| Norway | Somalia | Iraq | Afghanistan | Kosovo | ||||
---|---|---|---|---|---|---|---|---|---|
 | n = 6826 | n = 278 | P-value* | n = 166 | P-value* | n = 71 | P-value* | n = 67 | P-value* |
Start of labor |  |  | 0.034a |  | 0.913a |  | 0.020a,‡ |  | 0.138a,‡ |
 Spontaneous | 5596 (82.0) | 216 (77.7) |  | 137 (82.5) |  | 67 (94.4) |  | 53 (79.1) |  |
 Induced labor | 762 (11.2) | 45 (16.2) |  | 19 (11.4) |  | 3 (4.2) |  | 12 (17.9) |  |
 Cesarean section | 468 (6.9) | 17 (6.1) |  | 10 (6.0) |  | 1 (1.4) |  | 2 (3.0) |  |
Epidural analgesia | 2536 (37.2) | 53 (19.1) | <0.001 | 60 (36.1) | 0.791 | 19 (26.8) | 0.071 | 23 (34.3) | 0.634 |
Labor dystocia | 2918 (42.7) | 95 (34.2) | 0.005 | 74 (44.6) | 0.638 | 31 (43.7) | 0.877 | 29 (43.3) | 0.930 |
Operative delivery | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 Instrumental vaginal delivery | 942 (13.8) | 28 (10.1) | 0.076 | 23 (13.9) | 0.984 | 7 (9.9) | 0.338 | 7 (10.4) | 0.428 |
 Elective cesarean section | 403 (5.9) | 12 (4.3) | 0.269 | 7 (4.2) | 0.361 | 1 (1.4) | 0.128‡ | 2 (3.0) | 0.436‡ |
 Emergency cesarean section | 583 (8.5) | 38 (13.7) | 0.003 | 16 (9.6) | 0.618 | 4 (5.6) | 0.382 | 5 (7.5) | 0.753 |
Gestational age, days, median (interquartile range)b | 282 (13) | 284 (14) | 0.003†| 280 (12) | 0.008†| 277.5 (12) | 0.002†| 278 (13) | 0.104†|
 Preterm (350–366 weeks) | 174 (2.6) | 7 (2.6) | 1.000 | 5 (3.0) | 0.618‡ | 0 | 0.265‡ | 1 (1.5) | 1.000 |
 Postterm (≥420 weeks) | 644 (9.5) | 43 (15.9) | 0.001 | 9 (5.4) | 0.079 | 2 (2.8) | 0.057 | 7 (10.4) | 0.778 |
Meconium-stained liquor | 1106 (16.2) | 93 (33.5) | <0.001 | 34 (20.5) | 0.140 | 13 (18.3) | 0.632 | 10 (14.9) | 0.778 |
Apgar score <7 at 5 minc | 63 (0.9) | 7 (2.5) | 0.019‡ | 1 (0.6) | 1.000 | 1 (1.4) | 0.482‡ | 0 | 1.000 |
Birth weight, g, mean (SD)b | 3598 (509) | 3382 (550) | <0.001§ | 3397 (505) | <0.001§ | 3363 (535) | 0.001§ | 3539 (541) | 1.000§ |
 SGAb | 507 (7.5) | 62 (23.0) | <0.001 | 24 (14.8) | 0.001 | 12 (17.6) | 0.003 | 7 (10.4) | 0.345‡ |
 LGAb | 667 (9.8) | 10 (3.7) | 0.001 | 6 (3.7) | 0.008 | 2 (2.9) | 0.049 | 8 (11.9) | 0.552 |