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. 2018 Feb 10;8(2):e019120. doi: 10.1136/bmjopen-2017-019120

Table 3.

Emergency CSs in a low-risk subgroup (nulliparous women who gave birth to a child in cephalic presentation at ≥37 weeks+0 days in spontaneous labour)

Singleton deliveries, subgroup Subgroup, all Emergency CS
n (% of all) n (% within category) OR 95% CI
74 002 (100) 8698 (11.8)
Year
  2009 19 353 (26) 2357 (12.2) Ref
  2010 19 186 (26) 2338 (12.2) 0.95 0.89 to 1.02
  2011 17 884 (24) 1994 (11.2) 0.87 0.81 to 0.93
  2012 17 579 (24) 2009 (11.4) 0.94 0.88 to 1.01
Size of maternity unit
  Small 4343 (6) 543 (12.5) 1.02 0.92 to 1.13
  Medium 27 970 (38) 3416 (12.2) Ref
  Large 41 689 (56) 4739 (11.4) 0.82 0.77 to 0.86
Weekend delivery (yes) 22 516 (30) 2672 (11.9) 1.02 0.97 to 1.08
Night delivery 20:00–07:59 (yes) 35 380 (48) 4239 (12.0) 1.05 1.00 to 1.10
Maternal age (years)
  15–19 2282 (3) 158 (6.9) 0.65 0.55 to 0.78
  20–34 64 080 (87) 7106 (11.1) Ref
  35–44 7640 (10) 1434 (18.8) 1.76 1.64 to 1.89
Maternal smoking (yes) 9708 (13) 1143 (11.8) 1.04 0.97 to 1.12
Maternal BMI
  14.0–18.4 3644 (5) 275 (7.6) 0.75 0.66 to 0.86
  18.5–24.9 50 370 (68) 5245 (10.4) Ref
  25.0–29.9 13 432 (18) 1959 (14.6) 1.40 1.32 to 1.49
  30–34.9 4572 (6) 789 (17.3) 1.76 1.61 to 1.92
  35.0+ 1984 (3) 430 (21.7) 2.18 1.93 to 2.46
Maternal height ≤163 cm (yes) 17 698 (24) 3008 (17.0) 1.78 1.69 to 1.88
Complication (yes) 7880 (11) 1572 (19.9) 1.98 1.85 to 2.11
Augmentation of labour (yes) 32 219 (44) 5411 (16.8) 1.57 1.49 to 1.66
Term
  37+0–41+6 71 322 (96) 8089 (11.3) Ref
 ≥42+0 2680 (4) 609 (22.7) 1.96 1.77 to 2.18
Female baby (yes) 36 265 (49) 3877 (10.7) 0.87 0.83 to 0.91
Fetal distress (yes) 22 086 (30) 4311 (19.5) 2.38 2.26 to 2.51
Cephalopelvic disproportion (yes) 2093 (3) 1293 (61.8) 13.12 11.89 to 14.48
Macrosomia (yes) 1139 (2) 381 (33.4) 3.36 2.92 to 3.87

Distribution of subgroup births and proportion of emergency CS according to risk factors. OR with 95% CI based on a multivariable logistic regression model.

BMI, body mass index; CS, caesarean section; n, number; Ref, reference group.