Perinatal outcomes of babies delivered by second-stage Caesarean section versus vacuum extraction in a resource-poor setting, Nigeria – a retrospective analysis

Table 4 Multivariate logistics regression analysis of perinatal outcomes

Perinatal outcomes; Assisted vaginal delivery versus second-stage Caesarean delivery	Second-stage Caesarean delivery Adjusted OR (95% CI)	Assisted Vaginal delivery Adjusted OR (95% CI)
Fetal Death within DDI
− Adjusted OR ^a	1.00 (Reference)	0.22 (0.06–0.89)
Perinatal death
− Adjusted OR ^a	1.00 (Reference)	0.41 (0.17–0.96)
Severe Perinatal Outcomes
− Adjusted OR ^a	1.00 (Reference)	1.07 (0.60–1.92)
Low APGAR score at 5 min
− Adjusted OR ^a	1.00 (Reference)	0.78 (0.46–1.33)
Admission into NICU
− Adjusted OR ^a	1.00 (Reference)	0.98 (0.58–1.66)
Qualification/Experience of care provider^b
− Adjusted OR ^a	1.00 (Reference)	0.45 (0.29–0.70)

Abbreviations: OR, Odds ratio, CI Confidence interval, DDI Decision to delivery interval
^a ORs were adjusted for parity of the women, number of ANC visits received during the pregnancy, gestational age of the pregnancy, indication for the intervention, presence of imminent delivery complication and birthweight of newborn
^b Odds of resident (junior) doctors opting for AVD rather than CS

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