Vaginal deliveries | Nulliparous | RR (95% CI) | Multiparous | RR (95% CI) | Total | RR (95% CI) | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
n | OASI | % | n | OASI | % | n | OASI | % | |||||
Parity | 4384 | 142 | 3.2 | 5999 | 53 | 0.9** | 10,383 | 195 | 1.9 | ||||
Maternal age at birth a) (years) | – 19 | 49 | 0 | 0 | – | 2 | 0 | 0 | – | 51 | 0 | 0 | – |
20 – 24 | 816 | 16 | 2 | 1.0 | 263 | 0 | 0 | – | 1079 | 16 | 1.5 | 1.0 | |
25 – 29 | 2056 | 68 | 3.3 | 1.69 (0.9-2.9) | 1701 | 10 | 0.6 | 1.0 | 3757 | 78 | 2.1 | RR 1.4 (0.8-2.4) | |
30 – 34 | 1011 | 38 | 3.8* | 1.92 (1.1-3.4) | 2541 | 28 | 1.1 | 1.87 (0.9-3.8) | 3552 | 66 | 1.9 | RR 1.25 (0.7-2.2) | |
35 – 39 | 237 | 7 | 3.0 | 1.51 (0.6-3.6) | 1062 | 12 | 1.1 | 1.9 (0.8-4.2) | 1299 | 19 | 1.5 | RR 0.99 (0.5-1.9) | |
40 – | 49 | 0 | 0 | 205 | 1 | 0.5 | 254 | 1 | 0.4 | – | |||
Sectio antea | No | – | – | – | 5465 | 27 | 0.5 | 1.0 | – | – | – | ||
Yes | – | – | – | 534 | 26 | 4.9** | 9.8 (5.7-16.7) | – | – | – | |||
Gestational age (days) | < 266 | 400 | 1 | 0.3 | 0 | 399 | 1 | 0.3 | – | 799 | 2 | 0.3 | – |
266 – 272 | 504 | 11 | 2.2 | 1.0 | 615 | 4 | 0.7 | 1.0 | 1119 | 15 | 1.3 | 1.0 | |
273 – 279 | 912 | 29 | 3.2 | 1.46 (0.7-2.9) | 1260 | 10 | 0.8 | 1.22 (0.4-3.9) | 2172 | 39 | 1.8 | RR 1.34 (0.7-2.4) | |
280 – 286 | 1334 | 44 | 3.3 | 1.51 (0.8-2.9) | 2154 | 22 | 1.0 | 1.57 (0.5-4.5) | 3488 | 66 | 1.9 | RR 1.41 (0.8-2.5) | |
≥ 287 | 1234 | 57 | 4.6* | 2.12 (1.1-4) | 1571 | 16 | 1.0 | 1.57 (0.5-4.7) | 2805 | 73 | 2.6* | RR 1.94 (1.1-3.4) | |
Dystocia | No | 3680 | 115 | 3.1 | 1.0 | 5673 | 44 | 0.8 | 1.0 | 9353 | 159 | 1.7 | 1.0 |
Yes | 704 | 27 | 3.8 | 1.19 (0.8-1.7) | 326 | 9 | 2.8* | 3.19 (1.7-5.8) | 1030 | 36 | 3.5** | RR 2.06 (1.4-2.9) | |
Epidural a) | No | 2984 | 94 | 3.1 | 1.0 | 5046 | 38 | 0.8 | 1.0 | 8030 | 132 | 1.6 | 1.0 |
Yes | 1352 | 47 | 3.5 | 1.07 (0.8-1.4) | 701 | 15 | 2.1** | 2.35 (1.52-3.6) | 2053 | 62 | 3.0** | RR 1.86 (1.4-2.5) | |
Mode of delivery | SVD | 3835 | 89 | 2.3 | 1.0 | 5863 | 40 | 0.7 | 1.0 | 9698 | 129 | 1.3 | 1.0 |
OVD | 549 | 53 | 9.7** | 3.19 (2.5-4) | 136 | 13 | 9.6** | 11.9 (7.2-19.6) | 685 | 66 | 9.6** | RR 7.2 (5.4-9.6) | |
Episiotomy | No | 4186 | 129 | 3.1 | 1.0 | 5945 | 52 | 0.9 | 1.0 | 10,130 | 181 | 1.8 | 1.0 |
Yes | 198 | 13 | 6.6** | 2.1 (1.2-3.6) | 55 | 1 | 1.8 | 2.08 (0.3-14.7) | 253 | 14 | 5.5** | RR 3.06 (1.8-5.2) | |
Birth position a) | Recumbent | 601 | 23 | 3.8 | 801 | 7 | 0.9 | 1401 | 30 | 2.1 | |||
Semi-recumbent | 1272 | 41 | 3.2 | 1468 | 16 | 1.1 | 2740 | 57 | 2.1 | ||||
Sitting upright/birth chair | 11 | 0 | 0 | 17 | 0 | 0 | 28 | 0 | 0 | ||||
Squatting | 6 | 0 | 0 | 9 | 0 | 0 | 15 | 0 | 0 | ||||
Standing | 28 | 4 | 14.3* | 70 | 0 | 0 | 98 | 4 | 4.1 | ||||
All fours | 47 | 2 | 4.3 | 96 | 1 | 1.0 | 143 | 3 | 2.1 | ||||
Side lying | 157 | 4 | 2.5 | 366 | 3 | 0.8 | 523 | 7 | 1.3 | ||||
Water birth | 144 | 5 | 3.5 | 303 | 1 | 0.3 | 447 | 6 | 1.3 | ||||
Sub-total | 2266 | 79 | 3.5 | 3130 | 28 | 0.9 | 5395 | 107 | 2.0 | ||||
Birth weight (grams) | – 2999 | 820 | 19 | 2.3 | 1.0 | 730 | 4 | 0.5 | 1.0 | 1550 | 23 | 1.5 | 1.0 |
3000 – 3499 | 1489 | 25 | 1.7 | 0.73 (0.4-1.3) | 1636 | 10 | 0.6 | 1.12 (0.4-3.5) | 3125 | 35 | 1.1 | 0.75 (0.4-1.3) | |
3500 – 3999 | 1481 | 66 | 4.5* | 1.92 (1.2-3.2) | 2211 | 17 | 0.8 | 1.54 (0.5-4.6) | 3692 | 83 | 2.2 | 1.52 (0.96-2.4) | |
4000 – | 594 | 32 | 5.4** | 2.33 (1.3-4.1) | 1422 | 22 | 1.5* | 2.82 (0.98-8.2) | 2016 | 54 | 2.7* | 1.81 (1.1-2.9) |