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Table 3 Association between immersion in water and secondary outcomes by planned place of birth

From: Immersion in water for pain relief and the risk of intrapartum transfer among low risk nulliparous women: secondary analysis of the Birthplace national prospective cohort study

 

Events

Births

Weighted1

Unadjusted1

Adjusted1,2

 

n

n

%

(95% CI)

RR

(95% CI)

RR

(95% CI)

Transfer for failure to progress in 1st stage of labour

Home

        

No immersion

236

1997

11.0

(9.4–12.9)

1

-

1

-

Immersion

224

2004

10.9

(9.6–12.5)

0.99

(0.81–1.22)

0.94

(0.77–1.16)

FMU

        

No immersion

212

2203

8.8

(7.1–10.8)

1

-

1

-

Immersion

216

2603

7.5

(6.2–9.0)

0.85

(0.67–1.06)

0.80

(0.63–1.02)

AMU

        

No immersion

410

4756

8.5

(6.7-10.6)

1

-

1

-

Immersion

250

2900

8.4

(7.0–10.1)

0.99

(0.77–1-27)

0.98

(0.78–1.23)

Transfer for ‘potentially urgent reasons’

Home

        

No immersion

191

1997

9.5

(7.9–11.2)

1

-

1

-

Immersion

210

2004

10.4

(9.1–11.9)

1.10

(0.89–1.36)

1.06

(0.86–1.30)

FMU

        

No immersion

274

2203

11.7

(9.9–13.8)

1

-

1

-

Immersion

228

2603

7.8

(6.3–9.6)

0.67

(0.53–0.84)

0.61

(0.48–0.77)

AMU

        

No immersion

587

4756

12.0

(10.4–13.7)

1

-

1

-

Immersion

338

2900

11.5

(9.6–13.8)

0.97

(0.79–1.19)

0.91

(0.75–1.09)

Transfer for epidural or other pain relief

Home

        

No immersion

86

1997

4.3

(3.4–5.6)

1

-

1

-

Immersion

87

2004

4.1

(3.2–5.2)

0.94

(0.69–1.28)

0.88

(0.63–1.22)

FMU

        

No immersion

73

2203

3.0

(2.0–4.6)

1

-

1

-

Immersion

64

2603

2.1

(1.5–2.9)

0.68

(0.46–1.01)

0.63

(0.42–0.94)

AMU

        

No immersion

297

4756

6.8

(5.6–8.2)

1

-

1

-

Immersion

127

2900

5.0

(4.0–6.3)

0.73

(0.59–0.92)

0.64

(0.51–0.78)

Augmentation with oxytocin

Home

        

No immersion

321

1991

15.1

(12.9–17.5)

1

-

1

-

Immersion

329

2002

16.0

(14.4–17.8)

1.07

(0.88–1.29)

1.00

(0.82–1.22)

FMU

        

No immersion

371

2204

15.2

(12.5–18.5)

1

-

1

-

Immersion

315

2602

10.8

(9.3–12.5)

0.71

(0.58–0.87)

0.64

(0.52–0.79)

AMU

        

No immersion

871

4791

17.7

(15.7–19.8)

1

-

1

-

Immersion

453

2913

15.9

(13.5–18.6)

0.90

(0.75–1.08)

0.84

(0.71–0.99)

Epidural or spinal analgesia

Home

        

No immersion

418

1993

20.5

(18.0–23.3)

1

-

1

-

Immersion

440

2003

21.5

(19.3–23.8)

1.05

(0.90–1.22)

0.97

(0.83–1.14)

FMU

        

No immersion

467

2208

20.0

(17.0–23.4)

1

-

1

-

Immersion

439

2607

15.9

(13.6–18.5)

0.80

(0.65–0.97)

0.72

(0.58–0.89)

AMU

        

No immersion

1149

4793

24.1

(21.6–26.8)

1

-

1

-

Immersion

632

2915

22.7

(19.5–26.3)

0.94

(0.81–1.10)

0.87

(0.75–1.00)

  1. 1Weighted to adjust for clustering and each unit’s duration of participation.
  2. 2Adjusted for maternal age, ethnic group, understanding of English, marital/partner status, index of multiple deprivation score quintile, and gestation (completed weeks).