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Table 5 Single (main) reason for intrapartum caesarean, by previous caesarean and country

From: Why 'down under' is a cut above: a comparison of rates of and reasons for caesarean section in England and Australia

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 ICS (N = 670)

% of all births (N = 5,242)

% of ICS (N = 524)

% of all births (N = 3,463)

% of ICS (N = 556)

% of all births^(N = 4,655)

% of ICS (N = 410)

% of all births^(N = 2,843)

% of ICS (N = 114)

% of all births#(N = 587)

% of ICS (N = 114)

% of all births#(N = 620)

Previous Caesarean Only

1.9

0.3

6.7

1.0

4.17 (2.19-7.94)

     

11.4

2.2

30.7

5.7

2.76 (1.44-5.30)

Fetal Distress

48.5

6.2

32.4

4.9

0.77 (0.63-0.94)

51.6

6.2

38.0

5.5

0.86 (0.70-1.06)

33.3

6.5

12.3

2.3

0.31 (0.17-0.59)

Failure to Progress in Labour

33.9

4.3

41.6

6.3

1.50 (1.23-1.83)

33.6

4.0

43.2

6.2

1.64 (1.32-2.04)

35.1

6.8

36.0

6.6

1.00 (0.64-1.59)

Breech Presentation

10.7

1.4

9.2

1.4

0.87 (0.59-1.28)

11.3

1.4

9.8

1.4

0.91 (0.60-1.38)

7.9

1.5

7.0

1.3

0.69 (0.25-1.89)

Maternal Health Concerns

2.1

0.3

3.4

0.5

1.49 (0.73-3.05)

0.9

0.1

2.9

0.4

3.43 (1.19-9.84)

7.9

1.5

5.3

1.0

0.63 (0.22-1.81)

Shared Preference

-

-

0.4

0.1

-

-

-

0.2

0.0

-

-

-

0.9

0.2

-

Carer/Hospital Recommendation

-

-

1.5

0.2

-

-

-

1.7

0.3

-

-

-

0.9

0.2

-

Obstetric History

0.4

0.1

0.2

0.0

0.50 (0.05-4.85)

0.5

0.1

-

-

-

-

-

0.9

0.2

-

Premature Labour

0.3

0.0

2.5

0.4

11.80 (1.51-92.30)

0.2

0.0

1.5

0.2

5.81 (0.67-50.48)

-

-

6.1

1.1

-

Fetal Health Concerns

0.4

0.1

1.1

0.2

2.49 (0.61-10.11)

0.5

0.1

1.5

0.2

2.68 (0.66-10.88)

-

-

-

-

-

Maternal Preference

0.3

0.0

0.4

0.1

0.80 (0.11-6.05)

-

-

0.5

0.1

-

1.8

0.3

-

-

-

Multiple Pregnancy

0.9

0.1

0.2

0.0

0.21 (0.03-1.81)

0.7

0.1

0.2

0.0

0.37 (0.04-3.32)

1.8

0.3

-

-

-

Other

0.6

0.1

0.4

0.1

0.77 (0.14-4.26)

0.5

0.1

0.5

0.1

1.05 (0.18-6.31)

0.9

0.2

-

-

-

  1. Note. ICS = Intrapartum caesarean section. +The odds for women in Queensland (relative to women in England) of having had a caesarean for the specified reason. ^The total number of women without a previous caesarean (irrespective of mode of birth for index pregnancy). #The total number of women with a previous caesarean (irrespective of mode of birth).