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Table 1 Characteristics of vaginal deliveries

From: Which elements were significant in reducing obstetric anal sphincter injury? A prospective follow-up study

 

Nulliparous

N = 4384

Multiparous

N = 5999

Total

N = 10,383

Age at delivery (years) a

Mean (SD)

27.8 (4.2)

31.3 (4.3)**

29.9 (4.6)

Gestational age (days)

Mean (SD)

279 (14)

280 (12)

280 (13)

Obstetrical factors N (%)

Spontaneous onset of delivery

3105 (71)

4466 (74)**

7571 (73)

Dystocia treated with Oxytocin

704 (16)

326 (5.4)**

1030 (9.9)

Epidural a

1352 (31)

701 (12)**

2053 (20)

OVD

549 (13)

136 (2.3)**

685(6,6)

Episiotomy

198 (4.5)

55 (0.9)**

253 (2.4)

OASI care bundle N (%)

Communication

4211 (96)

5327 (89)**

9538 (92)

Perineum visible

4114 (94)

5315 (89)**

9429 (91)

Hand on fetal head

4172 (95)

5698 (95)

9870 (95)

Perineal support

3800 (87)

4803 (80)**

8603 (83)

Certification

3922 (89)

5284 (88)*

9206 (89)

All five elements

3263 (74)

3961 (66)**

7224 (70)

Birth position b N (%)

Recumbent

601 (27)

800 (26)

1401 (26)

Semi-recumbent

1272 (56)

1468 (47)**

2740 (51)

Sitting upright / birthing chair

11 (0.5)

17 (0.5)

28 (0.5)

Squatting

6 (0.3)

9 (0.3)

15 (0.3)

Standing

28 (1.2)

70 (2.2)

98 (1.8)

All fours

47 (2.1)

96 (3.1)

143 (2.7)

Side lying

157 (6.9)

366 (11.7)**

523 (9.7)

Water birth

144 (6.4)

303 (9.7)**

447 (8.3)

Condition of the newborn baby N (%)

Apgar < 7 / 5 min

39 (0.89)

48 (0.80)

87 (0.84)

pH < 7.0 c

15 (0.35)

13 (0.23)

28 (0.28)

pH 7.0 – 7.09 c

174 (4.1)

128 (3.8)

302 (3.4)

Missed pH

121 (2.8)

221 (3.7)*

342 (3.4)

Birth weight (grams) d Mean (SD)

3470 (516)

3654 (512)**

3576 (522)

  1. SD standard deviation, OVD operative vaginal delivery; ainformation on age was missing in 391 cases and on epidural in 300 cases; percentages are calculated with the reduced denominator; b registration of birth position started by December 11, 2017; cpercentage calculated from total minus missed pH; dsingleton with gestational week ≥22 + 0. Nulliparous women versus multiparous: *: p < 0.05; **: p < 0.01. Herning Hospital, Denmark, 2016-2019