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Table 4 Interventions and adverse outcomes by planned place of birth (FMU vs AMU) in ‘low risk’ women by parity

From: A comparison of intrapartum interventions and adverse outcomes by parity in planned freestanding midwifery unit and alongside midwifery unit births: secondary analysis of ‘low risk’ births in the birthplace in England cohort

 

Nulliparous

Multiparous

Perinatal outcome

Adjusted OR

95% CI

p value

Adjusted OR

95% CI

p value

 ‘Birthplace primary perinatal outcome’

0.96

(0.51-1.82)

0.907

1.14

(0.52-2.50)

0.745

Maternal outcomes

Adjusted OR

99% CI

p value

Adjusted OR

99% CI

p value

 ‘Straightforward vaginal birth’

1.47

(1.17-1.85)

<0.001**

1.86

(1.35-2.57)

<0.001**

 Instrumental delivery (ventouse or forceps)

0.63

(0.46-0.86)

<0.001**

0.41

(0.25-0.68)

<0.001**

 Intrapartum caesarean section

0.84

(0.63-1.14)

0.147

0.75

(0.41-1.38)

0.224

 Third or fourth degree perineal trauma

0.82

(0.59-1.15)

0.129

0.60

(0.36-1.00)

0.010**

 Blood transfusion

0.71

(0.44-1.14)

0.063

0.56

(0.26-1.21)

0.052

 Maternal admission for higher level care

0.28

(0.07-1.10)

0.016*

0.30

(0.07-1.20)

0.025*

  1. Odds ratios (OR) are fully adjusted for maternal characteristics and complicating conditions identified at the start of care in labour
  2. Reference group = AMU
  3. **Significant differences at the 1% level
  4. *Significant differences at the 5% level
  5. Data in bold emphasized the main headings and sub-headings