British Columbia by Fiscal Year 14
2001
2002
929
2002
2003
916
2003
2004
915
2004
2005
931
2005
2006
991
2006
2007
960
2007
2008
1058
2008
2009
1058
2009
2010
1069
2010
2011
1020
18
23
20
10
25
11
4
1
2
2
McBride
3
5
3
5
6
3
4
0
0
0
Quesnel
8
6
1
4
4
2
0
3
4
1
Home Births
11
28
20
16
13
11
17
9
13
1
Other BC Places
55
34
38
36
29
24
32
31
41
34
1024
1012
997
1002
1068
1011
1115
1102
1129
1058
Prince George
Mackenzie
Total Deliveries
Note: At the time this summary was prepared, BC homebirths had not yet been fully reported. As a result,
the data shown for fiscal 2010/11 should be considered provisional and subject to revision at a later date.
Prince George LHA
Page 7 of 17
Delivery Trends by Community 15
The following tables give us an indication of the long term trends occurring within the
Prince George Local Health Area and within selected communities.
Deliveries by Mothers from Prince George LHA
1200
1100
1000
900
800
700
600
Total
2001/02
2002/03
2003/04
2004/05
2005/06
2006/07
2007/08
2008/09
2009/10
2010/11
1024
1012
997
1002
1068
1011
1115
1102
1129
1058
Deliveries by Mothers from Prince George City
1000
950
900
850
800
750
700
Total
2001/02
2002/03
2003/04
2004/05
2005/06
2006/07
2007/08
2008/09
2009/10
2010/11
811
847
830
799
866
845
910
928
952
885
These figures are based upon mom’s usual place of residence (LHA, Regional District Area or Community), not the facility location where delivery occurred.
Prince George LHA
Page 8 of 17
Delivery Trends by Community
The following tables give us an indication of the long term trends occurring within the
Prince George Local Health Area and within selected communities.
Deliveries by Mothers from Mackenzie, DM
100
90
80
70
60
50
40
30
20
10
0
Total
2001/02
2002/03
2003/04
2004/05
2005/06
2006/07
2007/08
2008/09
2009/10
2010/11
78
53
43
54
64
52
59
36
40
34
Deliveries by Mothers from McBride, DM
40
35
30
25
20
15
10
5
0
Total
2001/02
2002/03
2003/04
2004/05
2005/06
2006/07
2007/08
2008/09
2009/10
2010/11
14
16
11
15
15
7
17
12
7
16
These figures are based upon mom’s usual place of residence (LHA, Regional District Area or Community), not the facility location where delivery occurred.
Prince George LHA
Page 9 of 17
Delivery Trends by Community
The following tables give us an indication of the long term trends occurring within the
Prince George Local Health Area and within selected communities.
Deliveries by Mothers from Valemount Village
40
35
30
25
20
15
10
5
0
Total
2001/02
2002/03
2003/04
2004/05
2005/06
2006/07
2007/08
2008/09
2009/10
2010/11
1
1
3
5
3
4
8
4
10
10
Deliveries by Mothers from Fraser-Fort George A
40
35
30
25
20
15
10
5
0
Total
2001/02
2002/03
2003/04
2004/05
2005/06
2006/07
2007/08
2008/09
2009/10
2010/11
24
22
24
21
28
22
31
28
30
21
These figures are based upon mom’s usual place of residence (LHA, Regional District Area or Community), not the facility location where delivery occurred.
Prince George LHA
Page 10 of 17
Delivery Trends by Community
The following tables give us an indication of the long term trends occurring within the
Prince George Local Health Area and within selected communities.
Deliveries by Mothers from Fraser-Fort George C
40
35
30
25
20
15
10
5
0
Total
2001/02
2002/03
2003/04
2004/05
2005/06
2006/07
2007/08
2008/09
2009/10
2010/11
32
24
29
38
28
25
29
28
29
26
Deliveries by Mothers from Fraser-Fort George D
40
35
30
25
20
15
10
5
0
Total
2001/02
2002/03
2003/04
2004/05
2005/06
2006/07
2007/08
2008/09
2009/10
2010/11
32
28
26
32
37
19
35
36
27
35
These figures are based upon mom’s usual place of residence (LHA, Regional District Area or Community), not the facility location where delivery occurred.
Prince George LHA
Page 11 of 17
Delivery Trends by Community
The following tables give us an indication of the long term trends occurring within the
Prince George Local Health Area and within selected communities.
Deliveries by Mothers from Fraser-Fort George E
20
18
16
14
12
10
8
6
4
2
0
Total
2001/02
2002/03
2003/04
2004/05
2005/06
2006/07
2007/08
2008/09
2009/10
2010/11
10
4
8
8
6
7
1
8
9
4
Deliveries by Mothers from Fraser-Fort George F
20
18
16
14
12
10
8
6
4
2
0
Total
2001/02
2002/03
2003/04
2004/05
2005/06
2006/07
2007/08
2008/09
2009/10
2010/11
10
8
11
12
8
15
9
12
12
12
These figures are based upon mom’s usual place of residence (LHA, Regional District Area or Community), not the facility location where delivery occurred.
Prince George LHA
Page 12 of 17
Delivery Trends by Community
The following tables give us an indication of the long term trends occurring within the
Prince George Local Health Area and within selected communities.
Deliveries by Mothers from Fraser-Fort George G
20
18
16
14
12
10
8
6
4
2
0
Total
2001/02
2002/03
2003/04
2004/05
2005/06
2006/07
2007/08
2008/09
2009/10
2010/11
4
2
4
5
3
5
5
3
4
7
These figures are based upon mom’s usual place of residence (LHA, Regional District Area or Community), not the facility location where delivery occurred.
Deliveries by Mothers from Fraser-Fort George H
20
18
16
14
12
10
8
6
4
2
0
Total
2001/02
2002/03
2003/04
2004/05
2005/06
2006/07
2007/08
2008/09
2009/10
2010/11
1
2
1
2
0
0
4
1
4
2
Prince George LHA
Page 13 of 17
Deliveries in Alberta
Each year in British Columbia a certain number of mothers choose to deliver their babies
in Alberta. Below is an annual summary according to mother’s home community.
Mother’s Home
Community
Ft Nelson
Ft St John
Dawson Creek
Chetwynd
Tumbler Ridge
McBride
Valemount
Total Deliveries
Deliveries in Alberta by Fiscal Year 16
2004
2005
2005
2006
2006
2007
2007
2008
2008
2009
2009
2010
2010
2011
7
1
2
6
0
4
10
30
3
1
1
1
0
3
9
18
2
6
2
3
0
4
0
17
11
2
0
1
3
3
1
21
5
0
0
2
1
2
2
12
1
2
0
0
0
1
6
10
6
1
1
2
0
2
7
19
Source: Alberta Perinatal Health Program update for Northern Health. April 2012.
Prince George LHA
Page 14 of 17
Prince George LHA
Page 15 of 17
Prince George LHA
Page 16 of 17
Thank you
Over the years we have worked closely with Perinatal Services BC. We are especially
grateful to Cathe Johnson who has been an unflinching source of support for our efforts.
We are also grateful to Donna Boyd and her colleagues in the Alberta Perinatal Health
Program who support us with data so that we might better understand the health needs
and outcomes of northerners who choose to receive maternity services in Alberta.
References
1
Northern Health Resident Mothers and Newborn Babies: Selected Indicators April 01, 2006 – March 31, 2011.
Data prepared for Northern Health by Perinatal Services BC: February 2012. Request No. 2011-051.
2
BC Provincial Health Officers Annual Report 1999. Appendix C: Indicator Definitions
http://www.health.gov.bc.ca/pho/reports/
3
Infant Macrosomia Among First Nations in British Columbia: Prevalence, Trends and Characteristics.
Key Findings: page IV. BC Vital Statistics Agency: http://www.vs.gov.bc.ca/stats/indian/infant_macrosomia.html
4
Validation of the Indications for cesarean delivery in the BC Perinatal Registry: Volume 1, Issue 5, April 2012.
Refer to Table 3, page 7: Perinatal Services BC: http://www.perinatalservicesbc.ca
5
BC Provincial Health Officers Annual Report 1999. Appendix C: Indicator Definitions
http://www.health.gov.bc.ca/pho/reports/
6
BC Vital Statistics Agency Annual Reports: http://www.vs.gov.bc.ca/stats/annual/index.html
7
Northern Health Resident Mothers and Newborn Babies: Selected Indicators April 01, 2006 – March 31, 2011.
Data prepared for Northern Health by Perinatal Services BC: February 2012. Request No. 2011-051.
8
Pollack et al. as cited in Perinatal Services BC, BC Perinatal Database Annual Report 2007: Page 14.
http://www.perinatalservicesbc.ca/Annual%20Report.htm
9
Perinatal Services BC; Perinatal Annual Indicators for BC Residents: Updated February 16, 2012.
http://www.perinatalservicesbc.ca/DataAndSurveillance/Surveillance/annual-indicators/default.htm
10
Perinatal Services BC, BC Perinatal Database Annual Report 2008: Page 57.
http://www.perinatalservicesbc.ca/DataAndSurveillance/Surveillance/AnnualReports/default.htm
11
Northern Health Resident Mothers and Newborn Babies: Selected Indicators April 01, 2006 – March 31, 2011.
Data prepared for Northern Health by Perinatal Services BC: February 2012. Request No. 2011-051.
12
Northern Health Resident Mothers that Delivered a Baby in British Columbia, by Resident Municipality, April 01
2000 - March 31, 2011: Data prepared for Northern Health by Perinatal Services BC. Request 211051: an update
to reports: 2008078, 200901, 201040 and 211011. February 2012.
13
Northern Health Resident Mothers that Delivered a Baby in British Columbia, by Resident Municipality, April 01
2000 - March 31, 2011: Data prepared for Northern Health by Perinatal Services BC. Request 211051: an update
to reports: 2008078, 200901, 201040 and 211011. February 2012.
14
Northern Health Resident Mothers that Delivered a Baby in British Columbia, by Resident Municipality, April 01
2000 - March 31, 2011: Data prepared for Northern Health by Perinatal Services BC. Request 211051: an update
to reports: 2008078, 200901, 201040 and 211011. February 2012.
15
Northern Health Resident Mothers that Delivered a Baby in British Columbia, by Resident Municipality, April 01
2000 - March 31, 2011: Data prepared for Northern Health by Perinatal Services BC. Request 211051: an update
to reports: 2008078, 200901, 201040 and 211011. February 2012.
16
Alberta Perinatal Health Program, update for Northern Health: April 2012.
Prince George LHA
Page 17 of 17