Table 1.
CHARACTERISTICS/INTERVENTIONS | Hospital A | Hospital B | Hospital C | Hospital D | Hospital E | p value | Pooled |
---|---|---|---|---|---|---|---|
PRIMIPAROUS, n = 73, 813 |
19, 185 | 12, 486 | 17, 749 | 15, 974 | 8, 419 | ||
Obstetric anal sphincter injuries (OASIS), n (%) | 147 (0.8) | 127 (1.0) | 193 (1.1) | 343 (2.1) | 56 (0.7) | ≤0.001 | 1.2 |
Birth weight >4,000 g | 13.2 | 12.6 | 13.0 | 13.4 | 11.7 | 0.002 | 12.9 |
Mean (± SD) length of active second stage of birth (min) | 34 ± 31 | 32 ± 28 | 92 ± 76 | 74 ± 61 | 21 ± 18 | ≤0.001 | 45 ± 48 |
Episiotomy | 75.5 | 64.2 | 59.2 | 51.1 | 49.4 | ≤0.001 | 61.4 |
Vacuum assistance | 15.3 | 15.8 | 15.9 | 15.4 | 10.6 | ≤0.001 | 15.0 |
Amniotomy | 49.8 | 55.2 | 48.8 | 31.2 | 42.4 | ≤0.001 | 45.6 |
Augmentation with oxytocin | 75.5 | 65.2 | 49.7 | 53.8 | 37.7 | ≤0.001 | 58.6 |
Epidural analgesia | 62.7 | 65.7 | 64.3 | 78.6 | 73.7 | ≤0.001 | 68.3 |
Paracervical block | 29 | 24.1 | 1.0 | 6.3 | 10.7 | ≤0.001 | 14.4 |
*Caesarean section | 17.7 | 21.4 | 31.4 | 19.0 | 23.0 | ≤0.001 | 22.9 |
MULTIPAROUS, n = 94, 824 |
23, 746 | 21, 291 | 20, 628 | 18, 032 | 11, 127 | ||
OASIS, n (%) | 33 (0.1) | 30 (0.1) | 52 (0.3) | 61 (0.3) | 13 (0.1) | ≤0.001 | 0.2 |
Birth weight >4000 g | 24.3 | 22.3 | 21.7 | 24.0 | 22.2 | ≤0.001 | 23.0 |
Mean (± SD)length of active second stage of birth (min) | 11 ± 13 | 9 ± 12 | 36 ± 44 | 21 ± 28 | 11 ± 11 | ≤0.001 | 13 ± 20 |
Episiotomy | 15.2 | 8.6 | 20.4 | 6.5 | 10.3 | ≤0.001 | 12.6 |
Vacuum assistance | 2.5 | 2.0 | 2.6 | 2.1 | 1.9 | ≤0.001 | 2.3 |
Amniotomy | 53.6 | 60.0 | 52.3 | 34.9 | 43.9 | ≤0.001 | 50.1 |
Augmentation with oxytocin | 37.6 | 35.1 | 33.8 | 23.3 | 20.5 | ≤0.001 | 31.5 |
Epidural analgesia | 19.6 | 14.9 | 47.5 | 34.1 | 26.8 | ≤0.001 | 28.2 |
Paracervical block | 44.8 | 41.6 | 2.8 | 25.8 | 26.2 | ≤0.001 | 29.2 |
*Caesarean section | 8.0 | 9.5 | 15.7 | 8.8 | 12.1 | ≤0.001 | 10.7 |
*Cesarean section rates of each hospital are also given during the same period of time