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) |