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Table 2 Management of labour, mode of delivery and perineal injury

From: Achieving sustainable quality in maternity services – using audit of incontinence and dyspareunia to identify shortfalls in meeting standards

 

Overall

North Staffs

Burton

 

(n = 1036)

(n = 662)

(n = 374)

Length of Labour / Pushing

Pushing n = 647

Pushing n = 318

Pushing n = 329

 

Labour n = 690

Labour n = 333

Labour n = 357

Median length of labour (mins)

450 (IQR 387)

360 (IQR 279)

590 (IQR 432)

Median length of pushing (mins)

46 (IQR 67)

46 (IQR 67)

46 (IQR 55.5)

Type of Pushing

n = 491

n = 317

n = 174

Active

242 (49%)

137 (43%)

105 (60%)

Physiological

146 (30%)

132 (42%)

14 (8%)

Both

103 (21%)

48 (15%)

55 (32%)

Not Recorded

545

345

200

Epidurals

n = 1031 (99%)

n = 662 (100%)

n = 369 (99%)

Yes

402 (39%)

217 (33%)

185(50%)

No

629 (61%)

445 (67%)

184(50%)

Not Recorded

5

-

5

Instrumental Deliveries

n = 198 (19%)

n = 108 (16%)

n = 90 (24%)

Ventouse

151 (76%)

86 (80%)

65 (72%)

Forceps

47 (24%)

22 (20%)

25 (28%)

Caesarean Sections

n = 231 (22%)

n = 142 (21%)

n = 89 (24%)

Emergency Sections

173 (75%)

95 (67%)

78 (88%)

Elective Sections

58 (25%)

47 (33%)

11 (12%)

Episiotomies & Tears

n = 606 (58%)

n = 395 (60%)

n = 211 (56%)

Episiotomy

401 (66%)

254 (64%)

147 (70%)

Tear

193 (32%)

132 (33%)

61 (29%)

Both Episiotomy & Tear

12 (2%)

9 (2%)

3 (1%)

Degrees of Tear

205 (20%)

141 (21%)

64 (17%)

1° Tears

37 (21%)

26 (23%)

11(18%)

2° Tears

133 (76%)

84 (74%)

49 (80%)

3° Tears

4 (2%)

3 (3%)

1 (2%)

Degree Not Recorded

31

28

3

  1. *In addition 2 women had assisted vaginal breech deliveries.