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Table 4 Frequencies and crude rates of convulsions and other disturbances of cerebral function (ICD10 diagnoses P90 and P91) in term singleton infants categorized by mode of delivery

From: Vacuum assisted birth and risk for cerebral complications in term newborn infants: a population-based cohort study

N= 1,010,229

Convulsions or encephalopathy n = 2,587

  

Vaginal delivery

 

Emergency cesarean section

 

Vacuum extraction

 

N =851,347

 

N =75,216

 

N = 87,150

 

N

n

1/10,000

N

n

1/10 000

N

n

1/10 000

Total

851,347

1,113

13.1

75,216

627

83.4

87,150

847

97.2

Maternal age (years)

         

-19

16,256

16

9.8

859

6

69.8

1,384

11

79.5

20-34

676,207

875

12.9

55,934

457

81.7

70,645

673

95.3

>34

156,454

217

13.9

18,151

160

88.1

14,820

161

108.6

Missing

2,430

5

20.6

272

4

147.1

301

2

66.4

Maternal height (cm)

         

-155

30,767

52

16.9

6,116

46

75.2

4,074

65

159.5

156-160

108,658

167

15.4

14,622

120

82.1

13,278

174

131.0

161-165

210,094

313

14.9

20,403

143

70.1

22,733

233

102.5

166-170

242,617

281

11.6

17,965

155

86.3

23,470

194

82.7

>170

208,213

224

10.8

11,276

107

94.9

18,240

131

71.8

Missing

50,998

76

14.9

4,834

56

115.8

5,355

50

93.4

Maternal BMI

         

Underweight

12,843

9

7.0

643

3

46.7

1,372

6

43.7

Normal

311,523

343

11.0

22,768

165

72.5

33,207

288

8.67

Overweight

121,733

170

14.0

13,246

109

82.3

12,395

141

113.8

Obese

49,278

105

21.3

7,543

77

102.1

4,369

59

135.0

Missing

355,970

486

13.7

31,016

273

88.0

35,807

353

98.6

Parity

         

Multipara

516,619

514

9.9

26,521

265

99.9

18,091

177

97.8

Primi

334,728

599

17.9

48,695

362

74.3

69,059

670

97.0

Indication

         

Signs of fetal distress

9,403

81

86.1

22,320

415

185.9

22,320

300

102.6

Prolonged labour

54,204

140

25.8

24,738

49

19.8

24,738

158

83.5

Both

1,834

16

87.2

6,225

42

67.5

6,225

80

160.4

None of these

785,906

876

11.1

21,933

121

55.2

21,933

309

60.9

Gestational week

         

37-38

138,934

178

12.8

12,641

94

74.4

9,949

103

103.5

39-41

656,094

807

12.3

48,343

419

86.7

66,020

581

88.0

42-45

56,319

128

22.7

14,232

114

80.1

11,181

163

145.8

Infant birth weight (g)

         

≤3000

80,674

149

18.5

8,334

111

133.2

7,985

59

73.9

3001-3500

280,255

298

10.6

19,163

166

86.6

26,914

230

85.5

3501-4000

320,650

344

10.7

24,807

184

74.2

32,870

298

90.7

4001-4500

136,803

205

15.0

16,236

102

62.8

15,596

167

107.1

>4500

30,861

87

28.2

6,455

29

44.9

3,571

61

170.8

Missing

2,104

30

142.6

221

35

1,583.7

214

32

1495.3

Shoulder dystocia

         

No

849,910

1,064

12.5

75,212

627

83.4

86,310

775

89.8

Yes

1,437

49

341.0

4

0

 

840

72

857.1