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. 2022 Jul 1;50:101531. doi: 10.1016/j.eclinm.2022.101531

Table 2.

Odds ratios of health outcomes between women who received doula care compared with women who did not receive doula care.


Unmatched

Matched




Doula
(n = 330)
No Doula
(n = 339,680)
Doula
(n = 298)
No Doula
(n = 298)
Unadjusted odds ratio
(95% confidence interval)
Adjusted odds ratio*
(95% confidence interval)
PSM odds ratio
(95% confidence interval)
Health Outcome
 Labor induction 37 (9·30%) 21900 (6·50%) 33 (11·07%) 30 (10·07%) 1·17 (0·80–1·72) 1·38 (0.90–2·1) 1·12 (0·66–1·90)
 C-section 36 (15·30%) 51209 (27·66%) 31 (10·40%) 53 (17·79%) 0·41 (0·27–0·63) 0·40 (0·20–0·65) 0·47 (0·24–0·65)
Pre term birth 19 (5·76%) 26586 (7·83%) 16 (5·37%) 26 (8·72%) 0·52 (0·30–0·89) 0·49 (0·16–1·16) 0·59 (0·31–1·14)
ER visit or Inpatient admission due to delivery complication (30 days) 11 (3·33%) 15522 (4·57%) 11 (3·69%) 15 (5·03%) 0·82 (0·46–1·46) 0·47 (0·15–1·46) 0·73 (0·33–1·61)
 Severe maternal morbidity or mortality within 60 days of pregnancy outcome 7 (2·10%) 9123 (2·70%) 6 (2·01%) 7 (2·35%) 0·70 (0·31–1·16) 0·45 (0·11–1·83) 0·87 (0·29–2·66)
 Inpatient admission within 60 days of pregnancy outcome 24 (7·27%) 29120 (8·6%) 22 (7·38%) 27 (9·06%) 0·72 (0·45–1·16) 0·67 (0·33-1·36) 0·81 (0·47–1·45)
 Post partum anxiety or post partum depression 25 (7·57%) 42831 (13·45%) 18 (6·04%) 42 (14·09%) 0·63 (0·36–1·07) 0·93 (0·48–1·79) 0·43 (0·22–0·82)

PSM models were matched on maternal age, race, state of residence, socioeconomic status quartile, and delivery hospital type (teaching or non-teaching). PSM models were additionally adjusted for maternal comorbidity index (MCI). Logistic regressions were adjusted for race, SES index score, hospital type (teaching hospital or not teaching hospital), MCI, obesity, and prenatal anxiety. Conditions are defined using ICD-9, ICD-10, and HCPCS codes and are included in Supplemental Table 2.