Table 3.
Delivery Outcomes & Perinatal outcomes of Surviving newborns
| Assisted Vaginal Delivery (n = 211) | Second-stage Caesarean Delivery (n = 348) | Crude OR (95% CI) | |
|---|---|---|---|
| Decision to Delivery Interval | |||
| − < 30 min | 197 (93.4%) | 21 (6.0%) | 0.01 (0.00–0.01) |
| − ≥ 30 min | 14 (6.6%) | 327 (94.0%) | |
| Outcome of delivery | |||
| − IUFD during DDI | 3 (1.4%) | 19 (5.5%) | 0.25 (0.07–0.85) |
| − Perinatal death | 7 (3.3%) | 27 (7.8%) | 0.41 (0.17–0.95) |
| − Severe Perinatal outcome c | 22 (10.4%) | 42 (12.1%) | 0.85 (0.49–1.47) |
| Timing of death | |||
| − During DDI | 3 (1.4%) | 19 (5.5%) | 0.25 (0.07–0.85) |
| − Early Neonatal period d | 4 (1.9%) | 8 (2.3%) | 0.82 (0.24–2.76) |
| Apgar scores at 5 minb | |||
| − ≥ 7 | 184 (88.5%) | 294 (89.4%) | 1.10 (0.63–1.90) |
| − 4–6 a | 17 (8.2%) | 29 (8.8%) | |
| − < 4 a | 7 (3.3%) | 6 (1.8%) | |
| Admission into the NICUb | |||
| − Total admissions | 30 (14.4%) | 46 (14.0%) | 1.04 (0.63–1.70) |
| − Length of Stay, > 7 days | 5 (2.4%) | 7 (2.1%) | 1.13 (0.36–3.62) |
| Adverse eventsb e | |||
| − Birth asphyxia | 13 (6.3%) | 16 (4.9%) | 1.30 (0.61–2.77) |
| − Convulsions | 5 (2.4%) | 8 (2.4%) | 0.99 (0.32–3.06) |
| − Jaundice | 5 (2.4%) | 6 (1.8%) | 1.33 (0.40–4.40) |
| − Sepsis | 6 (2.9%) | 9 (2.7%) | 1.06 (0.37–3.01) |
| − Breathing difficulties | 3 (1.4%) | 4 (1.2%) | 1.19 (0.26–5.37) |
| − Feeding difficulties | 1 (0.5%) | 2 (0.6%) | 0.79 (0.07–8.77) |
| − Severe Birth injury f | 3 (1.4%) | 1 (0.3%) | 4.80 (0.50–46.46) |
Abbreviations: OR Odds Ratio, CI Confidence interval, IUFD Intrauterine Foetal Death, DDI Decision to delivery interval, NICU Neonatal Intensive Care Unit
a These two were used as one category for statistics
b Only surviving newborns included for this analysis (Second-stage Caesarean delivery, n = 329 & Assisted Vacuum delivery, n = 208)
c Severe Perinatal Outcome defined as presence of the following: perinatal death, severe birth injury, 5-min Apgar score < 4, or convulsions
d in the first week after delivery
e More than one adverse event could apply
f Severe Birth injury includes any of the following: dislocation of the leg, clavicular fracture, intracerebral haemorrhage or subgaleal haemorrhage