Duration and urgency of transfer in births planned at home and in freestanding midwifery units in England: secondary analysis of the Birthplace national prospective cohort study

Table 4 Interventions and outcomes in births within 60 minutes of start of OU care after transfer

		Instrumental birth			Caesarean birth			Adverse neonatal outcome¹			Apgar <7 at 5 minutes
	Transfers	n	%²	95% CI	n	%²	95% CI	n	%²	95% CI	n	%²	95% CI
Home (N = 16415 births ³ )
Potentially urgent transfers (before birth)	633	82	13.4	10.2-16.6	17	2.8	1.5-4.1	16	2.7	1.0-4.5	9	1.5	0.4-2.6
Non-urgent transfers (before birth)	844	9	1.0	0.3-1.6	1	0.2	0.0-0.5	1	0.1	0.0-0.3	2	0.2	0.0-0.6
All transfers starting before birth	2181	105	4.9	3.7-6.0	36	1.9	1.1-2.7	21	1.2	0.5-1.9	17	1.0	0.4-1.6
FMU (N = 11085 births ³ )
Potentially urgent transfers (before birth)	616	100	15.7	13.0-18.3	15	3.0	1.2-4.9	11	1.8	0.6-3.0	6	1.0	0.1-1.9
Non-urgent transfers (before birth)	656	5	0.6	0.1-1.1	3	0.4	0.0-0.8	0	0.0		0	0.0
All transfers starting before birth	1760	118	6.3	5.2-7.5	31	1.8	1.2-2.5	15	0.8	0.4-1.2	6	0.3	0.1-0.6

¹Intrapartum stillbirth, neonatal admission (within 48 hours of birth) or early neonatal death.
²Weighted% of transfers in that category from each setting.
³Includes only those women with no inconsistencies in recorded transfer times.

ISSN: 1471-2393