Table 3.
Outcomes in caseload and regular care for women who started labour in primary care (37–42 wk, singleton, vertex)
| Nulliparous women | Multiparous women | |||||||
|---|---|---|---|---|---|---|---|---|
| Caseload practices | Regular midwife-led care | Caseload practices | Regular midwife-led care | |||||
| n = 216 | n = 565 | n = 241 | n = 576 | |||||
| No intrapartum referral | 124 | 57.4% | 209 | 37.0% | 209 | 86.7% | 428 | 74.3% |
| Intrapartum referral | 92 | 42.6% | 356 | 63.0% | 32 | 13.3% | 148 | 25.7% |
| 1st stage | 52 | 24.1% | 251 | 44.4% | 27 | 11.2% | 114 | 19.8% |
| 2nd stage | 21 | 9.7% | 63 | 11.2% | 3 | 1.2% | 7 | 1.2% |
| other/ unclear | 19 | 8.8% | 42 | 7.4% | 2 | 0.8% | 27 | 4.7% |
| Interventions during labour | ||||||||
| amniotomy | 61 | 28.2% | 236 | 42.7% | 61 | 25.4% | 289 | 50.8% |
| augmentation | 51 | 23.8% | 215 | 38.4% | 12 | 5.0% | 60 | 10.5% |
| pharmaceutical pain relief | 42 | 20.8% | 193 | 35.4% | 9 | 3.8% | 48 | 8.5% |
| episiotomy | 40 | 18.5% | 220 | 38.9% | 8 | 3.3% | 48 | 8.3% |
| Mode of birth | ||||||||
| spontaneous | 181 | 83.8% | 425 | 75.9% | 234 | 97.1% | 555 | 96.7% |
| vaginal instrumental | 21 | 9.7% | 93 | 16.6% | 3 | 1.2% | 11 | 1.9% |
| caesarean section | 14 | 6.5% | 42 | 7.5% | 4 | 1.4% | 8 | 1.4% |
| Maternal outcomes | ||||||||
| PPH > 1000 cc | 15 | 6.9% | 40 | 7.1% | 8 | 3.3% | 27 | 4.7% |
| Perineum intact (vaginal births only) | 67 | 33.2% | 109 | 21.0% | 122 | 51.5% | 201 | 35.5% |
| 3rd/4th perineal tear (vaginal births only) | 9 | 4.5% | 24 | 4.6% | 1 | 0.4% | 7 | 1.2% |