Effectiveness of emergency obstetric care training at the regional level in Ukraine: a non-randomized controlled trial

Table 2 Maternal outcomes and some obstetric interventions before and after the training period

Nu	Indices	Before (2004 – 2005)						After (2008 – 2009)						Before vs After
		Cases (n=28)		Referents (n=36)		Z_1-2	P _1-2	Cases (n=28)		Referents (n=36)		Z_3-4	P _3-4	Cases (n=28)		Referents (n=36)
		Median	IQR	Median	IQR			Median	IQR	Median	IQR			Cases (n=28)		Referents (n=36)
		1		2				3		4				Z_1-3	P _1-3	Z_2-4	P _2-4
	Number of deliveries	47 838		38 032				61 116		42 866				Z_1-3	P _1-3	Z_2-4	P _2-4
1	Vacuum assisted delivery, %	0	0-0 Max 0.77	0	0-0 Max 1.71	0.43	0.669	0.31	0-0.98 Max 4.58	0	0-0.44 Max 2.53	3.59	0.000	-5.64	< 0.000	2.51	0.012
2	Forceps assisted delivery, %	0.04	0-0.30 Max 2.24	0	0-0 Max 1.17	2.95	0.003	0	0-0 Max 1.40	0	0-0 Max 0.70	1.56	0.118	3.10	0.002	-1.85	0.064
3	Cesarean section, %	11.30	8.82-13.09	8.33	5.79-13.05	2.42	0.015	12.82	9.70-15.59	10.54	7.42 -14.47	2.50	0.012	-1.93	0.053	1.959	0.050
4	Postpartum hemorrhage, %	2.24	1.22-5.98	1.83	1.19-4.11	1.19	0.233	1.98	0.85-2.70	1.72	1.01-2.75	0.07	0.941	2.19	0.029	0.998	0.318
5	Uterus exploration, %	5.49	1.58-8.88	6.12	3.16-11.89	-1.73	0.084	2.98	1.32-4.94	4.44	2.71-8.09	-3.25	0.001	2.46	0.014	-1.94	0.053
6	Blood transfusion, %	1.28	0.61-2.20	1.70	0.69-2.49	-0.84	0.399	0.84	0.36-1.36	0.92	0.31-1.71	-0.63	0.528	2.58	0.010	-2.88	0.004
7	Plasma transfusion, %	2.18	0.57-4.36	1.93	1.39-5.90	-0.96	0.337	2.05	0.70- 3.53	1.80	0.88-4.30	-0.41	0.684	0.32	0.746	-1.23	0.219
8	Hysterectomy postpartum, %	0.11	0-0.25 Max 2.04	0	0-0.34 Max 2.17	0.003	0.998	0.15	0-0.31 Max 1.74	0.18	0-0.39 Max 1.09	-0.66	0.506	-0.62	0.532	0.97	0.333

The median with interquartile range (IQR) is presented. Maximum is added where medians and IQRs were equal to 0. Wilcoxon rank-sum test was used to study difference between the cases and the referents before and after the training period. P-values<0.05 were considered significant (seen in bold). Data on Maternal Mortality Ratio and Maternal Mortality Ratio related to postpartum hemorrhage was excluded from the Table as medians and IQRs for all points were equal to 0

ISSN: 1471-2393