MGP | Standard hospital | Private obstetric | |||||
---|---|---|---|---|---|---|---|
n = 1950 | n = 2655 | n = 1233 | |||||
No. | % | No. | % | No. | % | ||
‡Labour | |||||||
Spontaneous onset | 977 | 50.1 | 813 | 30.6 | 305 | 24.7 | p < 0.001 |
Induction | 373 | 19.1 | 736 | 27.7 | 321 | 26.0 | p < 0.001 |
Augmentation | 485 | 24.9 | 614 | 23.1 | 204 | 16.6 | p < 0.001 |
†Analgesia & 1 st stage | |||||||
None | 642 | 32.9 | 386 | 14.5 | 118 | 9.6 | |
Epidural 1st stage | 542 | 27.8 | 913 | 34.4 | 464 | 37.6 | |
Narcotic | 144 | 7.4 | 316 | 11.9 | 44 | 3.5 | |
Nitrous O2 | 427 | 21.9 | 481 | 18.1 | 158 | 12.8 | |
Other | 58 | 3.0 | 32 | 1.2 | 16 | 1.3 | p < 0.001 |
Mode of birth | |||||||
Unassisted vaginal | 1331 | 68.3 | 1304 | 49.1 | 450 | 36.5 | |
Instrumental birth | 283 | 14.5 | 475 | 17.9 | 203 | 16.5 | |
C/S with labour | 224 | 11.5 | 401 | 15.1 | 179 | 14.5 | |
Elective C/S (No labour) | 112 | 5.7 | 475 | 17.9 | 401 | 32.5 | p < 0.001 |
Perineal status (excl. elective CS) | |||||||
Intact following vaginal birth | 462 | 25.0 | 669 | 30.1 | 295 | 34.3 | |
Grazes | 167 | 9.0 | 142 | 6.4 | 29 | 3.4 | |
Episiotomy only | 229 | 12.4 | 413 | 18.6 | 216 | 25.1 | |
1st &2nd degree tear | 918 | 49.6 | 895 | 40.2 | 301 | 35.0 | |
3rd &4th degree tear | 52 | 2.8 | 61 | 2.7 | 7 | 0.8 | |
Episiotomy & 3/4th degree tear | 23 | 1.2 | 44 | 2.0 | 12 | 1.4 | p < 0.001 |
Infant outcomes | |||||||
Apgar score at 5 min | |||||||
7-10 | 1909 | 97.9 | 2565 | 96.6 | 1205 | 97.8 | |
<7 | 41 | 2.1 | 90 | 3.4 | 28 | 2.3 | p = 0.02 |
Admission NICU/SCN | |||||||
No | 1,785 | 91.6 | 2,254 | 84.9 | 1076 | 87.3 | |
Yes | 165 | 8.4 | 401 | 15.1 | 157 | 12.7 | p < 0.001 |
Outcome # | |||||||
Live/survived | 1937 | 99.60 | 2608 | 98.27 | 1218 | 98.94 | |
Live/neonatal death | 1 | 0.05 | 21 | 0.79 | 4 | 0.32 | |
Stillbirth | 7 | 0.36 | 25 | 0.94 | 9 | 0.73 | p = 0.001 |