Clinical audit to enhance safe practice of skilled birth attendants for the fetus with nuchal cord: evidence from a refugee and migrant cohort

Table 1 Outcomes for live born normal singletons and their mother prior and after a three month registered midwife placement

Outcome measured	One year pre-arrival of registered midwife	One year during and post arrival registered midwife	p value
	n = 2078	n = 2161
Liveborn, normal, singletons	n = 2078	n = 2162
Birthweight, g	2979 ± 437 [1120–4480]	2989 ± 429 [710–4810]	0.422
Mean estimated gestation age, wks	39.1 ± 1.5 [28.1-43.4]	39.1 ± 1.4 [28.1-42.0]	0.701
Shoulder dystocia, % (n)	0.1% (2/2078*)	0.1% (3/2162)	1.000
Apgar¹, median	9 [1–10], n = 2067	9 [1–10], n = 2148	0.004
Apgar⁵, median	10 [1–10], n = 2067	10 [1–10], n = 2148	0.002
Proportion Apgar⁵ <7, % (n)	0.8% (17/2067)	0.8% (18/2148)	1.000
Newborn resuscitation, % (n)	2.8% (59/2071)	1.6% (34/2162)	0.006
Post-partum haemorrhage, % (n)	8.3% (172/1904)	6.5% (141/2162)	0.030
Episiotomy, % (n)	5.1 (105/2048)	5.2 (110/2127)	1.000

Missing data: birth weight and gestation and shoulder dystocia n = 0; Apgar¹ = 25; Apgar⁵ = 25; newborn resuscitation n = 6; post-partum haemorrhage n = 2; Episiotomy n = 65.
*one of whom had cord ligation before delivery of the shoulders (EGA 39.5wks weight 4380 7¹ 9⁵).

ISSN: 1471-2393