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Table 3 Outcomes by level of social disadvantage

From: Freestanding midwifery units versus obstetric units: does the effect of place of birth differ with level of social disadvantage?

Outcome

No post-secondary education

Post-secondary education

Effect ratio

230 FMU/ 230 OU OR (95% CI)

609 FMU / 609 OU OR (95% CI)

OR (95% CI)

 

N FMU / N OU

FMU / OU

N FMU / N OU

FMU / OU

No post sec./Post sec .

Optimal outcome of birth*

192/156

2.4 (1.5-3.9)

510/434

2.7 (1.9-3.7)

0.9 (0.5-1.6)

Perinatal outcomes

     

Apgar score <9/5 min

5/5

1.0 (0.3-3.5)

10/15

0.7 (0.3-1.5)

1.5 (0.3-6.6)

NICU admission >24 hours

7/10

0.7 (0.3-1.8)

11/13

0.8 (0.4-1.9)

0.8 (0.2-3.0)

Infant readmission 0–28 days p.p.

8/7

1.1 (0.4-3.2)

15/28

0.5 (0.3-1.003)

2.1 (0.6-7.0)

Maternal outcomes

     

Intact perineum

159/144

1.4 (0.9-2.1)

355/322

1.3 (1.002-1.6)

1.1 (0.7-1.8)

3rd-4th degree perineal tear

5/6

0.8 (0.6-2.7)

14/18

0.8 (0.4-1.6)

1.1 (0.3-4.5)

Maternal readmission 0–28 days p.p.

4/10

0.4 (0.1-1.3)

20/30

0. 7 (0.4-1.2)

0.6 (0.2-2.2)

Interventions

     

Caesarean section

6/11

0.5 (0.2-1.5)

13/23

0.5 (0.3-1.1)

1.0 (0.3-3.5)

Instrumental delivery

5/11

0.4 (0.1-1.3)

20/50

0.3 (0.2-0.6)

1.2 (0.3-4.2)

Syntocinon augmentation of labour

19/40

0.4 (0.2-0.7)

50/114

0.3 (0.2-0.5)

1.0 (0.5-2.3)

Pain relief and position for birth:

     

Epidural analgesia

10/27

0.3 (0.1-0.7)

25/59

0.3 (0.2-0.6)

0.8 (0.3-2.1)

Water birth

33/15

2.5 (1.3-4.9)

126/56

2.6 (1.8-3.7)

1.0 (0.4-2.0)

Upright position for birth

43/28

1.6 (0.8-3.2)

145/130

1.9 (1.4-2.7)

0.8 (0.4-1.8)

  1. *Defined as uncomplicated birth with spontaneous onset of labour between 37 + 0 and 42 +0 weeks of gestation leading to spontaneous birth of an infant with a minimum Apgar score at 9 or 10 at 5 minutes. No shoulder dystocia, 3–4 degree perineal tear, no bleeding >500 ml, retained placenta, no caesarean section, no instrumental delivery, no medical augmentation of labour, and no episiotomy. (Women having medical analgesia (including epidural analgesia), CTG monitoring and amniotomy are included if not experiencing the mentioned complications or interventions).