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Table 3 Unadjusted and adjusted risk ratios and 95 % CI for OASIS among nulliparous and parous

From: Birth position and obstetric anal sphincter injury: a population-based study of 113 000 spontaneous births

 

Nulliparous (n = 44 942)

Parous (n = 65 486)

Unadjusted risk ratio

Adjusted risk ratio*

Unadjusted risk ratio

Adjusted risk ratio*

95 % CI

95 % CI

95 % CI

95 % CI

Total

Sitting

1.00

1.00

1.00

1.00

Lithotomy

1.33 (1.21-1.46)

1.17 (1.06-1.29)

2.19 (1.83-2.62)

1.66 (1.35-2.05)

Lateral

0.79 (0.69-0.91)

0.79 (0.68-0.92)

0.82 (0.67-1.01)

0.84 (0.66-1.06)

Knee

0.88 (0.73-1.06)

0.88 (0.71-1.09)

0.78 (0.60-1.00)

0.81 (0.58-1.11)

Birth seat

1.05 (0.92-1.21)

1.05 (0.90-1.22)

1.37 (1.07-1.74)

1.36 (1.03-1.80)

Supine

0.89 (0.68-1.16)

0.91 (0.67-1.22)

0.84 (0.60-1.18)

0.84 (0.55-1.30)

Squatting

0.81 (0.49-1.36)

0.66 (0.36-1.24)

1.79 (0.95-3.35)

2.16 (1.15-4.07)

Standing

0.69 (0.36-1.33)

0.71 (0.34-1.49)

0.49 (0.20-1.18)

0.40 (0.10-1.61)

All four

1.03 (0.59-1.78)

1.12 (0.62-2.05)

1.18 (0.53-2.64)

0.95 (0.30-2.96)

Maternal age (years)

 <35

1.00

1.00

1.00

1.00

 >35

1.25 (1.12-1.39)

1.21 (1.08-1.36)

1.13 (0.99-1.30)

1.12 (0.96-1.32)

Head circumference

 <35

1.00

1.00

1.00

1.00

 >35

1.76 (1.62-1.92)

1.42 (1.29-1.57)

1.95 (1.65-2.31)

1.52 (1.23-1.88)

Birth weight

 <4000 g

1.00

1.00

1.00

1.00

 >4000 g

2.16 (1.96-2.39)

1.69 (1.52-1.88)

2.54 (2.22-2.91)

1.86 (1.57-2.21)

Length of second stage

 <90 min

1.00

1.00

1.00

1.00

 >90 min

1.36 (1.25-1.47)

1.15 (1.05-1.26)

2.44 (1.98-3.01)

1.93 (1.53-2.45)

Length of gestation (weeks)

 <40

1.00

1.00

1.00

1.00

 >40

1.50 (1.38-1.64)

1.20 (1.09-1.31)

1.64 (1.42-1.87)

1.25 (1.04-1.49)

Epidural analgesia

 No

1.00

1.00

1.00

1.00

 Yes

1.02 (0.94-1.10)

0.82 (0.74-0.90)

1.28 (1.11-1.47)

1.01 (0.88-1.24)

Non-occiput anterior presentation

 No

1.00

1.00

1.00

1.00

 Yes

1.48 (1.20-1.82)

1.30 (1.01-1.68)

1.92 (1.47-2.51)

1.51 (1.10-2.05)

Oxytocin augmentation

 No

1.00

1.00

1.00

1.00

 Yes

1.31 (1.21-1.42)

1.21 (1.09-1.35)

1.33 (1.15-1.53)

0.93 (0.78-1.12)

  1. *Adjusted for all other variables in table + time in years + in-hospital delivery unit