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Table 4 Multilevel logistic regression: rate of referrals in a practice and the chance of instrumental birth

From: Variation in referrals to secondary obstetrician-led care among primary midwifery care practices in the Netherlands: a nationwide cohort study

4a. Nulliparous women

   

4b.Multiparous women

 
 

Rate of intrapartum nulliparous referrals in midwifery practice (tertiles)

 

Rate of intrapartum nulliparous referrals in midwifery practice (tertiles)

T1 (low)

T2

T3 (high)

 

T1 (low)

T2

T3 (high)

Instrumental birth rate

22.7%

26.5%

28.0

Instrumental birth rate

2.7%

2.8%

2.8%

Crude OR (95% CI)

1

1.23 (1.16 - 1.31)

1.33 (1.25 - 1.41)

Crude OR (95% CI)

1

1.06 (0.96 - 1.18)

1.05 (0.95 - 1.17)

Model 1 adjusted OR (95% CI)

1

1.22 (1.15 - 1.30)

1.33 (1.25 - 1.41)

Model 1 adjusted OR (95% CI)

1

1.07 (0.96 - 1.18)

1.04 (0.94 - 1.16)

Model 2 adjusted OR (95% CI)

1

1.22 (1.14 - 1.29)

1.31 (1.23 - 1.39)

Model 2 adjusted OR (95% CI)

1

1.05 ( 0.94 - 1.16)

1.01 (0.91 - 1.12)

Model 3 adjusted OR (95% CI)

1

1.21 (1.14 - 1.29)

1.31 (1.23 - 1.39)

Model 3 adjusted OR (95% CI)

1

1.05 ( 0.94 - 1.16)

1.01 (0.91 - 1.12)

Model 4 adjusted OR (95% CI)

1

1.08 (1.00 - 1.16)

1.05 (0.97 - 1.13)

Model 4 adjusted (OR) (95% CI)

1

0.99 (0.89 - 1.10)

0.87 (0.78 - 0.97)

  1. model 1: adjustment for maternal age, gestational age, ethnic background urbanisation, SES.
  2. model 2: model 1 + planned place of birth.
  3. model 3: model 2 + size.
  4. model 4: model 3 + any interventions (pain relief and/or augmentation).