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Table 3 Association between smoking status and referrals to maternal care professionals

From: Women who smoke during pregnancy are more likely to be referred to an obstetrician during pregnancy and birth: results from a cohort study

 

Proportion N (%)

Crude OR (95% CI)

Adjusted OR (95% CI)a

Referral outcomes

 During pregnancy

 General practitioner

432 (1.1)

  

  Non-smokers

363 (1.1)

Ref

Ref

  Early stoppers

30 (0.9)

0.88 (0.60–1.27)

0.88 (0.59–1.32)

  Late- or non-stoppers

39 (1.0)

0.97 (0.70–1.36)

0.92 (0.64–1.32)

 Obstetrician (incidental)

16 436 (40.0)

  

  Non-smokers

13 378 (39.2)

Ref

Ref

  Early stoppers

1374 (42.7)

1.15 (1.07–1.24)b

1.11 (1.03–1.20)

  Late- or non-stoppers

1684 (44.7)

1.24 (1.16–1.33)

1.20 (1.11–1.29)

 Obstetrician (handover of care)

13 612 (33.1)

  

  Non-smokers

10 844 (31.8)

Ref

Ref

  Early stoppers

1242 (38.6)

1.58 (1.45–1.73)

1.49 (1.36–1.63)

  Late- or non-stoppers

1526 (40.5)

1.64 (1.52–1.78)

1.58 (1.45–1.73)

 Other specialist

237 (0.6)

  

  Non-smokers

194 (0.6)

Ref

Ref

  Early stoppers

25 (0.8)

1.37 (0.90–2.08)

1.50 (0.98–2.30)

  Late- or non-stoppers

18 (0.5)

0.84 (0.52–1.36)

1.03 (0.63–1.68)

 During birth

 Obstetrician (incidental)

340 (0.8)

  

  Non-smokers

286 (0.8)

Ref

Ref

  Early stoppers

22 (0.7)

0.86 (0.55–1.33)

0.79 (0.50–1.25)

  Late- or non-stoppers

32 (0.8)

1.10 (0.76–1.59)

0.94 (0.62–1.43)

 Obstetrician (handover of care)

9298 (22.6)

  

  Non-smokers

7540 (22.1)

Ref

Ref

  Early stoppers

851 (26.5)

1.56 (1.42–1.72)

1.30 (1.17–1.44)

  Late- or non-stoppers

907 (24.1)

1.41 (1.29–1.54)

1.40 (1.27–1.55)

  < 6 weeks postpartum

 General practitioner

33 (0.1)

  

  Non-smokers

27 (0.1)

Ref

Ref

  Early stoppers

4 (0.1)

NA

NA

  Late- or non-stoppers

2 (0.1)

NA

NA

 Obstetrician (incidental)

541 (1.3)

  

  Non-smokers

468 (1.4)

Ref

Ref

  Early stoppers

40 (1.2)

0.96 (0.69–1.32)

0.88 (0.62–1.24)

  Late- or non-stoppers

33 (0.9)

0.69 (0.49–0.99)

0.69 (0.47–0.99)

 Obstetrician (handover of care)

682 (1.7)

  

  Non-smokers

606 (1.8)

Ref

Ref

  Early stoppers

30 (0.9)

0.69 (0.47–0.99)

0.63 (0.43–0.93)

  Late- or non-stoppers

46 (1.2)

0.89 (0.65–1.20)

0.82 (0.59–1.13)

 Pediatrician

618 (1.5)

  

  Non-smokers

525 (1.5)

Ref

Ref

  Early stoppers

39 (1.2)

0.79 (0.57–1.09)

0.73 (0.51–1.04)

  Late- or non-stoppers

54 (1.4)

0.93 (0.70–1.23)

0.92 (0.68–1.24)

 Other specialist

21 (0.1)

  

  Non-smokers

20 (0.1)

NA

NA

  Early stoppers

1 (0.0)

NA

NA

  Late- or non-stoppers

-

NA

NA

  1. aMultivariable logistic regression models were adjusted for maternal age, BMI, socioeconomic status, parity, and ethnicity
  2. bAssociations in bold are statistically significant p ≤ 0.05