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Table 3 Outcomes in caseload and regular care for women who started labour in primary care (37–42 wk, singleton, vertex)

From: Women’s characteristics and care outcomes of caseload midwifery care in the Netherlands: a retrospective cohort study

  Nulliparous women Multiparous women
Caseload practices Regular midwife-led care Caseload practices Regular midwife-led care
n = 216 n = 565 n = 241 n = 576
No intrapartum referral 124 57.4% 209 37.0% 209 86.7% 428 74.3%
Intrapartum referral 92 42.6% 356 63.0% 32 13.3% 148 25.7%
1st stage 52 24.1% 251 44.4% 27 11.2% 114 19.8%
2nd stage 21 9.7% 63 11.2% 3 1.2% 7 1.2%
other/ unclear 19 8.8% 42 7.4% 2 0.8% 27 4.7%
Interventions during labour
 amniotomy 61 28.2% 236 42.7% 61 25.4% 289 50.8%
 augmentation 51 23.8% 215 38.4% 12 5.0% 60 10.5%
 pharmaceutical pain relief 42 20.8% 193 35.4% 9 3.8% 48 8.5%
 episiotomy 40 18.5% 220 38.9% 8 3.3% 48 8.3%
Mode of birth
 spontaneous 181 83.8% 425 75.9% 234 97.1% 555 96.7%
 vaginal instrumental 21 9.7% 93 16.6% 3 1.2% 11 1.9%
 caesarean section 14 6.5% 42 7.5% 4 1.4% 8 1.4%
Maternal outcomes
 PPH > 1000 cc 15 6.9% 40 7.1% 8 3.3% 27 4.7%
 Perineum intact (vaginal births only) 67 33.2% 109 21.0% 122 51.5% 201 35.5%
 3rd/4th perineal tear (vaginal births only) 9 4.5% 24 4.6% 1 0.4% 7 1.2%