{"slug": "nois-2023-annual-report-final-v1-1z", "title": "Annual Report \u2013 2023", "pdfUrl": "https://dhir.gov.mt/wp-content/uploads/2025/01/NOIS_2023-Annual-Report-final-v1.1z.pdf", "sourcePage": "https://dhir.gov.mt/en/resources/birth-reports/", "group": "Resource", "topic": "Birth Reports", "tables": [{"caption": "Table 1: Document reference by DHIR/NOIS/2024", "header": ["Document reference", "DHIR/NOIS/2024"], "rows": [["Current version", "1.1"], ["Release date", "December, 2024"], ["Document owner", "Directorate for Health Information &amp; Research"], ["Document type", "National Obstetric Information"], ["Website", "https://dhir.gov.mt/"], ["e-mail", "healthinfo@gov.mt"], ["Telephone", "+356 25599000"]]}, {"caption": "Table 2: Version by Date, Action, Name", "header": ["Version", "Date", "Action", "Name"], "rows": [["1.1", "2024", "Compilation", "Dr. Miriam Gatt Dr Lara Wilma Borg"]]}, {"caption": "Table 3: NOIS over the past 20 years 2004-2023", "header": ["Year", "Deliveries*", "Total Births**", "Livebirths"], "rows": [["2004", "3838", "3902", "3887"], ["2005", "3804", "3865", "3857"], ["2006", "3822", "3891", "3880"], ["2007", "3853", "3898", "3886"], ["2008", "4154", "4228", "4199"], ["2009", "4112", "4180", "4152"], ["2010", "3952", "4036", "4018"], ["2011", "4226", "4311", "4283"], ["2012", "4175", "4258", "4239"], ["2013", "4073", "4149", "4127"], ["2014", "4275", "4335", "4308"], ["2015", "4385", "4453", "4435"], ["2016", "4455", "4555", "4532"], ["2017", "4325", "4398", "4379"], ["2018", "4434", "4516", "4491"], ["2019", "4379", "4455", "4439"], ["2020", "4481", "4548", "4522"], ["2021", "4420", "4477", "4464"], ["2022", "4304", "4372", "4351"], ["2023", "4463", "4535", "4514"]]}, {"caption": "Table 4: Age group (years), 2022\u20132023", "header": ["Age group (years)", "2023", "", "2022", ""], "rows": [["", "Frequency", "%", "Frequency", "%"], ["<15", "1", "0.02", "0", "0"], ["15-19", "104", "2.3", "105", "2.4"], ["20-24", "336", "7.5", "361", "8.4"], ["25-29", "1010", "22.6", "939", "21.8"], ["30-34", "1786", "40.0", "1704", "39.6"], ["35-39", "1006", "22.5", "960", "22.3"], ["40-44", "207", "4.6", "219", "5.1"], ["45+", "13", "0.3", "16", "0.4"], ["Unspecified", "0", "0", "0", "0"]]}, {"caption": "Table 5: Nationality Year by Maltese Number, Non-Maltese Number, Unknown Number", "header": ["Nationality Year", "Maltese Number", "%", "Non-Maltese Number", "%", "Unknown Number", "%"], "rows": [["2004", "3558", "92.7", "168", "4.4", "112", "2.9"], ["2005", "3512", "92.3", "237", "6.2", "55", "1.4"], ["2006", "3491", "91.3", "288", "7.5", "43", "1.1"], ["2007", "3511", "91.1", "308", "8.0", "34", "0.9"], ["2008", "3729", "89.8", "402", "9.7", "23", "0.6"], ["2009", "3711", "90.2", "376", "9.1", "25", "0.6"], ["2010", "3581", "90.6", "365", "9.2", "6", "0.2"], ["2011", "3740", "88.5", "479", "11.3", "7", "0.2"], ["2012", "3668", "87.9", "501", "12.0", "6", "0.1"], ["2013", "3501", "86.0", "564", "13.8", "8", "0.2"], ["2014", "3533", "82.6", "733", "17.1", "9", "0.2"], ["2015", "3544", "80.8", "838", "19.1", "3", "0.1"], ["2016", "3565", "80.0", "889", "19.9", "1", "0.1"], ["2017", "3364", "77.8", "958", "22.2", "3", "0.1"], ["2018", "3345", "75.4", "1087", "24.5", "2", "0.1"], ["2019", "3163", "72.2", "1211", "27.7", "5", "0.1"], ["2020", "3111", "69.4", "1368", "30.5", "2", "0.04"], ["2021", "3012", "68.1", "1408", "31.9", "0", "0"], ["2022", "3006", "69.8", "1297", "30.1", "1", "0.02"], ["2023", "2929", "65.6", "1534", "34.4", "0", "0"]]}, {"caption": "Table 6: Mother\u2019sAge Group by Maternal Parity(previous livebirths and still births are included)", "header": ["Mother\u2019sAge Group", "Maternal Parity(previous livebirths and still births are included)", "", "", "", "", "", "", ""], "rows": [["", "Primipara", "1", "2", "3", "4", ">4th", "Unknown", "Total"], ["Under 20", "93", "10", "2", "0", "0", "0", "0", "105"], ["20-24", "220", "74", "24", "14", "2", "2", "0", "336"], ["25-29", "678", "241", "62", "21", "5", "3", "0", "1010"], ["30-34", "953", "633", "141", "32", "15", "12", "0", "1786"], ["35-39", "372", "417", "146", "39", "17", "15", "0", "1006"], ["40-44", "75", "69", "37", "13", "4", "9", "0", "207"], ["45+", "6", "2", "1", "4", "0", "0", "0", "13"], ["Unknown", "0", "0", "0", "0", "0", "0", "0", "0"], ["Total", "2397", "1446", "413", "123", "43", "41", "0", "4463"]]}, {"caption": "Table 7: Level of Education reached, 2023", "header": ["Level of Education reached", "2023", ""], "rows": [["", "Number", "%"], ["Primary or no education", "68", "1.5"], ["Secondary", "807", "18.1"], ["Post-Secondary/Vocational non-tertiary", "1056", "23.7"], ["Tertiary", "2142", "48.0"], ["Unspecified", "390", "8.7"]]}, {"caption": "Table 8: Maternal Lifestyles, 2023", "header": ["Maternal Lifestyles", "2023", ""], "rows": [["Maternal Lifestyles", "Number", "%"], ["Cigarette smoking during pregnancy:", "", ""], ["Non Smoker", "3714", "83.2"], ["Stopped smoking in pregnancy", "397", "8.9"], ["Smoked through pregnancy", "276", "6.2"], ["Unspecified", "76", "1.7"], ["Alcohol consumption during pregnancy:", "", ""], ["Alcohol consumption during pregnancy:", "", ""], ["Non alcohol drinker", "4383", "98.2"], ["Stopped drinking in pregnancy", "15", "0.3"], ["Drank through pregnancy", "7", "0.2"], ["Unspecified", "58", "1.3"], ["Drug Abuse during pregnancy", "", ""], ["No", "4394", "98.5"], ["Yes", "22", "0.5"], ["Unspecified", "47", "1.0"]]}, {"caption": "Table 9: Pathology during pregnancy, 2022\u20132023", "header": ["Pathology during pregnancy", "2023", "", "2022", ""], "rows": [["", "Number", "%", "Number", "%"], ["Antepartum Haemorrhage", "91", "2.0", "83", "1.9"], ["Pregnancy induced hypertension", "348", "7.8", "341", "7.9"], ["Pre-eclampsia", "37", "0.8", "33", "0.8"], ["Eclampsia", "1", "0.02", "0", "0"], ["Placenta praevia", "44", "1.0", "41", "1.0"], ["Abruption of placenta", "14", "0.3", "16", "0.4"], ["Suspected IUGR*", "221", "5.0", "207", "4.8"]]}, {"caption": "Table 10: Multiplicity, 2022\u20132023", "header": ["Multiplicity", "2023", "2022"], "rows": [["Singleton", "4392", "4237"], ["Twin", "70", "66"], ["Triplet", "1", "1"], ["Quadruplet", "0", "0"]]}, {"caption": "Table 11: Damage to perineum by Normal Vaginal Delivery(n= 2647), Assisted Vaginal Delivery(n= 251)", "header": ["Damage to perineum", "Normal Vaginal Delivery(n= 2647)", "", "Assisted Vaginal Delivery*(n= 251)", ""], "rows": [["", "Number", "%", "Number", "%"], ["No Damage", "885", "33.4", "22", "8.8"], ["Episiotomy** only", "245", "9.3", "107", "42.6"], ["Perineal tear(s) only***", "1409", "53.2", "85", "33.9"], ["Episiotomy and tear", "107", "4.0", "37", "14.7"], ["Unknown", "1", "0.04", "0", "0"]]}, {"caption": "Table 12: Mode of Delivery, 2022\u20132023", "header": ["Mode of Delivery*", "2023", "2022"], "rows": [["Vertex delivery", "2648", "2683"], ["Elective/emergency Caesarean Section", "1636", "1478"], ["Forceps", "8", "6"], ["Ventouse", "237", "203"], ["Breech deliveries", "6", "2"]]}, {"caption": "Table 13: Year by Deliveries by Caesarean section, Caesarean section operation rate(% of all deliveries)", "header": ["Year", "Deliveries by Caesarean section", "Caesarean section operation rate(% of all deliveries)"], "rows": [["2004", "1048", "27.3"], ["2005", "1165", "30.6"], ["2006", "1329", "34.8"], ["2007", "1243", "32.3"], ["2008", "1263", "30.4"], ["2009", "1194", "29.0"], ["2010", "1252", "31.7"], ["2011", "1435", "34.0"], ["2012", "1409", "33.7"], ["2013", "1270", "31.2"], ["2014", "1368", "32.0"], ["2015", "1359", "31.0"], ["2016", "1366", "30.7"], ["2017", "1338", "30.9"], ["2018", "1400", "31.6"], ["2019", "1353", "30.9"], ["2020", "1396", "31.2"], ["2021", "1462", "33.1"], ["2022", "1410", "32.8"], ["2023", "1565", "35.1"]]}, {"caption": "Table 14: Gender Distribution Of Births", "header": ["Gender", "2023", "", "2022", ""], "rows": [["", "Number", "%", "Number", "%"], ["Male", "2318", "51.1", "2228", "51.0"], ["Female", "2217", "48.9", "2144", "49.0"], ["Unknown", "0", "0", "0", "0"]]}, {"caption": "Table 15: Birth weight, 2022\u20132023", "header": ["Birth weight", "2023", "", "2022", ""], "rows": [["", "Number", "%", "Number", "%"], ["<500g", "9", "0.2", "6", "0.14"], ["500-999g", "14", "0.3", "21", "0.5"], ["1000-1499g", "38", "0.8", "31", "0.7"], ["1500-1999g", "70", "1.5", "74", "1.7"], ["2000-2499g", "224", "4.9", "196", "4.5"], ["2500-2999g", "994", "21.9", "1017", "23.3"], ["3000-3499g", "1977", "43.6", "1892", "43.3"], ["3500-3999g", "1043", "23.0", "968", "22.1"], ["4000-4499g", "155", "3.4", "146", "3.3"], ["4500-4999g", "10", "0.2", "17", "0.4"], ["5000+", "1", "0.02", "3", "0.07"], ["Unspecified", "0", "0", "1", "0.02"]]}, {"caption": "Table 16: Gestational age, 2022\u20132023", "header": ["Gestational age", "2023", "", "2022", ""], "rows": [["", "Number", "%", "Number", "%"], ["Extremely preterm22-27 weeks", "22", "0.5", "25", "0.6"], ["Very preterm28-31 weeks", "27", "0.6", "37", "0.9"], ["Moderately preterm32-36 weeks", "285", "6.3", "273", "6.2"], ["Term37 \u2013 41 weeks", "4200", "92.6", "4037", "92.3"], ["Post term42+ weeks", "0", "0", "0", "0"], ["Unspecified", "1", "0.02", "0", "0"]]}, {"caption": "Table 17: Outcome of Birth, 2022\u20132023", "header": ["Outcome of Birth", "2023", "2022"], "rows": [["Livebirths", "4514", "4351"], ["Stillbirths", "21", "21"]]}, {"caption": "Table 17: Outcome of Birth, 2022\u20132023 (cont. 2)", "header": ["Neonatal deaths", "2023", "2022"], "rows": [["Early Neonatal deaths", "11", "13"], ["Late Neonatal deaths", "3", "5"]]}, {"caption": "Table 19: Infant feeding methods at time of discharge, 2022\u20132023", "header": ["Infant feeding methods at time of discharge", "2023", "2022"], "rows": [["Breast only", "2176", "2099"], ["Bottle only", "1266", "1175"], ["Mixed (Breast &amp; Bottle)", "1053", "1059"], ["Other*", "35", "39"], ["Unspecified", "5", "0"]]}, {"caption": "Table 20: Year by Maternal Deaths", "header": ["Year", "Maternal Deaths"], "rows": [["2004", "0"], ["2005", "0"], ["2006", "0"], ["2007", "0"], ["2008", "1"], ["2009", "0"], ["2010", "1"], ["2011", "0"], ["2012", "0"], ["2013", "0"], ["2014", "0"], ["2015", "0"], ["2016", "0"], ["2017", "0"], ["2018", "0"], ["2019", "0"], ["2020", "0"], ["2021", "0"], ["2022", "0"], ["2023", "1"]]}, {"caption": "Table 21: Year by Fetal death rate 500g and over", "header": ["Year", "Fetal death rate 500g and over", ""], "rows": [["", "Number", "Rate/1000 total births"], ["2004", "15", "3.8"], ["2005", "8", "2.1"], ["2006", "10", "2.6"], ["2007", "11", "2.8"], ["2008", "26", "6.2"], ["2009", "21", "5.0"], ["2010", "16", "4.0"], ["2011", "23", "5.3"], ["2012", "14", "3.3"], ["2013", "18", "4.3"], ["2014", "26", "6.0"], ["2015", "14", "3.1"], ["2016", "17", "3.7"], ["2017", "15", "3.4"], ["2018", "17", "3.8"], ["2019", "13", "2.9"], ["2020", "19", "4.2"], ["2021", "11", "2.5"], ["2022", "16", "3.7"], ["2023", "16", "3.5"]]}, {"caption": "Table 18. Fetal Death Rates 2004-2023", "header": ["Year", "Neonatal mortality rate (500g and over)", ""], "rows": [["", "Number", "Rate/1000 live births"], ["2004", "17", "4.4"], ["2005", "17", "4.4"], ["2006", "9", "2.3"], ["2007", "17", "4.4"], ["2008", "24", "5.7"], ["2009", "17", "4.1"], ["2010", "18", "4.5"], ["2011", "22", "5.1"], ["2012", "14", "3.3"], ["2013", "16", "3.9"], ["2014", "11", "2.6"], ["2015", "15", "3.4"], ["2016", "22", "4.9"], ["2017", "18", "4.1"], ["2018", "20", "4.5"], ["2019", "17", "3.8"], ["2020", "12", "2.7"], ["2021", "12", "2.7"], ["2022", "16", "3.7"], ["2023", "11", "2.4"]]}, {"caption": "Table 19. Neonatal Mortality rates 2004-2023", "header": ["Year", "Early neonatal mortality rate (500g  and over)", ""], "rows": [["", "Number", "Rate/1000 live births"], ["2004", "12", "3.1"], ["2005", "13", "3.4"], ["2006", "4", "1.0"], ["2007", "14", "3.6"], ["2008", "21", "5.0"], ["2009", "13", "3.1"], ["2010", "16", "4.0"], ["2011", "18", "4.2"], ["2012", "12", "2.8"], ["2013", "13", "3.2"], ["2014", "10", "2.3"], ["2015", "11", "2.5"], ["2016", "17", "3.7"], ["2017", "12", "2.7"], ["2018", "14", "3.1"], ["2019", "14", "3.2"], ["2020", "9", "2.0"], ["2021", "10", "2.2"], ["2022", "11", "2.5"], ["2023", "9", "2.0"]]}, {"caption": "Table 20. Early Neonatal Mortality rates 2004-2023", "header": ["Year", "Late neonatal mortality rate (500g and over)", ""], "rows": [["", "Number", "Rate/1000 live births"], ["2004", "5", "1.3"], ["2005", "4", "1.0"], ["2006", "5", "1.3"], ["2007", "3", "0.8"], ["2008", "3", "0.7"], ["2009", "4", "1.0"], ["2010", "2", "0.5"], ["2011", "4", "0.9"], ["2012", "2", "0.5"], ["2013", "3", "0.7"], ["2014", "1", "0.2"], ["2015", "4", "0.9"], ["2016", "5", "1.1"], ["2017", "6", "1.4"], ["2018", "6", "1.3"], ["2019", "3", "0.7"], ["2020", "3", "0.7"], ["2021", "2", "0.4"], ["2022", "5", "1.1"], ["2023", "2", "0.4"]]}, {"caption": "Table 21. Late Neonatal Mortality Rates 2004-2023", "header": ["Year", "Perinatal mortality rate (500g and over)", ""], "rows": [["", "Number", "Rate/1000 total births"], ["2004", "27", "6.9"], ["2005", "21", "5.4"], ["2006", "14", "3.6"], ["2007", "25", "6.4"], ["2008", "47", "11.1"], ["2009", "34", "8.1"], ["2010", "32", "7.9"], ["2011", "45", "10.5"], ["2012", "28", "6.6"], ["2013", "34", "8.2"], ["2014", "36", "8.3"], ["2015", "29", "6.5"], ["2016", "34", "7.5"], ["2017", "27", "6.2"], ["2018", "37", "8.2"], ["2019", "30", "6.7"], ["2020", "31", "6.8"], ["2021", "21", "4.7"], ["2022", "27", "6.2"], ["2023", "25", "5.5"]]}, {"caption": "Table 26: Year by Malta, EU members, WHO-EURO", "header": ["Year", "Malta", "EU members", "WHO-EURO"], "rows": [["2008", "9.80", "10.55", "12.67"], ["2009", "9.77", "10.40", "12.65"], ["2010", "9.40", "10.35", "12.65"], ["2011", "10.00", "10.03", "12.46"], ["2012", "9.84", "9.91", "12.59"], ["2013", "9.52", "9.63", "12.39"], ["2014", "10.03", "9.79", "12.62"], ["2015", "10.33", "9.69", "12.49"], ["2016", "10.67", "9.83", "12.39"], ["2017", "9.23", "9.64", "11.83"], ["2018", "9.49", "na", "na"], ["2019", "9.29", "9.25", "11.22"], ["2020", "8.76", "9.10", "10.95"], ["2021", "8.47", "9.09", "na"], ["2022", "8.08", "8.70", "10.41"]]}, {"caption": "Table 23. Live births per 1000 population (HFA Indicator 16)", "header": ["Year", "Malta", "EU members", "WHO-EURO"], "rows": [["2008", "1.40", "1.55", "1.71"], ["2009", "1.40", "1.54", "1.70"], ["2010", "1.40", "1.54", "1.71"], ["2011", "1.50", "1.51", "1.69"], ["2012", "1.43", "1.51", "1.73"], ["2013", "1.37", "1.50", "1.71"], ["2014", "1.40", "1.53", "1.75"], ["2015", "1.40", "1.53", "1.76"], ["2016", "1.41", "1.56", "1.77"], ["2017", "1.31", "1.55", "1.73"], ["2018", "1.27", "1.53", "na"], ["2019", "1.18", "1.51", "na"], ["2020", "1.17", "1.49", "na"], ["2021", "1.15", "1.51", "na"], ["2022", "1.08", "1.46", "na"]]}, {"caption": "Table 24. Total Fertility Rate (HFA indicator 25)", "header": ["Year", "Malta", "EU members", "WHO-EURO"], "rows": [["2008", "24.92*", "6.19", "14.06"], ["2009", "0", "6.52", "15.92"], ["2010", "25.65*", "6.52", "12.89"], ["2011", "0", "5.93", "12.11"], ["2012", "0", "5.14", "10.47"], ["2013", "0", "5.56", "11.49"], ["2014", "0", "5.16", "10.37"], ["2015", "0", "5.24", "9.93"], ["2016", "0", "5.22", "9.54"], ["2017", "0", "5.18", "9.45"], ["2018", "0", "5.84", "10.23"], ["2019", "0", "5.30", "9.55"], ["2020", "0", "5.64", "10.09"], ["2021", "0", "5.79", "13.83"], ["2022", "na", "5.65", "10.30"]]}, {"caption": "Table 25. Maternal Deaths per 100 000 live births (HFA Indicator 90)", "header": ["Year", "Malta", "EU members", "WHO-EURO"], "rows": [["2008", "7.17", "4.93", "6.54"], ["2009", "6.90", "5.23", "7.01"], ["2010", "4.09", "4.87", "7.01"], ["2011", "5.49", "4.8", "6.85"], ["2012", "3.38", "4.71", "6.16"], ["2013", "3.95", "4.62", "6.05"], ["2014", "6.17", "4.57", "5.99"], ["2015", "3.23", "4.47", "5.88"], ["2016", "3.56", "4.43", "5.87"], ["2017", "3.46", "4.41", "5.81"], ["2018", "3.59", "na", "Na"], ["2019", "2.98", "4.43", "5.69"], ["2020", "5.86", "4.45", "5.82"], ["2021", "2.95", "4.56", "Na"], ["2022", "5.08", "4.54", "5.73"]]}, {"caption": "Table 26. Fetal Deaths per 1000 births (HFA Indicator 82)", "header": ["Year", "Malta", "EU members", "WHO-EURO"], "rows": [["2008", "5.23", "1.99", "4.11"], ["2009", "3.47", "1.98", "3.95"], ["2010", "4.10", "1.89", "3.75"], ["2011", "4.56", "1.86", "3.35"], ["2012", "4.12", "1.78", "3.12"], ["2013", "3.72", "1.81", "3.12"], ["2014", "3.58", "1.79", "3.06"], ["2015", "2.54", "1.76", "2.99"], ["2016", "5.36", "1.77", "2.97"], ["2017", "3.24", "1.76", "2.90"], ["2018", "3.15", "na", "na"], ["2019", "3.68", "1.73", "2.80"], ["2020", "2.72", "1.71", "2.74"], ["2021", "2.28", "1.66", "na"], ["2022", "3.02", "1.67", "2.72"]]}, {"caption": "Table 27. Early Neonatal Deaths per 1000 live births (HFA Indicator 78)", "header": ["Year", "Malta", "EU members", "WHO-EURO"], "rows": [["2008", "6.91", "6.02", "8.34"], ["2009", "6.02", "6.27", "9.74"], ["2010", "6.22", "5.89", "8.43"], ["2011", "7.69", "5.82", "8.00"], ["2012", "3.88", "5.63", "7.37"], ["2013", "4.72", "5.56", "7.14"], ["2014", "5.72", "5.49", "7.14"], ["2015", "3.24", "5.55", "6.97"], ["2016", "4.93", "5.53", "6.70"], ["2017", "5.33", "5.49", "6.62"], ["2018", "4.73", "na", "na"], ["2019", "4.38", "5.32", "6.67"], ["2020", "4.32", "5.30", "6.71"], ["2021", "3.42", "5.36", "na"], ["2022", "4.19", "5.45", "6.61"]]}]}