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. 2016 Jul 5;354:i2976. doi: 10.1136/bmj.i2976

Table 2.

Use of four evidence based practices by clinical and care characteristics

Characteristics All evidence based practices (%) Crude risk ratio (95% CI) Adjusted risk ratio* (95% CI)
Gestational age (weeks):
 24-26 39.2 0.62 (0.55 to 0.70) 0.62 (0.55 to 0.69)
 27-29 61.3 0.97 (0.93 to 1.02) 0.96 (0.92 to 1.01)
 30-31 63.8 Reference Reference
Sex:
 Male 58.7 1.01 (0.98 to 1.05) 1.01 (0.97 to 1.05)
 Female 57.8 Reference Reference
Type of pregnancy:
 Singleton 55.7 Reference Reference
 Multiple 63.9 1.17 (1.11 to 1.22) 1.13 (1.08 to 1.18)
Small for gestational age (by centile):
 <3rd 53.5 0.90 (0.84 to 0.97) 0.88 (0.82 to 0.94)
 3-<10th 57.5 0.96 (0.90 to 1.02) 0.92 (0.87 to 0.97)
 ≥10th 59.9 Reference Reference
Preterm premature rupture of membranes 67.7 1.23 (1.17 to 1.29) 1.13 (1.08 to 1.19)
Pre-eclampsia, eclampsia, or HELLP 53.7 0.91(0.84 to 0.99) 0.94 (0.87 to 1.01)
Type of delivery:
 Prelabour caesarean section 57.8 1.05 (0.98 to 1.12) 1.04 (0.98 to 1.10)
 Intrapartum caesarean section 61.6 1.09 (1.02 to 1.16) 1.03 (0.97 to 1.10)
 Vaginal 56.3 Reference Reference
Apgar score at 5 minutes:
 <7 48.9 0.79 (0.74 to 0.85) 0.89 (0.84 to 0.95)
 ≥7 60.2 Reference Reference
Delivery:
 >1 day of maternal admission 63.2 1.60 (1.47 to 1.75) 1.59 (1.46 to 1.73)
 Same day as maternal admission 42.2 Reference Reference
Regions†
 Belgium: Flanders 59.0 1.04 (0.87 to 1.24) 0.99 (0.85 to 1.15)
 Denmark: eastern 49.6 0.87 (0.55 to 1.38) 0.88 (0.55 to 1.41)
 Estonia 75.4 1.32 (1.06 to 1.64) 1.36 (1.14 to 1.62)
 France:
  Northern 46.4 0.81 (0.63 to 1.06) 0.82 (0.63 to 1.05)
  Burgundy 68.5 1.20 (0.85 to 1.69) 1.14 0.88 to 1.48)
  Ile-de-France 48.4 0.85 (0.73 to 0.99) 0.84 (0.73 to 0.96)
 Germany:
  Hesse 73.4 1.29 (1.16 to 1.43) 1.27(1.15 to 1.39)
  Saarland 62.7 1.10 (0.87 to 1.39) 1.09 (0.86 to 1.38)
 Italy:
  Lazio 42.4 0.75 (0.57 to 0.98) 0.72 (0.55 to 0.95)
  Emilia 67.9 1.19 (1.08 to 1.32) 1.18 (1.08 to 1.29)
  Marche 51.5 0.90 (0.76 to 1.07) 0.93 (0.78 to 1.11)
 Netherlands: east-central 49.2 0.86 (0.70 to 1.07) 0.84 (0.69 to 1.03)
 Poland: Wielkopolska 53.9 0.95 (0.54 to 1.66) 0.94 (0.58 to 1.53)
 Portugal:
  Northern 47.1 0.83 (0.63 to 1.10) 0.81 (0.61 to 1.09)
  Lisbon 32.1 0.56 (0.42 to 0.75) 0.55 (0.42 to 0.73)
 United Kingdom:
  Northern 62.6 1.10 (0.83 to 1.46) 1.16 (0.88 to 1.53)
  East Midlands 75.5 1.33 (1.19 to 1.47) 1.40 (1.27 to 1.54)
  Yorkshire and Humber 75.0 1.32 (1.17 to 1.48) 1.39(1.25 to 1.55)
 Sweden: Stockholm 68.8 1.21 (1.02 to 1.43) 1.24 (0.99 to 1.55)

HELLP=haemolysis, elevated liver enzymes, and low platelets.

*Adjusted for gestational age, sex, small for gestational age, multiple pregnancy, pregnancy complications, type of delivery, Apgar score, born on same day as maternal admission without in utero transfer.

†Sample average was used as reference for deriving risk ratio for each region.