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. 2000 Jul 15;321(7254):137–141. doi: 10.1136/bmj.321.7254.137

Table 5.

Age adjusted rates per 100 women for obstetric intervention among multiparas at low risk

Labour management before birth Management at birth Private patients
Public patients (all hospitals) (n=35 825)
Private hospitals (n=8439) Public hospitals (n=6775)
No epidural, no induction* No episiotomy
 Vaginal birth 82.5 85.8 92.0
 Forceps or vacuum 1.6 1.9 0.8
Episiotomy
 Vaginal birth 11.9 9.5 4.9
 Forceps or vacuum 1.3 1.3 0.7
Caesarean section after labour 2.7 1.5 1.6
  Subgroup rate 47.6 59.8 72.4
No epidural, induction* No episiotomy
 Vaginal birth 79.3 80.0 87.9
 Forceps or vacuum 1.5 2.1 1.3
Episiotomy
 Vaginal birth 15.5 14.2 6.3
 Forceps or vacuum 1.9 1.6 1.5
Caesarean section after labour 1.8 2.1 3.0
  Subgroup rate 19.9 20.1 14.9
Epidural, no induction* No episiotomy
 Vaginal birth 51.4 52.9 61.0
 Forceps or vacuum 10.4 15.8 5.2
Episiotomy
 Vaginal birth 11.5 7.9 3.8
 Forceps or vacuum 11.2 9.7 8.2
Caesarean section after labour 15.4 13.7 21.8
  Subgroup rate 8.1 5.9 3.4
Epidural, induction* No episiotomy
 Vaginal birth 55.2 64.4 62.3
 Forceps or vacuum 13.7 7.1 9.2
Episiotomy
 Vaginal birth 14.0 11.6 5.3
 Forceps or vacuum 8.9 8.9 8.0
Caesarean section after labour 8.2 8.0 15.2
  Subgroup rate 11.2 5.1 3.0
Rate for caesarean section before labour 13.0 9.1 6.3
*

Induction includes both induction and augmentation of labour with oxytocics or other measures (for example, Foley's catheter) with or without artificial rupture of membranes, but does not include augmentation or induction with artificial rupture of membranes alone.