Table 4.
Planned low risk at home | Planned low risk in hospital | p Value | |
n = 3202 | n = 701,058 | ||
Mother outcomes | |||
Composite maternal morbidity | 344 (10.7%) | 121,248 (17.3%) | < 0.001 |
Mother admitted to HDU/ICU | 6 (0.2%) | 4217 (0.6%) | 0.002 |
3rd/4th degree tear | 31 (1.0%) | 14,000 (2.0%) | < 0.001 |
Postpartum haemorrhage | 291 (9.1%) | 90,603 (12.9%) | < 0.001 |
Blood Transfusion | 10 (0.3%) | 5174 (0.7%) | 0.005 |
Manual removal of placenta | 29 (0.9%) | 17,354 (2.5%) | < 0.001 |
Rupture of uterus | 0 (0 per 1000) | 94 (0.13 per 1000) | 0.5 |
Intrapartum haemorrhage | 3 (0.1%) | 2565 (0.4%) | 0.01 |
Obstetric Interventions | |||
Unplanned Caesarean | 81 (2.5%) | 87,716 (12.5%) | < 0.001 |
Instrumental delivery | 79 (2.5%) | 122,517 (17.5%) | < 0.001 |
Epidural | 101 (3.2%) | 192,821 (27.5%) | < 0.001 |
General Anaesthetic | 5 (0.2%) | 6754 (1.0%) | < 0.001 |
Episiotomy | 92 (2.9%) | 148,868 (21.2%) | < 0.001 |
Spontaneous Vaginal | 3038 (94.9%) | 490,748 (70.0%) | < 0.001 |
Planned high risk at home | Planned high risk in hospital | p Value | |
n = 743 | n = 128,228 | ||
Mother outcomes | |||
Composite maternal morbidity | 124 (16.7%) | 31,543 (24.6%) | < 0.001 |
Mother admitted to HDU/ICU | 4 (0.5%) | 1459 (1.1%) | 0.06 |
3rd/4th degree tear | 12 (1.6%) | 2443 (1.9%) | 0.58 |
Postpartum haemorrhage | 108 (14.5%) | 25,079 (19.6%) | < 0.001 |
Blood Transfusion | 14 (1.9%) | 1634 (1.3%) | 0.25 |
Manual removal of placenta | 15 (2.0%) | 4058 (3.2%) | 0.047 |
Rupture of uterus | 1 (1.3 per 1000) | 138 (1.1 per 1000) | 0.37 |
Rupture of uterus (women with past caesarean only) | 1 (3.2 per 1000) | 138 (3.6 per 1000) | 0.89 |
Intrapartum haemorrhage | 3 (0.4%) | 673 (0.52%) | 0.65 |
Obstetric Interventions | |||
Unplanned Caesarean | 66 (8.9%) | 41,530 (32.4%) | < 0.001 |
Instrumental delivery | 34 (46%) | 18,407 (14.4%) | < 0.001 |
Epidural | 40 (5.4%) | 35,266 (27.5%) | < 0.001 |
General Anaesthetic | 4 (0.5%) | 3450 (2.7%) | < 0.001 |
Episiotomy | 30 (4.0%) | 20,329 (15.9%) | < 0.001 |
Spontaneous Vaginal | 640 (86.1%) | 68,219 (53.2%) | < 0.001 |