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

From: 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

  

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

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