Midwife-led care | Obstetrician-led care | OR (adjusted)a | OR (adjusted)a | OR (adjusted)a | ||
---|---|---|---|---|---|---|
(95% CI) | (95% CI) | (95% CI) | ||||
Interventions/maternal outcomes | 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 (%) | |||||
Augmentation of labor | n = 192 | n = 137 | n = 120 | |||
No | 133 (69.3) | 83 (60.6) | 61 (50.8) | |||
Oxytocin or prostaglandins | 59 (30.7) | 54 (39.4) | 59 (49.2) | 0.79 (0.46 – 1.35) | 0.54 (0.32 – 0.93) | 0.69 (0.40 – 1.21) |
Analgesia during labor | n = 215 | n = 155 | n = 160 | |||
No | 156 (72.6) | 96 (61.9) | 66 (41.3) | |||
Narcotic analgesia | 25 (11.6) | 33 (21.3) | 35 (21.9) | 0.56 (0.28 – 1.09) | 0.41 (0.21 – 0.79) | 0.74 (0.39 – 1.38) |
Epidural analgesia | 34 (15.8) | 26 (16.8) | 59 (36.9) | 0.94 (0.48 – 1.83) | 0.32 (0.18 – 0.56) | 0.34 (0.19 – 0.62) |
Mode of birth | n = 216 | n = 157 | n = 162 | |||
Spontaneous vaginal | 161 (74.5) | 104 (66.2) | 103 (63.6) | |||
Assisted vaginal (VE/FE) | 37 (17.1) | 29 (18.5) | 37 (22.8) | 0.94 (0.49 – 1.83) | 0.83 (0.45 – 1.53) | 0.88 (0.46 – 1.68) |
Cesarean (unplanned) | 18 (8.3) | 24 (15.3) | 22 (13.6) | 0.48 (0.23 – 1.02) | 0.75 (0.35 – 1.59) | 1.55 (0.76 – 3.17) |
Episiotomy | 111 (56.3) | 70 (51.9) | 95 (68.3) | 1.40 (0.86 – 2.29) | 0.69 (0.44 – 1.10) | 0.49 (0.30 – 0.81) |
Perineum | n = 197 | n = 135 | n = 139 | |||
Intact | 39 (19.8) | 23 (17.0) | 20 (14.4) | |||
Tear | 47 (23.9) | 42 (31.1) | 24 (17.3) | 0.72 (0.41 – 1.26) | 1.58 (0.87 – 2.87) | 2.21 (1.18 – 4.12) |
First- or second degree tear | 46 | 34 | 22 | |||
Third- or fourth degree tear | 1 | 8 | 2 | |||
Retained placenta | 4 (2.0) | 3 (2.2) | 8 (5.7) | NT | NT | NT |
Postpartum hemorrhage | n = 221 | n = 160 | n = 176 | |||
<500 cc | 158 (71.5) | 108 (67.5) | 109 (61.9) | |||
≥500 - < 1000 cc | 50 (22.6) | 42 (26.3) | 48 (27.3) | |||
≥1000 cc | 13 (5.9) | 10 (6.3) | 19 (10.8) | 0.82 (0.32 – 2.08) | 0.57 (0.25 – 1.30) | 0.70 (0.30 – 1.63) |