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Table 2 Intervention (operative vaginal delivery and caesarean section) in women who are in primary care at the onset of labour

From: Planned home compared with planned hospital births: mode of delivery and Perinatal mortality rates, an observational study

 

TOTAL(n)

IV (N)

%

p

Model 1

 

p

Model 2

 

p

    

Crude RR

95% CI

 

Adj OR

 

95% CI

 

Intended place of birth

   

**

   

**

   

**

 Home

402,912

43,766

0,109

 

0,76

0,75

0,78

 

0,77

0,75

0,78

 

 Hospital (REF)

219,105

30,135

0,138

 

1

   

1

   

 Unknown

57,935

7042

0,122

 

0,87

0,84

0,89

 

0,86

0,84

0,89

 

Parity

   

**

   

**

   

**

 Primiparous

302,489

70,334

0,233

 

10,49

10,27

10,71

 

11,90

11,64

12,16

 

 Multiparous (REF)

377,463

10,609

0,028

 

1

   

1

   

Maternal Age

   

**

   

**

   

**

  < 19 years

11,939

1295

0,108

 

0,86

0,81

0,91

 

0,40

0,37

0,42

 

 20–25 years

74,101

8737

0,118

 

0,94

0,92

0,96

 

0,58

0,57

0,60

 

 25–34 years (REF)

478,251

59,536

0,124

 

1

   

1

   

  > 35 years

115,661

11,375

0,098

 

0,77

0,75

0,78

 

1,36

1,33

1,40

 

Ethnic background

   

**

   

**

   

**

 Dutch (REF)

571,185

69,983

0,123

 

1

   

1

   

 Non Dutch

108,767

10,960

0,101

 

0,80

0,79

0,82

 

0,96

0,94

0,99

 

Neighbourhood

   

**

   

**

   

**

 Privileged neighbourhood (REF)

638,571

76,646

0,120

 

1

   

1

   

 Underprivileged neighbourhood

41,381

4297

0,104

 

0,85

0,82

0,88

 

0,90

0,87

0,94

 

Gestational Age

   

**

   

**

   

**

  < 34wk

4621

873

0,189

 

1,90

1,76

2,04

 

1,02

0,94

1,10

 

 35-36wk

11,780

1926

0,163

 

1,48

1,41

1,55

 

0,96

0,91

1,01

 

 37wk

27,303

2701

0,099

 

0,83

0,80

0,86

 

0,63

0,61

0,66

 

 38-41wk (REF)

626,558

73,286

0,117

 

1

   

1

   

  > 41 wk

9690

2157

0,223

 

2,16

2,06

2,27

 

2,11

2,00

2,22

 

Big3

   

**

   

**

   

**

 SGA

50,681

5169

0,102

 

0,83

0,81

0,85

 

0,85

0,82

0,87

 

 Prematurity

16,401

2799

0,350

         

 Congenital abnomality

3594

904

0,252

 

1,86

1,76

1,97

 

1,77

1,67

1,88

 

 Combination Big3

2443

507

0,140

 

2,64

2,44

2,85

 

1,66

1,49

1,85

 

 No Big3

606,833

71,564

0,118

 

1

   

1

   

Time of delivery

       

**

   

**

 Day 8.00–18.00 (REF)

288,052

38,414

0,133

 

1

   

1

   

 Night 18.00–8.00

391,900

42,529

0,109

 

0,79

0,78

0,80

 

0,86

0,84

0,87

 

Day of delivery

       

**

    

 Week day (REF)

494,662

58,785

0,119

 

1

   

nie

   

 Weekend

185,290

22,158

0,120

 

1,01

0,99

1,02

     
  1. Nie not in equation
  2. Model 1: crude RR
  3. Model 2: adjusted for maternal factors + child factors + health care factors
  4. **p < 0,001