Skip to main content

Table 3 Association between initial preferred birth setting and intrapartum interventions and maternal outcomes

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)
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)
  1. aAdjusted for maternal age, method of conception, first pregnancy (previous miscarriage or ectopic pregnancy), gestational age at birth, medical indications pregnancy. OR = Odds Ratio; CI 95% = confidence interval 95%.
  2. MFL = Midwife-led; OBL = Obstetrician-led.