Table 3 Multivariable association between cervical ripening and maternal experience, mediated by interventions or complications of delivery
Experience of labor induction | Cervical ripening versus oxytocin and/or amniotomy (Reference) | |||
|---|---|---|---|---|
Direct effect aRR (95% CI) | Indirect effect aRR (95% CI) | Total effect aRR (95% CI) | % mediateda (95% CI) | |
Labor went quite normally | 0.86 (0.81, 0.93) | 0.96 (0.95, 0.98) | 0.83 (0.77, 0.89) | 21.4% (8.5, 34.2) |
Labor proceeded just about as expected | 0.78 (0.70, 0.88) | 0.96 (0.94, 0.98) | 0.75 (0.67, 0.84) | 14.8% (4.6, 25.0) |
Length of labor was acceptable | 0.76 (0.71, 0.82) | 0.98 (0.96, 0.99) | 0.74 (0.69, 0.80) | 7.7% (1.4, 13.9) |
Delivery proceeded exactly as expected | 0.88 (0.79, 0.98) | 0.93 (0.91, 0.96) | 0.82 (0.74, 0.92) | 34.6% (5.2, 64.0) |
Absence of vaginal discomfort during the induction | 0.77 (0.69, 0.85) | 0.98 (0.96, 1.00) | 0.75 (0.68, 0.83) | 6.4% (−1.6, 14.3) |
Maximum pain perceived, numeric scale < 8/10 | 0.59 (0.51, 0.70) | 1.04 (1.00, 1.08) | 0.62 (0.53, 0.72) | −8.9% (−17.4, −0.3) |
Globally satisfied about the induction | 0.90 (0.84, 0.96) | 0.97 (0.96, 0.99) | 0.87 (0.82, 0.93) | 21.1% (0.6, 41.5) |
If labor had to be induced again, the same method would be liked | 0.83 (0.78, 0.88) | 0.98 (0.97, 0.99) | 0.82 (0.77, 0.87) | 8.5% (0.6, 16.4) |