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Table 2 Association between the initial preferred birth setting and medical indications during pregnancy and onset of labor

From: The influence of preferred place of birth on the course of pregnancy and labor among healthy nulliparous women: a prospective cohort study

  Midwife-led care Obstetrician-led care OR (adjusted)a OR (adjusted)a OR (adjusted)a
(95% CI) (95% CI) (95% CI)
  Preferred home birth Preferred hospital birth n = 182 (%) Preferred MFL home birth vs. Preferred MFL hospital birth Preferred MFL home birth vs. Preferred OBL hospital birth Preferred MFL hospital birth vs. Preferred OBL hospital birth
n = 226 (%) n = 168 (%)
Medical indications (overall)a 54 (23.9) 54 (32.1) 79 (43.4) 0.64 (0.38 – 1.09) 0.41 (0.25 – 0.66) 0.64 (0.39 – 1.04)
 Hypertensive disorders 19 (8.4) 15 (8.9) 27 (14.8)    
 (Suspected) IUGR 1 (0.4) 5 (3.0) 8 (4.4)
 Diabetes - 1 (0.6) 3 (1.6)
 Congenital anomalies 1 (0.4) - 1 (0.5)
 Stillbirth 1 (0.4) - 3 (1.6)
 Malposition incl. breech 7 (3.1) 10 (6.0) 13 (7.1)
 Placental problems , blood loss 1 (0.4) 1 (0.6) 4 (2.2)
 (Threatening) preterm birth 8 (3.5) 9 (5.4) 6 (3.3)
 Post-term pregnancy 11 (4.9) 9 (5.4) 6 (3.3)
 Other 5 (2.2) 4 (2.4) 8 (4.4)
Onset of labora,b       
 Spontaneous 192 (85.0) 139 (82.7) 121 (66.5)    
 Induction 24 (10.6) 18 (10.7) 41 (22.5) 1.23 (0.57 – 2.64) 0.51 (0.28 – 0.95) 0.42 (0.21 – 0.85)
 Planned cesarean 10 (4.4) 11 (6.5) 20 (11.0) 0.74 (0.25 – 2.21) 0.41 (0.16 – 1.04) 0.55 (0.22 – 1.41)
  1. aAdjusted for maternal age, method of conception, first pregnancy (previous miscarriage or ectopic pregnancy), bgestational age at birth. OR = Odds Ratio; CI 95% = confidence interval 95%.
  2. MFL = Midwife-led; OBL = Obstetrician-led.