Table 2.
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.