Table 1.
Comparison of indicators for high-risk deliveries before and after the introduction of delivery fees, all variables included
| Variablea | Before 1.2.10–30.6.13 |
After 1.1.14–31.1.17 |
P | Missing datab |
|---|---|---|---|---|
| Number of births, total | 16,375 | 12,226 | ||
| Number of births per month, mean (CI) | 399 (390–409) | 330 (317–344) | < 0.001 | |
| No antenatal care visit | 122 (0.7 (0.6–0.9)) | 133 (1.1 (0.9–1.3)) | 0.002 | 2 (0) |
| Multi pregnancy | 553 (3.6 (3.3–3.9)) | 483 (4.0 (3.6–4.3)) | 0. 108 | 933 (3.3) |
| Presentation other than cephalicc | 1077 (6.6 (6.2–7.0)) | 584 (4.8 (4.4–5.2)) | < 0.001 | 8 (0) |
| Birth weight in gr, mean (CI) | 3099 (3092–3107) | 3277 (3268–3287) | < 0.001 | 374 (1.3) |
| Birth weight < 2500 g | 1301 (8.0 (7.5–8.4)) | 769 (6.3 (5.9–6.7)) | < 0.001 | 0 |
| Birth weight > 4000 g | 385 (2.4 (2.1–2.6)) | 718 (5.9 (5.5–6.3)) | < 0.001 | 0 |
| Gestation week, mean (CI) | 36.4 (36.4–36.5) | 38.4 (38.4–38.5) | Discarded from analysis | 1052 (3.7) |
| Macerated stillbirth | 185 (1.1 (1.0–1.3)) | 157 (1.3 (1.1–1-5)) | 0.157 | 0 |
| Spontaneous vaginal delivery | 12,732 (82.2 (81.7–82.9)) | 9159 (74.9 (74.1–75.7)) | < 0.001 | 891 (3.1) |
| Labour complications | 2525 (15.4 (14.9–16.0)) | 2895 (23.7 (22.9–24.4)) | < 0.001 | 0 |
| - Bleeding before labour | 86 (0.5 (0.4–0.6)) | 88 (0.7 (0.6–0.9)) | 0.036 | |
| - Pre-Eclampsia/Eclampsia | 58 (0.4 (0.3–0.4)) | 66 (0.5 (0.4–0.7)) | 0.018 | |
| - Obstructed labour | 868 (5.3 (5.0–5.6)) | 548 (4.5 (4.1–4.8)) | 0.002 | |
| - Vacuum extraction | 130 (0.8 (07.-0.9)) | 25 (0.2 (0.1–0.3)) | < 0.001 | |
| - Uterine rupture | 17 (0.1 (0.1–0.2)) | 24 (0.2 (0.1–0.3)) | 0.056 | |
| - Cord prolaps | 93 (0.6 (0.5–0.7)) | 94 (0.8 (0.6–0.9)) | 0.037 | |
| - Caesarean section | 2329 (14.2 (13.7–14.8)) | 2808 (23.0 (22.2–23.7)) | < 0.001 | |
| Fetal heart rate status on admission abnormal or not measured | 1085 (6.6 (6.2–7.0)) | 2308 (18.9 (18.2–19.6)) | < 0.001 | 2 (0) |
| - Abnormal | 461 (2.8 (2.6–3.0)) | 569 (4.7 (4.3–5.0)) | < 0.001 | |
| - Non-detectable | 310 (1.9 (1.7–2.1)) | 231 (1.9 (1.6–2.1)) | 0.920 | |
| - Not measured | 314 (1.9 (1.7–2.1)) | 1508 (12.3 (11.8–12.9)) | < 0.001 |
aIf not otherwise stated, data is presented as n (% with CI)
bSome events were only registered when occurring and hence have low missing data
cBreech, shoulder dystocia, transverse, other