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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.