Table 3. Comparison between CPP and CSL in secundagravida women.
Parameter | CPP (n = 8337) | CSL (n = 27,471) | Adjusted median differencea | Adjusted P value |
---|---|---|---|---|
Maternal age, y (mean ± SD) | 23.1 ± 4.6 | 27.3 ± 5.6 | < .001 | |
Delivery BMI, kg/m2 | 26.0 ± 3.9 | 29.9 ± 4.9 | < .001 | |
Admission characteristics | ||||
Gestational age at delivery, wks | 39.3 ± 3.3 | 38.5 ± 2.2 | < .001 | |
Dilation on admission | ||||
Median (10th, 90th percentiles) | 4 (2, 8) | 4 (2, 8) | ||
Mean ± SD | 4.3 ± 2.4 | 4.6 ± 2.3 | 0.6b | < .001 |
Effacement on admission | ||||
Median (10th, 90th percentiles) | 80(40,100) | 90(50,100) | ||
Mean ± SD | 75 ± 25 | 82 ± 20 | 7b | < .001 |
Spontaneous ROM prior to admission, % | 13 | 36 | 19 | < .001 |
Labor characteristics | ||||
Epidural, % | 3 | 52 | 34 | < .001 |
Oxytocin augmentation, % | 10 | 25 | 6 | < .001 |
First-stage durations, h (median, 95th percentiles) | ||||
From 5 cm to C/C | 1.2 (7.9) | 3.0 (15.0) | 2.0 | < .001 |
From 6 cm to C/C | 0.6 (4.8) | 1.6 (8.9) | 0.9 | < .001 |
Second-stage durations, h | ||||
With spontaneous delivery (median, 95th percentiles) | 0.18(0.72) | 0.33(1.67) | 0.10 | < .001 |
With assisted delivery (median, 95th percentiles) | 0.38(1.28) | 0.62 (3.08) | 0.26 | < .001 |
Forceps, % | 36 | 0.8 | −29 | < .001 |
Vacuum, % | 0.1 | 2 | 2 | .003 |
Forceps or vacuum, % | 36 | 4 | −27 | < .001 |
Episiotomy, % | 76 | 13 | −52 | < .001 |
Third- or fourth-degree laceration, % | 3 | 1 | −2 | .001 |
Intrapartum cesarean delivery, % | 2 | 10 | 3 | < .001 |
Neonatal characteristics | ||||
Birthweight, g (mean ± SD) | 3147 ± 571 | 3264 ± 553 | ||
Apgar score at 1 min (mean) | 7.9 ± 1.9 | 8.1 ± 1.3 | ||
< 4, % | 4.6 | 2.1 | ||
4-6 | 12.6 | 4.2 | ||
≥7 | 82.8 | 93.8 | ||
Apgar score at 1 min <7, % | 17 | 6 | −11 | < .001 |
Apgar score at 5 min (mean) | 9.1 ± 1.1 | 8.9 ± 0.7 | ||
<4, % | 1.0 | 0.4 | ||
4-6 | 2.6 | 0.8 | ||
≥7 | 96.4 | 98.8 | ||
Apgar score at 5 min <7, % | 4 | 1 | −3 | < .001 |
Median difference (except where noted) for parameter in the CSL minus the CPP, adjusted for maternal age, race, gestational age at delivery, BMI at delivery, spontaneous rupture of membranes, and birthweight;
Adjusted mean difference.