From: Maternal complications and risk factors associated with assisted vaginal delivery
Associated factors (n = 256) | Unadjusted odds ratio (95% CI) | P | Adjusted odds ratio (95% CI) | P |
---|---|---|---|---|
Gestational diabetes mellitus | ||||
No Class A1 Class A2 Pre-existing diabetes mellitus | Ref. 1.51 (1.05, 2.17) 1.42 (0.33, 6.13) – | 0.026 0.639 – | Ref. 1.46 (1.01, 2.11) 1.69 (0.38, 7.45) – | 0.045* 0.491 – |
Hypertension (HT) | ||||
No Gestational HT/transient Severe pre-eclampsia Pre-existing HT | Ref. 1.54 (0.96, 2.47) 1.86 (0.42, 8.21) – | 0.072 0.415 – | Ref. 1.28 (0.78, 2.09) 1.62 (0.35, 7.46) – | 0.325 0.533 – |
Surgeon | ||||
Resident and Fellow Staff Medical students and midwives | Ref. 0.50 (0.24, 1.03) 1.01 (0.59, 1.70) | 0.058 0.991 | Ref. 0.58 (0.28, 1.20) 0.90 (0.52, 1.57) | 0.144 0.720 |
Vaginal delivery | ||||
Spontaneous Vacuum-assisted extraction Forceps-assisted extraction Breech delivery | Ref. 1.99 (1.30, 3.04) 6.77 (2.02, 22.7) – | 0.002 0.002 – | Ref. 0.89 (0.32, 2.47) 5.11 (1.30, 20.1) – | 0.821 0.020* – |
Underlying disease | 1.57 (0.83, 2.98) | 0.161 | 1.65 (0.86, 3.17) | 0.136 |
Prolonged second stage of labour | 3.09 (1.85, 5.18) | < 0.001 | 2.68 (1.09, 6.58) | 0.032* |
Foetal distress | 1.98 (1.20, 3.27) | 0.006 | 1.32 (0.55, 3.16) | 0.539 |
High maternal weight (71.4 ± 12.2 kg) | 1.02 (1.01, 1.03) | < 0.001 | 1.02 (1.01, 1.03) | 0.003* |
Neonatal birthweight (g) | ||||
Normal (2500–4000) Low 1500–2499) High (> 4000) | Ref. 0.79 (0.46, 1.38) 4.25 (1.79, 10.1) | 0.416 0.001 | Ref. 0.90 (0.51, 1.59) 3.02 (1.23, 7.43) | 0.721 0.016* |