In 2014, there were 4,377 live births to Hackney residents (a rate of 60 per 1,000 women aged 15 to 44) and 61 to City of London residents (a rate of 38 per 1,000 women aged 15 to 44). 3  In 2014, 112 full-term babies in City and Hackney (2.7%) were of a low birth weight; data are not available separately for the two local authority areas. 4

In 2011-13, the infant mortality rate in Hackney was 5.5 per 1,000 live births (three-year average). There have not been any infant deaths in the City of London over the past five years for which data are available (2010-2015). Infant mortality will be discussed in more detail alongside child mortality (Vulnerable Children section).

During pregnancy, all women receive universal provision, such as routine midwife support. However, those women who are identified by midwives as having need for additional support may be referred for specialist services during their pregnancy. Midwives from the Homerton made roughly 500 such referrals for a total of 311 Hackney residents during pregnancy over the two-year period 2013-15. (For a more detailed breakdown by demographics, see the Inequalities section of this chapter). The number of referrals to each service is shown in Table 4. The 54 antenatal referrals to the health visiting service represent the most complex cases, as the majority of these women were referred to three or more services.

Table 4: Number of referrals and services referred to by midwives (pooled 2013/14-14/15)

Provider Number of referrals
Public Health Midwife 274
Social Worker 126
Health Visitor 54
Teenage Pregnancy 12
Domestic Violence and Hate Crime Team <10
Family Nurse Partnership <10
Substance and Alcohol Misuse Midwife <10
Sure Start <10
Women’s Aid/nia project <10
Women’s Refuge <10

Source: Homerton University Hospital NHS Foundation Trust

References

  1. “Births by area of usual residence of mother, UK, 2014,”Office for National Statistics, 2015.[Online] Available: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/livebirths/datasets/birthsbyareaofusualresidenceofmotheruk [Accessed Nov 2018]
  2. “Public Health Outcomes Framework – Health Improvement,” Public Health England, 2016. [Online]. Available: https://fingertips.phe.org.uk/profile/public-health-outcomes-framework/data#page/0/gid/1000042/pat/6/par/E12000007/ati/102/are/E09000012 [Accessed Nov 2018].
  3. “Births by area of usual residence of mother, UK, 2014,”Office for National Statistics, 2015.[Online] Available: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/livebirths/datasets/birthsbyareaofusualresidenceofmotheruk [Accessed Nov 2018]
  4. “Public Health Outcomes Framework – Health Improvement,” Public Health England, 2016. [Online]. Available: https://fingertips.phe.org.uk/profile/public-health-outcomes-framework/data#page/0/gid/1000042/pat/6/par/E12000007/ati/102/are/E09000012 [Accessed Nov 2018].