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Table 8 Labour and birth outcomes for the recruited women, by subgroups

From: OptiBIRTH: a cluster randomised trial of a complex intervention to increase vaginal birth after caesarean section

Outcome

Subgroup (relevant births in intervention; control groups)

Intervention

Control

Risk ratio [95% CI]

VBAC (% of all births with known mode of birth that were VBAC)a

Trial as a whole (1165; 775)

385 (33.0)

223 (28.8)

1.16 [1.01, 1.33]

Germany (458; 280)

179 (39.1)

113 (40.4)

1.00 [0.84, 1.20]

Ireland (361; 241)

125 (34.6)

65 (26.1)

1.34 [1.04, 1.74]

Italy (346; 246)

81 (23.4)

45 (18.3)

1.31 [0.93, 1.84]

Vaginal birth before previous CS (104; 54)

51 (49.0)

26 (48.1)

0.99 [0.70, 1.40]

No vaginal births before previous CS (1061; 721)

334 (31.5)

197 (27.3)

1.17 [1.01, 1.36]

Prior VBAC (74; 32)

54 (73.0)

25 (78.1)

0.98 [0.77, 1.25]

No prior VBAC (1091; 743)

331 (30.3)

198 (26.6)

1.15 [0.99, 1.34]

Recruitment at < 30 weeks (621; 459)

178 (28.7)

123 (26.8)

1.14 [0.92, 1.41]

Recruitment at 30–32 weeks (104; 44)

28 (26.9)

15 (34.1)

0.65 [0.38, 1.11]

Recruitment at ≥33 weeks (438; 270)

178 (40.6)

85 (31.5)

1.21 [0.99, 1.48]

BMI (< 25.00) (555; 307)

208 (37.5)

113 (36.8)

1.06 [0.89, 1.26]

BMI (25–29.99) (347; 268)

103 (29.7)

72 (26.9)

1.06 [0.81, 1.38]

BMI (> 29.99) (201; 175)

52 (25.9)

33 (18.9)

1.34 [0.91, 1.96]

Age (< 40 years) (1074; 701)

354 (33.0)

210 (30.0)

1.11 [0.97, 1.28]

Age (≥40 years) (91; 71)

31 (34.1)

13 (18.3)

1.96 [1.10, 3.49]

Spontaneous onset of labour (% of all women who went into labour who had a spontaneous onset of labour)b

Trial as a whole (527; 330)

445 (84.4)

281 (85.2)

0.99 [0.93, 1.05]

Germany (240; 171)

185 (77.1)

136 (79.5)

0.98 [0.88, 1.08]

Ireland (182; 103)

157 (86.3)

92 (89.3)

0.96 [0.87, 1.06]

Italy (105; 56)

103 (98.1)

53 (94.6)

1.04 [0.97, 1.11]

Vaginal birth before previous CS (57; 50)

50 (87.7)

24 (80.0)

1.07 [0.83, 1.38]

No vaginal births before previous CS (470; 300)

395 (84.0)

257 (85.7)

0.98 [0.92, 1.04]

Prior VBAC (56; 29)

44 (78.6)

21 (72.4)

1.02 [0.78, 1.32]

No prior VBAC (471; 301)

401 (85.1)

260 (86.4)

0.98 [0.92, 1.04]

Recruitment at < 30 weeks (255; 186)

226 (88.6)

161 (86.6)

1.01 [0.92, 1.09]

Recruitment at 30–32 weeks (42; 22)

33 (78.6)

19 (86.4)

0.97 [0.73, 1.30]

Recruitment at ≥33 weeks (229; 122)

186 (81.2)

101 (82.8)

0.98 [0.88, 1.08]

BMI (< 25.00) (277; 158)

237 (85.6)

137 (86.7)

0.99 [0.91, 1.08]

BMI (25–29.99) (151; 106)

127 (84.1)

90 (84.9)

0.97 [0.86, 1.09]

BMI (> 29.99) (76; 57)

60 (78.9)

46 (80.7)

0.95 [0.78, 1.14]

Age (< 40 years) (489; 311)

414 (84.7)

265 (85.2)

0.99 [0.93, 1.05]

Age (≥40 years) (38; 19)

31 (81.6)

16 (84.2)

1.04 [0.82, 1.31]

  1. a. The following data are missing for women who gave birth: gestational age at baseline is missing for 1 women (intervention), BMI at baseline is missing for 27 women (intervention: 22; control: 5)
  2. b. The following data are missing for women who went into labour: BMI at baseline is missing for 29 women (intervention: 21; control: 8)