| Nonadjusted model | Adjusted modelc | ||
---|---|---|---|---|
Length of the second stageb | 0.5–2.0 h (n = 559) | ≥2.0 h (n = 81) | 0.5–2.0 h (n = 559) | ≥2.0 h (n = 81) |
Mode of delivery | ||||
 Operative vaginal | 2.03 (1.10–3.74) | 10.61 (5.22–21.57) | 1.97 (1.05–3.69) | 11.34 (5.06–25.41) |
 Cesarean section | 1.32 (0.53–3.31) | 11.43 (4.52–28.96) | 0.63 (0.22–1.80) | 4.22 (1.32–13.43) |
Maternal outcomes | ||||
 PPH | 1.54 (1.08–2.18) | 2.95 (1.69–5.15) | 1.39 (0.96–2.02) | 2.43 (1.31–4.50) |
 Blood loss at 24 h (ml)a | 32.54 (3.49–61.60) | 116.68 (59.43–173.94) | 22.47 (7.19–52.13) | 86.89 (27.15–146.64) |
 Hb decreased (g/L)a | 2.38 (0.99–3.78) | 6.63 (3.89–9.37) | 1.87 (0.43–3.31) | 5.74 (2.85–8.64) |
 Oxytocin used (U)a | 1.52 (−0.21–3.25) | 12.29 (8.88–15.69) | 0.21 (−1.47–1.89) | 8.20 (4.82–11.59) |
 Red blood cell transfusion | 1.24 (0.61–2.51) | 1.93 (0.62–6.01) | 1.04 (0.49–2.21) | 1.32 (0.38–4.56) |
 Uterine rupture | 0.13 (0.02–1.10) | 0.94 (0.11–7.75) | 0.14 (0.02–1.25) | 0.95 (0.09–10.45) |
Neonatal outcomes | ||||
 1-min Apgar score ≤ 7 | 0.41 (0.10–1.58) | 1.91 (0.39–9.34) | 0.38 (0.09–1.71) | 1.36 (0.22–8.49) |
 Neonatal asphyxia | 0.32 (0.06–1.57) | 1.10 (0.13–9.26) | 0.18 (0.03–1.10) | 0.44 (0.03–7.56) |
 Infection | 2.57 (1.13–5.85) | 2.53 (0.66–9.74) | 2.00 (0.84–4.75) | 0.91 (0.21–4.04) |
 NICU | 1.61 (0.78–3.34) | 2.26 (0.71–7.18) | 1.33 (0.62–2.83) | 1.13 (0.32–4.04) |