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. 2013 Dec 18;8(12):e81959. doi: 10.1371/journal.pone.0081959

Table 2. Labour characteristics of the study population (n = 1.457.576) and the association between these characteristcs and postpartum haemorrhage.

Pre-eclampsia Postpartum haemorrhage Unadjusted odds ratio for
Yes* No* Yes* No* Total* postpartum haemorrhage
Characteristic n (%) N (%) n (%) n (%) n (%) OR (95% CI)
Pregnant women 31560 (2.2) 1426016 (97.8) 62864 (4.3) 1394712 (95.7) 1457576 (100.0)
Presentation
Vertex 28405 (90.1) 1346629 (94.5) 59701 (95.0) 1315333 (94.3) 1375034 (94.4) 1.00 reference
Breech 2742 (8.7) 69527 (4.9) 2496 (4.0) 69773 (5.0) 72269 (5.0) 0.80 (0.77 to 0.83)
Other 382 (1.2) 9327 (0.7) 618 (1.0) 9091 (0.7) 9709 (0.7) 1.54 (1.42 to 1.66)
Missing 31 533 49 515 564
Onset of labour
Non-induced labour 6700 (21.3) 1146966 (80.5) 46120 (73.6) 1107546 (79.5) 1153666 (79.2) 1.00 reference
Induced labour 17438 (55.4) 193983 (13.6) 12945 (20.6) 198476 (14.2) 211421 (14.5) 1.52 (1.49 to 1.55)
Elective caesarean 7334 (23.3) 83639 (5.9) 3624 (5.8) 87349 (6.3) 90973 (6.2) 1.02 (0.99 to 1.06)
Missing 88 1428 175 1341 1516
Ruptured membranes, hours
<12 25617 (86.1) 1134348 (82.9) 47867 (78.5) 1112098 (83.2) 1159965 (83.0) 1.00 reference
≥12 4132 (13.9) 233257 (17.1) 13117 (21.5) 224272 (16.8) 237389 (17.0) 1.35 (1.32 to 1.37)
Missing 1811 58411 1880 58342 60222
Augmentation of labour
No 22931 (72.7) 1141004 (80.0) 45180 (71.9) 1118755 (80.2) 1163935 (79.9) 1.00 reference
Yes 8629 (27.3) 285012 (20.0) 17684 (28.1) 275957 (19.8) 293641 (20.1) 1.52 (1.50 to 1.55)
Expulsive phase, minutes
<60 27553 (88.0) 1186426 (84.0) 48349 (77.8) 1165630 (84.4) 1213979 (84.1) 1.00 reference
≥60 3767 (12.0) 225148 (16.0) 13780 (22.2) 215135 (15.6) 228915 (15.9) 1.52 (1.49 to 1.55)
Missing 240 14442 735 13947 14682
Mode of delivery
Spontaneous delivery 14784 (46.9) 1088924 (76.4) 46376 (74.0) 1057332 (75.9) 1103708 (75.8) 1.00 reference
Assisted delivery 3959 (12.6) 144854 (10.2) 9383 (15.0) 139430 (10.0) 148813 (10.2) 1.49 (1.46 to 1.52)
Elective caesarean 7334 (23.3) 83639 (5.9) 3624 (5.8) 87349 (6.3) 90973 (6.2) 0.98 (0.95 to 1.08)
Emergency caesarean 5453 (17.3) 107304 (7.5) 3275 (5.2) 109482 (7.9) 112757 (7.7) 0.72 (0.70 to 0.74)
Missing 30 1295 206 1119 1325
Genital tract injury
Episiotomy (no)/perineal tear (no) 23376 (74.1) 1024303 (71.9) 37681 (60.0) 1009998 (72.4) 1047679 (71.9) 1.00 reference
Episiotomy (no)/perineal tear (yes) 364 (1.2) 23953 (1.7) 1679 (2.7) 22638 (1.6) 24317 (1.7) 1.92 (1.83 to 2.01)
Episiotomy (yes)/perineal tear (no) 7714 (24.5) 371807 (26.1) 22933 (36.5) 356588 (25.6) 379521 (26.0) 1.69 (1.66 to 1.71)
Episiotomy (yes)/perineal tear (yes) 84 (0.3) 5473 (0.4) 522 (0.8) 5035 (0.4) 5557 (0.4) 2.68 (2.46 to 2.92)
Missing 22 480 49 453 502
Anaesthesia
No/primary care medication 13797 (43.7) 1075885 (75.4) 45774 (72.8) 1043908 (74.8) 1089682 (74.8) 1.00 reference
Opioid analgesics 3449 (10.9) 104489 (7.3) 5939 (9.4) 101999 (7.3) 107938 (7.4) 1.28 (1.24 to 1.31)
Epidural during labour 2892 (9.2) 77721 (5.5) 5219 (8.3) 75394 (5.4) 80613 (5.5) 1.27 (1.24 to 1.31)
Spinal or epidural at caesarean 8795 (27.9) 151714 (10.6) 4970 (7.9) 155539 (11.2) 160509 (11.0) 0.75 (0.73 to 0.77)
General anaesthesia 2627 (8.3) 16207 (1.1) 962 (1.5) 17872 (1.3) 18834 (1.3) 1.32 (1.24 to 1.40)

Missing values of postpartum haemorrhage and pre-eclampsia are excluded

2test between pre-eclampsia and no pre-eclampsia, P ≤ 0.0001 X