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Table 5 Associations between socio-demographic, obstetric and organisational characteristics and outcome (midwife catching the baby)

From: The role of hospital midwives in the Netherlands

 

Nulliparae

Multiparae

 

1998-2002

2003-2007

1998-2002

2003-2007

Characteristics

OR* multivariable

OR* multivariable

 

(95% CI # )

(95% CI # )

referral

    

   - before the onset of labour (reference)

1.00

1.00

1.00

1.00

   - during labour

1.23 (1.18-1.28)

1.02 (0.99-1.05)

1.54 (1.48-1.60)

1.12 (1.08-1.16)

process of birth

    

   - spontaneous, no induction, no augmentation (reference)

1.00

1.00

1.00

1.00

   - induction

0.74 (0.70-0.77)

0.78 (0.75-0.81)

0.78 (0.75-0.81)

0.83 (0.80-0.86)

   - augmentation

0.81 (0.77-0.84)

0.80 (0.77-0.82)

0.79 (0.76-0.83)

0.79 (0.76-0.82)

   - vacuum/forceps/CS

0.01 (0.01-0.02)

0.03 (0.03-0.03)

0.01 (0.01-0.01)

0.01 (0.01-0.01)

time of birth

    

   - weekday 8.00-20.00 (reference)

1.00

1.00

1.00

1.00

   - evening, night of weekend

0.83 (0.80-0.86)

0.71 (0.70-0.73)

0.82 (0.80-0.85)

0.75 (0.73-0.77)

Maternal age

    

   - < 25

1.03 (0.98-1.07)

1.05 (1.02-1.08)

0.97 (0.91-1.03)

1.02 (0.97-1.08)

   - 25-< 35 (reference)

1.00

1.00

1.00

1.00

   - ≥ 35

0.96 (0.91-1.03)

0.93 (0.89-0.97)

0.99 (0.95-1.02)

0.95 (0.92-0.98)

Ethnicity

    

   - western (reference)

1.00

1.00

1.00

1.00

   - non-Western

1.16 (1.10-1.22)

1.07 (1.03-1.11)

1.23 (1.19-1.28)

1.04 (1.01-1.08)

Gestational age

    

   - < 32 weeks

0.24 (0.21-0.28)

0.20 (0.18-0.22)

0.24 (0.21-0.28)

0.24 (0.21-0.27)

   - 32-< 37 weeks

0.59 (0.55-0.62)

0.63 (0.61-0.66)

0.57 (0.54-0.61)

0.61 (0.58-0.64)

   - 37-< 42 weeks (reference)

1.00

1.00

1.00

1.00

   - ≥ 42 weeks

1.12 (1.04-1.19)

1.19 (1.13-1.25)

1.12 (1.06-1.19)

1.21 (1.15-1.27)

Type of hospital

    

   - academic

8.62 (8.01-9.28)

2,12 (2,02-2,21)

8,80 (8.46-9.52)

3.29 (3.16-3.43)

   - teaching (reference)

1.00

1.00

1.00

1.00

   - non-teaching

8.21 (8.02-9.28)

3.50 (3.41-3.60)

7.55 (7.18-7.94)

4.09 (3.97-4.21)

  1. * OR = Odds Ratio, via multivariable logistic regression analysis (adjusted for the characteristics mentioned above and year of birth).
  2. #95% CI = 95% Confidence Interval. If this interval does not include the value 1, the factor has a statistically significant effect on outcome