Skip to main content
. 2011 Nov 24;343:d7400. doi: 10.1136/bmj.d7400

Table 5.

 ”Normal births”* for healthy women with low risk pregnancies by their planned place of birth at start of care in labour. Results for all women and restricted to those without complicating conditions at start of care in labour

Planned place of birth No of events/births Incidence of events/100 (99% CI)† Odds ratio (99% CI)†
Unadjusted Adjusted‡
All women
Total: 48 080/64 105 61·5 (58·2 to 64·7) (n=62 253)§
 Obstetric unit 11 392/19 570 57·6 (54·1 to 60·9) 1.00 1.00
 Home 14 566/16 619 87·9 (86·6 to 89·1) 5·30 (4·41 to 6·36) 4·47 (3·74 to 5·36)
 Freestanding midwifery unit 9335/11 258 83·3 (81·3 to 85·1) 3·68 (3·03 to 4·46) 3·86 (3·16 to 4·72)
 Alongside midwifery unit 12 787/16 658 76·0 (73·3 to 78·6) 2·33 (1·91 to 2·84) 2·50 (2·02 to 3·08)
Women without complicating conditions at start of care in labour
Total: 44 658/57 452 65·9 (62·6 to 69·1) (n=55 849)§
 Obstetric unit 9840/15 689 62·2 (58·6 to 65·6) 1.00 1.00
 Home 13 902/15 675 89·0 (87·7 to 90·1) 4·85 (4·00 to 5·90) 4·12 (3·37 to 5·04)
 Freestanding midwifery unit 8892/10 620 84·1 (82·0 to 86·0) 3·22 (2·61 to 3·96) 3·42 (2·74 to 4·27)
 Alongside midwifery unit 12 024/15 468 77·1 (74·5 to 79·6) 2·04 (1·66 to 2·51) 2·21 (1·77 to 2·75)

*Defined as a birth without induction of labour, epidural or spinal analgesia, general anaesthesia, forceps or ventouse delivery, caesarean section, or episiotomy.9 10 Because normal birth is common, the odds ratios exaggerate the size of the association between planned place of birth and normal birth and do not reflect the ratio of the incidence of the outcome.

†Weighted to reflect each unit’s duration of participation and probability of being sampled; confidence intervals take account of the clustered nature of the data.

‡Adjusted for maternal age, ethnic group, understanding of English, marital or partner status, body mass index, deprivation score quintile, previous pregnancies, and weeks of gestation.

§Restricted to women who were not missing any potential confounder data.