Reasons for caesarean | All women | No previous caesarean | Previous caesarean | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
England | Queensland | OR (95% CI)+ | England | Queensland | OR (95% CI)+ | England | Queensland | OR (95% CI)+ | |||||||
% of PLCS (N = 642) | % of all births (N = 5,242) | % of PLCS (N = 726) | % of all births (N = 3,463) | % of PLCS (N = 336) | % of all births^(N = 4,655) | % of PLCS (N = 305) | % of all births^(N = 2,843) | % of PLCS (N = 306) | % of all births#(N = 587) | % of PLCS (N = 421) | % of all births#(N = 620) | ||||
Previous Caesarean Only | 17.1 | 2.1 | 30.9 | 6.5 | 3.40 (2.69-4.30) | Â | Â | Â | Â | Â | 35.9 | 18.7 | 53.2 | 36.1 | 2.82 (2.15-3.70) |
Breech Presentation | 24.0 | 2.9 | 16.0 | 3.4 | 0.95 (0.73-1.23) | 37.2 | 2.7 | 29.5 | 3.2 | 1.02 (0.76-1.36) | 9.5 | 4.9 | 6.2 | 4.2 | 0.73 (0.42-1.28) |
Maternal Health Concerns | 23.4 | 2.9 | 18.6 | 3.9 | 0.90 (0.69-1.17) | 22.9 | 1.7 | 24.9 | 2.7 | 1.40 (1.00-1.97) | 23.9 | 12.4 | 14.0 | 9.5 | 0.49 (0.33-0.74) |
Suspected Disproportion | 8.6 | 1.0 | 10.6 | 2.2 | 1.60 (1.12-2.30) | 5.1 | 0.4 | 10.8 | 1.2 | 2.78 (1.53-5.05) | 12.4 | 6.5 | 10.5 | 7.1 | 1.16 (0.74-1.83) |
Fetal Distress | 8.4 | 1.0 | 1.2 | 0.3 | 0.22 (0.11-0.44) | 12.2 | 0.9 | 2.3 | 0.3 | 0.27 (0.12-0.60) | 4.2 | 2.2 | 0.5 | 0.3 | 0.10 (0.02-0.46) |
Carer/Hospital Recommendation | - | - | 6.5 | 1.4 | - | - | - | 10.8 | 1.2 | - | - | - | 3.3 | 2.3 | - |
Maternal Preference | 3.4 | 0.4 | 4.1 | 0.9 | 2.03 (1.16-3.56) | 3.0 | 0.2 | 8.5 | 0.9 | 4.47 (2.14-9.33) | 3.9 | 2.0 | 1.0 | 0.7 | 0.33 (0.11-1.04) |
Obstetric History | 4.4 | 0.5 | 3.7 | 0.8 | 1.08 (0.63-1.87) | 3.9 | 0.3 | 4.3 | 0.5 | 1.58 (0.73-3.44) | 4.9 | 2.6 | 3.3 | 2.3 | 0.75 (0.35-1.61) |
Fetal Health Concerns | 1.9 | 0.2 | 2.2 | 0.5 | 1.37 (0.63-2.97) | 2.4 | 0.2 | 3.0 | 0.3 | 1.44 (0.54-3.83) | 1.3 | 0.7 | 1.7 | 1.1 | 1.09 (0.30-3.94) |
Malpresentation | 0.9 | 0.1 | 0.7 | 0.1 | 0.97 (0.28-3.34) | 1.2 | 0.1 | 1.3 | 0.1 | 1.08 (0.25-4.64) | 0.7 | 0.3 | 0.2 | 0.2 | 0.40 (0.04-4.50) |
Premature Labour | 0.8 | 0.1 | 0.4 | 0.1 | 0.52 (0.12-2.29) | 0.9 | 0.1 | - | - | - | 0.7 | 0.3 | 0.7 | 0.5 | 1.02 (0.16-6.50) |
Shared Preference | - | - | 2.6 | 0.6 | - | - | - | 1.0 | 0.1 | - | - | - | 3.8 | 2.6 | - |
Multiple Pregnancy | 2.2 | 0.3 | 0.1 | 0.0 | 0.09 (0.01-0.72) | 3.3 | 0.2 | 0.3 | 0.0 | 0.14 (0.02-1.10) | 1.0 | 0.5 | - | - | - |
Other | 5.0 | 0.6 | 2.3 | 0.5 | 0.80 (0.43-1.47) | 8.8 | 0.6 | 3.3 | 0.4 | 0.65 (0.30-1.37) | 1.6 | 0.9 | 1.7 | 1.1 | 1.32 (0.41-4.25) |