Skip to main content

Table 2 Labour outcomes in caseload midwifery and standard care

From: Labour outcomes in caseload midwifery and standard care: a register-based cohort study

 

Caseload Midwifery

Standard Care

Crude OR (95% CI)

Adjusted ORa (95% CI)

All deliveries = 13,115

n = 2679

% (n)

n = 10,436

% (n)

  

Elective Cesarean Section n = 1020

8.4 (225)

7.6 (795)

1.11 (0.95;1.30)

1.02 (0.86;1.21)

Planned vaginal birth n = 12,095

n = 2454

% (n)

n = 9641

% (n)

Crude OR (95% CI)

Adjusted ORa (95% CI)

Birth< 32 weeks

0.7 (17)

1.0 (98)

0.68 (0.41;1.14)

0.71 (0.40;1.24)

Births< 37 weeks

6.9 (168)

6.6 (639)

1.04 (0.87;1.23)

1.10 (0.89;1.36)

Induction

26.0 (639)

25.8 (2484)

1.01 (0.92;1.12)

0.99 (0.88;1.12)

Cervix≤4 cm on arrival

70.1 (520)

73.0 (2572)

0.87 (0.73;1.03)

0.96 (0.80;1.16)

Augmentation (syntocinon)

22.1 (542)

21.8 (2106)

1.01 (0.91;1.13)

1.20 (1.06;1.35)

Amniotomy

21.5 (528)

21.5 (2070)

1.00 (0.90;1.12)

1.05 (0.94;1.17)

Epidural (vaginal birth)

24.4 (599)

26.2 (2523)

0.91 (0.82;1.01)

0.97 (0.86;1.08)

Emergency CS

16.5 (405)

14.5 (1393)

1.17 (1.04;1.32)

1.17 (1.03;1.34)

Instrumental delivery

5.8 (142)

6.5 (631)

0.88 (0.73;1.06)

1.01 (0.83;1.23)

Labour length ≤ 10 h

72.8 (1704)

65.6 (6079)

1.41 (1.27;1.56)

1.26 (1.13;1.42)

No laceration

65.8 (1615)

59.8 (5766)

1.29 (1.18;1.42)

1.17 (1.06;1.29)

Laceration 1 or 2

32.1 (788)

37.7 (3635)

0.78 (0.71;0.86)

0.86 (0.77;0.95)

Laceration 3 or 4

2.3 (57)

2.9 (276)

0.81 (0.60;1.08)

1.00 (0.74;1.36)

Apgar≤7 1 min

6.8 (167)

5.4 (518)

1.29 (1.07;1.54)

1.32 (1.09;1.60)

Apgar≤7 5 min

2.0 (48)

1.3 (124)

1.53 (1.09;2.14)

1.57 (1.11;2.23)

Umb.ven.pH ≤ 7.05

0.5 (11)

0.5 (43)

1.01 (0.52;1.95)

1.02 (0.50;2.07)

Umb.art.pH ≤ 7.05

1.6 (40)

1.5 (145)

1.09 (0.76;1.54)

1.21 (0.84;1.75)

Transfer to NCU

6.2 (151)

5.5 (533)

1.12 (0.93;1.35)

1.20 (0.97;1.47)

Early discharge

33.0 (809)

30.2 (2908)

1.14 (1.04;1.25)

1.03 (0.91;1.16)

  1. aAdjusted for maternal age, parity, maternal pre-pregnancy BMI, birth weight, smoking habits, need for interpreter, maternity unit, and birth year. We also controlled for pre-pregnancy risks which included: previous IUGR, caesarean sections, and preterm births. And complications during pregnancy which included: malformations; alcohol or drug abuse; IVF; primiparous< 20; preeclampsia; hypertension; diabetes; premature contractions < 37 weeks of gestation; vaginal bleeding < 37 weeks of gestation; placental abnormalities; uterine abnormalities, and blood type incompatibilities (Rh, ABO, platelets, hydrops foetalis, and other kinds of blood type incompatibilities)