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Table 5 Comparison of intervention rates, care variables and key outcomes in the study group (all women opting for MLU care), between all spontaneous vaginal births at MLU vs CLU

From: Midwife-led maternity care in Ireland – a retrospective cohort study

 

MLU

CLU

p-value

n = 1,878

n = 900*

Primiparity, %

18.8

25.9

<0.001 a

Maternal age, years

30.6

29.5

<0.001 b

Primiparous women

27.4

26.6

 

Multiparous women

31.4

30.6

 

1-2 midwives involved, %

90.9

70.0

<0.001 a

Primiparous women

88.4

68.3

 

Multiparous women

91.5

70.6

 

Maximum 3 vaginal examinations during birth, %

93.6

79.7

<0.001 a

Primiparous women

86.8

69.4

 

Multiparous women

95.1

83.2

 

Upright position, %

52.0

9.4

<0.001 a

Primiparous women

52.0

6.9

 

Multiparous women

52.0

10.3

 

Amniotomy, %

5.9

25.9

<0.001 a

Primiparous women

5.5

24.0

 

Multiparous women

6,1

26.6

 

Episiotomy, %

3.4

9.4

<0.001 a

Primiparous women

7.3

22.7

 

Multiparous women

2.4

4.8

 

Sphincter tear, %

1.7

2.0

0.539 a

Primiparous women

4.2

3.4

 

Multiparous women

1.0

1.5

 

Physiological management of 3rd stage, %

50.9

4.7

<0.001 a

Primiparous women

50.8

2.1

 

Multiparous women

50.9

5.5

 

PPH > 500 mL, %

2.9

7.2

<0.001 a

Primiparous women

5.1

7.7

 

Multiparous women

2.4

7.0

 

PPH > 1000 mL, %

1.3

2.8

0.008 a

Primiparous women

2.6

3.4

 

Multiparous women

1.0

2.6

 

Apgar score <7 at 5 min, %

0.1

0.5

0.038 a

Primiparous women

0.0

0.9

 

Multiparous women

0.1

0.3

 
  1. a Fisher’s Exact Test
  2. b One-way ANOVA
  3. * Including spontaneous vaginal births at theatre and “other” place, n = 32