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Table 3 Obstetric and birth outcomes women born in Sweden with birth from 32 weeks’ gestation; 13,029 women registered at a maternity clinic randomized to Mindfetalness and 13,456 women registered at a maternity clinic randomized to routine care. Obstetric outcomes adjusted for age, educational level, body mass index, previous stillbirth, tobacco use at registration and treatment for mental illness

From: A decrease in cesarean sections and labor inductions among Swedish women by awareness of fetal movements with the Mindfetalness method

Outcome

Mindfetalness

n (%)

Routine care

n (%)

RR

p–value

CI

Induction of labor

2500 (19.2)

2729 (20.3)

0.95

0.03

0.90–0.99

 Adjusted for:

 Age

  

0.95

0.03

0.90–1.00

 Educational level

  

0.93

0.006

0.89–0.98

 Body mass index

  

0.95

0.04

0.90–1.00

 Previous stillbirth

  

0.94

0.02

0.90–0.99

 Tobacco use at registration

  

0.94

0.02

0.90–0.99

 Treatment for mental illness

  

0.94

0.02

0.90–0.99

Cesarean section

2394 (18.4)

2692 (20.0)

0.92

< 0.001

0.87–0.97

 Adjusted for:

 Age

  

0.93

0.006

0.89–0.98

 Educational level

  

0.92

0.002

0.88–0.97

 Body mass index

  

0.92

< 0.001

0.87–0.96

 Previous stillbirth

  

0.92

< 0.001

0.87–0.96

 Tobacco use at registration

  

0.92

< 0.001

0.87–0.96

 Treatment for mental illness

  

0.92

< 0.001

0.87–0.96

Cesarean pre–labor

1297 (10.0)

1470 (10.9)

0.91

0.01

0.85–0.98

 Adjusted for:

 Age

  

0.94

0.06

0.87–1.00

 Educational level

  

0.92

0.02

0.85–0.98

 Body mass index

  

0.91

0.01

0.85–0.98

 Previous stillbirth

  

0.91

0.008

0.85–0.98

 Tobacco use at registration

  

0.91

0.009

0.85–0.98

 Treatment for mental illness

  

0.91

0.007

0.85–0.97

Cesarean in labor

1097 (8.4)

1222 (9.1)

0.93

0.06

0.86–1.00

 Adjusted for:

 Age

  

0.93

0.07

0.86–1.01

 Educational level

  

0.93

0.08

0.86–1.01

 Body mass index

  

0.92

0.04

0.85–1.00

 Previous stillbirth

  

0.93

0.05

0.86–1.00

 Tobacco use at registration

  

0.92

0.05

0.85–1.00

 Treatment for mental illness

  

0.92

0.05

0.85–1.00

Spontaneous start of labor

9238 (70.9)

9263 (68.8)

1.03

< 0.001

1.01–1.05

 Adjusted for:

 Age

  

1.02

0.002

1.01–1.04

 Educational level

  

1.03

< 0.001

1.02–1.05

 Body mass index

  

1.03

< 0.001

1.01–1.04

 Previous stillbirth

  

1.03

< 0.001

1.02–1.05

 Tobbacco use at registration

  

1.03

< 0.001

1.01–1.05

 Treatment for mental illness

  

1.03

< 0.001

1.01–1.05

Preterm delivery

483 (3.7)

479 (3.6)

1.04

0.52

0.92–1.18

 Adjusted for:

 Age at birth

  

1.04

0.55

0.92–1.18

 Educational level

  

1.04

0.55

0.91–1.18

 Body mass index

  

1.05

0.44

0.93–1.20

 Previous stillbirth

  

1.04

0.54

0.92–1.18

 Tobacco user at registration

  

1.04

0.55

0.92–1.18

 Treatment for Mental illness

  

1.04

0.55

0.92–1.18

Gestation > 41 + 6

687 (5.3)

804 (6.0)

0.88

0.01

0.80–0.97

 Adjusted for:

 Age at birth

  

0.88

0.01

0.80–0.97

 Educational level

  

0.88

0.02

0.80–0.98

 Body mass index

  

0.88

0.02

0.80–0.98

 Previous stillbirth

  

NA

NA

NA

 Tobacco user at registration

  

0.88

0.01

0.80–0.97

 Treatment for Mental illness

  

0.89

0.02

0.81–0.98

Apgar score less than 7 at 5 mina

127 (1.0)

128 (1.0)

1.02

0.85

0.80–1.31

 Adjusted for:

 Age at birth

  

1.02

0.88

0.80–1.30

 Educational level

  

1.01

0.93

0.78–1.30

 Body mass index

  

0.99

0.96

0.77–1.27

 Previous stillbirth

  

1.02

0.86

0.80–1.31

 Tobacco user at registration

  

1.02

0.86

0.80–1.31

 Treatment for Mental illness

  

1.00

0.99

0.78–1.28

Apgar score less than 4 at 5 mina

48 (0.4)

39 (0.3)

1.27

0.26

0.83–1.95

 Adjusted for:

 Age at birth

  

1.27

0.27

0.83–1.94

 Educational level

  

1.26

0.30

0.81–1.98

 Body mass index

  

1.31

0.21

0.86–2.01

 Previous stillbirth

  

1.27

0.27

0.83–1.94

 Tobacco user at registration

  

1.27

0.26

0.84–1.95

 Treatment for Mental illness

  

1.25

0.29

0.82–1.92

Birthweight ≤10th centile

1107 (8.5)

1253 (9.3)

0.91

0.02

0.84–0.98

 Adjusted for:

 Age at birth

  

0.91

0.01

0.84–0.98

 Educational level

  

0.90

0.01

0.83–0.98

 Body mass index

  

0.90

0.01

0.84–0.98

 Previous stillbirth

  

0.91

0.02

0.84–0.98

 Tobacco user at registration

  

0.91

0.01

0.84–0.98

 Treatment for Mental illness

  

0.91

0.02

0.84–0.98

Birthweight <2SDb***

315 (2.4)

360 (2.7)

0.90

0.18

0.78–1.05

 Adjusted for:

 Age at birth

  

0.90

0.16

0.77–1.04

 Educational level

  

0.91

0.26

0.78–1.07

 Body mass index

  

0.89

0.14

0.77–1.04

 Previous stillbirth

  

0.90

0.19

0.78–1.05

 Tobacco user at registration

  

0.90

0.17

0.77–1.04

 Treatment for Mental illness

  

0.90

0.19

0.78–1.05

Transfer to NICU

832 (6.4)

914 (6.8)

0.94

0.18

0.86–1.03

 Adjusted for:

 Age at birth

  

0.94

0.19

0.86–1.03

 Educational level

  

0.95

0.24

0.86–1.04

 Body mass index

  

0.95

0.28

0.87–1.04

 Previous stillbirth

  

0.94

0.18

0.86–1.03

 Tobacco user at registration

  

0.94

0.17

0.86–1.03

 Treatment for Mental illness

  

0.93

0.15

0.85–1.02

Death within 27 days after birth

2 (0.0)

2 (0.0)

1.03

0.97

0.12–8.61

 Adjusted for:

 Age at birth

  

1.07

0.94

0.13–8.96

 Educational level

  

1.01

0.99

0.12–8.43

 Body mass index

  

1.07

0.95

0.13–8.88

 Previous stillbirth

  

NA

NA

NA

 Tobacco user at registration

  

NA

NA

NA

 Treatment for Mental illness

  

NA

NA

NA

Contacting healthcare due to DFM

1011 (7.8)

584 (4.3)

1.79

< 0.001

1.62–1.97

 Adjusted for:

 Age at birth

  

1.77

< 0.001

1.60–1.95

 Educational level

  

1.83

< 0.001

1.65–2.03

 Body mass index

  

1.81

< 0.001

1.63–2.00

 Previous stillbirth

  

1.79

< 0.001

1.62–1.98

 Tobacco user at registration

  

1.79

< 0.001

1.62–1.97

 Treatment for Mental illness

  

1.79

< 0.001

1.62–1.98

  1. aData are missing for 46 women (20 in Mindfetalness group and 26 in Routine care group)
  2. bData are missing for 23 women (11 in Mindfetalness group and 12 in Routine care group)
  3. *Number of stillbirths (Apgar = 0) Mindfetalness n = 17 (0. 1%); Routine care n = 14 (0. 1%)
  4. **International definition of Small for Gestational Age (SGA) ≤10th centile for the gestational age
  5. ***Swedish definition of Small for Gestational Age (SGA) <2SD from the national reference mean
  6. NICU Neonatal intensive care unit