Effects of midwife-led maternity services on postpartum wellbeing and clinical outcomes in primiparous women under China’s one-child policy

Table 3 Effects of MCD and CMC on delivery mode and rate of breastfeeding in 24 h

Outcome variables	OMC^a group (%) n = 1117	MCD^b group (%) n = 279	CMC^c group (%) n = 172	MCD vs. OMC		CMC vs. OMC
Outcome variables	OMC^a group (%) n = 1117	MCD^b group (%) n = 279	CMC^c group (%) n = 172	cOR^d (95% CI)	aOR(95% CI)	cOR^d (95% CI)	aOR^e (95% CI)
Delivery mode n(%)
Vaginal birth	461 (41.3)	139 (80.8)	196 (70.3)	Ref	Ref	Ref	Ref^e
Caesarean section	656 (58.7)	33 (19.2)	83 (29.7)	0.17 (0.11,0.25)***	0.16 (0.11,0.25) ^e***	0.30 (0.22,0.40)***	0.30 (0.23,0.41) ^e***
Breastfeeding in first 24 h n(%)
No	1006 (90.1)	233 (83.5)	136 (78.8)	Ref	Ref	Ref	Ref^f
Yes	111 (9.90)	46 (16.5)	36 (21.2)	1.36 (0.96,1.93)	1.38 (0.97,1.96) ^f	2.46 (1.46,4.13)**	2.49 (1.47,4.23) ^f **

^aObstetrician-led Maternity Care
^bMidwife-led Care at Delivery
^cContinuity of Midwife-led Care
^dcOR indicates crude odds ratio
^eaOR indicates adjusted odds ratio (adjusted for hospitals, maternal age, education, vacation, method of payment, gestational age at delivery and birth weight)
^faOR indicates adjusted odds ratio (adjusted for hospitals, maternal age, education, vacation, method of payment, mode of delivery, gestational age at delivery and birth weight)
*p < 0.05, **p < 0.01, ***p < 0.001

ISSN: 1471-2393