Reasons for decision to transfer | Home n = 4013 | FMU n = 4831 | AMU n = 7733 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
No immersion | Immersion | No immersion | Immersion | No immersion | Immersion | |||||||
n = 2002 | n = 2011 | n = 2216 | n = 2615 | n = 4807 | n = 2926 | |||||||
n | %1 | n | %1 | n | %1 | n | %1 | n | %1 | n | %1 | |
Not transferred | 1158 | 58.7 | 1159 | 58.7 | 1339 | 62.6 | 1826 | 71.5 | 2847 | 59.3 | 1897 | 64.7 |
‘Antepartum reasons’* | ||||||||||||
Malposition | 3 | 0.1 | 2 | 0.1 | 4 | 0.1 | 4 | 0.1 | 15 | 0.2 | 7 | 0.2 |
Malpresentation | 13 | 0.6 | 6 | 0.3 | 13 | 0.5 | 2 | 0.1 | 24 | 0.4 | 5 | 0.2 |
Failure to progress (1st stage) | 236 | 11.0 | 224 | 10.9 | 212 | 8.8 | 216 | 7.4 | 410 | 8.3 | 250 | 8.3 |
Fetal distress (1st stage) | 45 | 2.4 | 28 | 1.4 | 97 | 4.5 | 38 | 1.5 | 154 | 3.1 | 47 | 1.8 |
Meconium staining | 102 | 5.3 | 71 | 3.2 | 133 | 5.5 | 72 | 2.6 | 236 | 4.8 | 88 | 2.8 |
Epidural request | 64 | 3.1 | 61 | 2.9 | 69 | 2.9 | 64 | 2.1 | 296 | 6.7 | 124 | 4.8 |
Hypertension | 8 | 0.4 | 7 | 0.3 | 18 | 1.0 | 4 | 0.1 | 32 | 0.6 | 5 | 0.4 |
Pain relief | 22 | 1.2 | 26 | 1.2 | 4 | 0.1 | 0 | - | 1 | <0.1 | 3 | 0.1 |
Antepartum haemorrhage | 15 | 0.7 | 7 | 0.4 | 20 | 0.9 | 5 | 0.2 | 39 | 0.8 | 11 | 0.4 |
Failure to progress (2nd stage) | 113 | 5.5 | 158 | 7.8 | 137 | 5.3 | 167 | 5.5 | 322 | 6.5 | 235 | 7.7 |
Fetal distress (2nd stage) | 15 | 0.7 | 13 | 0.6 | 12 | 0.6 | 15 | 0.5 | 62 | 1.2 | 41 | 1.4 |
Other maternal | 22 | 1.1 | 22 | 1.0 | 13 | 0.6 | 5 | 0.2 | 49 | 1.0 | 13 | 0.4 |
Other fetal | 7 | 0.4 | 6 | 0.3 | 8 | 0.4 | 5 | 0.2 | 14 | 0.3 | 5 | 0.2 |
Other | 11 | 0.5 | 5 | 0.3 | 9 | 0.3 | 2 | 0.1 | 15 | 0.2 | 8 | 0.3 |
Reason not recorded | 2 | 0.1 | 3 | 0.2 | 10 | 0.5 | 4 | 0.1 | 29 | 0.9 | 11 | 0.3 |
Postpartum transfers | ||||||||||||
Postpartum haemorrhage | 26 | 1.3 | 24 | 1.2 | 10 | 0.5 | 25 | 1.0 | 29 | 0.9 | 22 | 0.8 |
Retained placenta | 29 | 1.4 | 47 | 2.3 | 36 | 1.8 | 41 | 1.6 | 53 | 1.0 | 37 | 1.1 |
Repair of perineal trauma | 86 | 4.2 | 113 | 5.4 | 55 | 2.4 | 84 | 3.4 | 156 | 3.1 | 97 | 3.5 |
Other maternal | 5 | 0.2 | 5 | 0.2 | 2 | 0.1 | 8 | 0.2 | 1 | <0.1 | 4 | 0.1 |
Neonatal concerns | 16 | 0.8 | 20 | 0.9 | 11 | 0.5 | 20 | 0.8 | 1 | <0.1 | 1 | 0.1 |
Other | 1 | <0.1 | 3 | 0.2 | 1 | <0.1 | 1 | <0.1 | 10 | 0.2 | 4 | 0.2 |
Transferred (timing & reason not known) | 3 | 0.2 | 1 | 0.1 | 3 | 0.1 | 7 | 0.9 | 12 | 0.4 | 11 | 0.4 |