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Table 3 Neonatal and maternal outcomes by region (percentages, crude and adjusteda ORs, compared to weighted mean, with 99% CIs

From: Regional variations in childbirth interventions in the Netherlands: a nationwide explorative study

 

Total

GR

FR

DR

OV

FL

GD

UT

NH

ZH

ZL

NB

LB

614,661

19,441

22,568

15,875

42,860

17,461

71,284

52,886

105,944

139,567

11,327

84,147

31,301

Antepartum and intrapartum stillbirth, n (%)

717 (0.12)

23 (0.12)

32 2(0.14)

17 (0.11)

42 (0.10)

27 (0.15)

97 (0.14)

62 (0.12)

126 (0.12)

159 (0.11)

11 (0.10)

88 (0.10)

33 (0.11)

 Crude OR [99% CI]

 

1.02 [0.61–1.69]

1.22 [0.79–1.88]

0.92 [0.51–1.65]

0.84 [0.57–1.24]

1.33 [0.83–2.13]

1.17 [0.89–1.53]

1.01 [0.73–1.39]

1.02 [0.80–1.31]

0.98 [0.78–1.23]

0.83 [0.41–1.71]

0.90 [0.68–1.19]

0.90 [0.59–1.39]

 aORa [99% CI]

 

1.04 [0.62–1.73]

1.26 [0.81–1.97]

0.93 [0.51–1.71]

0.90 [0.61–1.33]

1.41 [0.86–2.32]

1.13 [0.85–1.50]

1.07 [0.76–1.50]

0.97 [0.74–1.27]

0.97 [0.75–1.25]

0.75 [0.35–1.61]

0.85 [0.63–1.14]

0.89 [0.58–1.37]

Neonatal mortality up to 7 days, n (%)

471 (0.08)

14 (0.07)

13 (0.06)

12 (0.08)

29 (0.07)

14 (0.08)

72 (0.10)

42 (0.08)

85 (0.08)

98 (0.07)

12 (0.11)

52 (0.06)

28 (0.09)

 Crude OR [99% CI]

 

0.93 [0.49–1.78]

0.75 [0.38–1.46]

0.98 [0.49–1.97]

0.88 [0.55–1.39]

1.04 [0.54–1.99]

1.31 [0.95–1.80]

1.03 [0.69–1.53]

1.04 [0.77–1.40]

0.91 [0.68–1.21]

1.37 [0.68–2.76]

0.80 [0.56–1.15]

1.16 [0.72–1.86]

 aORa [99% CI]

 

0.93 [0.48–1.79]

0.76 [0.39–1.51]

1.06 [0.52–2.14]

0.83 [0.51–1.36]

1.04 [0.52–2.11]

1.34 [0.97–1.86]

1.02 [0.67–1.57]

1.01 [0.73–1.40]

0.92 [0.67–1.27]

1.38 [0.68–2.79]

0.80 [0.56–1.16]

1.08 [0.67–1.76]

Apgar score below 7 at 5 minutesb, n (%)

6410 (1.00)

291 (1.5)

280 (1.2)

132 (0.8)

354 (0.8)

163 (0.9)

715 (1.0)

460 (0.9)

1136 (1.1)

1735 (1.2)

83 (0.7)

777 (0.9)

284 (0.9)

 Crude OR [99% CI]

 

1.53 [1.32–1.77]

1.26 [1.09–1.46]

0.84 [0.68–1.04]

0.84 [0.73–0.96]

0.95 [0.78–1.14]

1.02 [0.92–1.12]

0.88 [0.78–0.99]

1.09 [1.00–1.18]

1.26 [1.17–1.36]

0.74 [0.57–0.96]

0.94 [0.85–1.03]

0.92 [0.79–1.07]

 aORa [99% CI]

 

1.47 [1.26–1.71]

1.28 [1.10–1.49]

0.90 [0.73–1.12]

0.85 [0.74–0.98]

0.96 [0.78–1.18]

1.05 [0.95–1.17]

0.88 [0.78–0.997]

0.99 [0.90–1.08]

1.18 [1.09–1.28]

0.78 [0.60–1.02]

0.94 [0.85–1.03]

0.92 [0.79–1.07]

3rd and 4th degree perineal tear for vaginal births, %

14,065 (2.76)

432 (2.68)

528 (2.84)

423 (3.15)

1061 (2.95)

369 (2.49)

1638 (2.68)

1369 (3.07)

2741 (3.13)

2725 (2.38)

173 (1.83)

1919 (2.79)

687 (2.73)

 Crude OR [99% CI]

 

0.99 [0.88–1.12]

1.05 [0.94–1.17]

1.17 [1.04–1.32]

1.10 [1.01–1.19]

0.92 [0.81–1.04]

0.99 [0.93–1.06]

1.14 [1.06–1.23]

1.16 [1.10–1.23]

0.88 [0.83–0.93]

0.67 [0.56–0.81]

1.03 [0.97–1.10]

1.01 [0.92–1.11]

 aORa [99% CI]

 

1.00 [0.88–1.12]

1.09 [0.98–1.22]

1.17 [1.03–1.33]

1.10 [1.01–1.91]

0.96 [0.83–1.10]

0.99 [0.92–1.06]

1.09 [1.01–1.18]

1.15 [1.08–1.22]

0.88 [0.82–0.93]

0.70 [0.58–0.84]

1.01 [0.95–1.08]

1.01 [0.92–1.11]

Postpartum haemorrhages ≥1000 ml, %

35,868 (6.00)

1088 (5.62)

1147 (5.17)

977 (6.19)

2283 (5.41)

1041 (5.99)

4610 (6.53)

3054 (5.85)

6155 (6.03)

7832 (5.79)

411 (3.72)

5430 (6.88)

1840 (5.95)

 Crude OR [99% CI]

 

0.99 [0.91–1.06]

0.90 [0.84–0.97]

1.09 [1.01–1.18]

0.95 [0.90–0.998]

1.05 [0.97–1.14]

1.16 [1.11–1.20]

1.03 [0.98–1.08]

1.06 [1.02–1.10]

1.02 [0.98–1.05]

0.64 [0.57–0.72]

1.22 [1.17–1.27]

1.05 [0.99–1.11]

 aORa [99% CI]

 

0.99 [0.92–1.07]

0.92 [0.85–0.99]

1.11 [1.02–1.21]

0.94 [0.89–0.995]

1.09 [0.998–1.18]

1.14 [1.09–1.19]

0.98 [0.93–1.03]

1.04 [0.99–1.08]

1.02 [0.99–1.06]

0.66 [0.58–0.74]

1.20 [1.15–1.25]

1.04 [0.98–1.10]

  1. aOdds ratios, adjusted for parity, maternal age, ethnic background, socioeconomic status and urbanisation
  2. bAntepartum and intrapartum stillbirth cases are excluded for analyses of Apgar score below 7 at 5 min
  3. Percentage of missing data: 0.0% for antepartum and intrapartum stillbirth, 0.1% for neonatal mortality, 0.1% for Apgar score below 7 at 5 minutes, 1.4% for 3rd and 4th degree perineal tear, 2.7% for postpartum haemorrhages > 1000 ml