TABLE 3.
Crude and adjusted relative risk for labor induction among singleton births in Iceland in 1997–2018 by calendar time stratified by gestational and maternal age (N = 85 620)
Crude model | n | Ref | 2002–2007 | 2008–2013 | 2014–2018 | |||
---|---|---|---|---|---|---|---|---|
RR | 95% CI | RR | 95% CI | RR | 95% CI | |||
85 620 | 1.12 | 1.05–1.17 | 1.63 | 1.55–1.71 | 1.91 | 1.81–2.01 | ||
Adjusted stepwise | ||||||||
+ Sociodemographic a | 85 620 | Ref | 1.10 | 1.05–1.16 | 1.66 | 1.58–1.75 | 1.95 | 1.85–2.05 |
+ Hypertension b | 85 620 | Ref | 1.10 | 1.04–1.16 | 1.61 | 1.53–1.69 | 1.85 | 1.76–1.95 |
+ Gestational diabetes c | 85 620 | Ref | 1.07 | 1.02–1.13 | 1.55 | 1.47–1.63 | 1.66 | 1.54–1.72 |
Fully adjusted model d | 85 620 | Ref | 1.02 | 0.97–1.08 | 1.40 | 1.33–1.47 | 1.43 | 1.35–1.51 |
Stratified by gestational age d | ||||||||
Early‐term (37+0–38+6 weeks) | 11 595 | Ref | 1.07 | 0.92–1.24 | 1.68 | 1.46–1.93 | 1.62 | 1.40–1.88 |
Full‐term (39+0–40+6 weeks) | 46 554 | Ref | 1.03 | 0.93–1.14 | 1.54 | 1.40–1.69 | 1.39 | 1.26–1.53 |
Late‐term (41+0–41+6 weeks) | 18 771 | Ref | 0.95 | 0.85–1.05 | 1.80 | 1.64–1.98 | 2.06 | 1.86–2.27 |
Post‐term (>42+0 weeks) | 3280 | Ref | 1.09 | 0.98–1.21 | 1.15 | 1.01–1.31 | 1.33 | 1.15–1.54 |
Stratified by maternal age e | ||||||||
≤25 years | 19 214 | Ref | 1.00 | 0.90–1.12 | 1.49 | 1.34–1.67 | 1.58 | 1.41–1.78 |
26–30 years | 27 591 | Ref | 1.02 | 0.92–1.12 | 1.43 | 1.30–1.58 | 1.49 | 1.35–1.65 |
31–34 years | 19 888 | Ref | 0.95 | 0.85–1.03 | 1.41 | 1.27–1.57 | 1.27 | 1.13–1.42 |
35–39 years | 14 755 | Ref | 0.94 | 0.83–1.07 | 1.31 | 1.17–1.48 | 1.27 | 1.12–1.44 |
≥40 years | 4172 | Ref | 0.88 | 0.71–1.11 | 1.35 | 1.09–1.67 | 1.53 | 1.23–1.91 |
Model adjusted for sociodemographic covariates: parity, age, citizenship, residency, marital and employment status.
Model adjusted for sociodemographic covariates and hypertension.
Model adjusted for sociodemographic covariates, gestational diabetes and gestational diabetes.
Model adjusted for sociodemographic covariates and the following labor indications: preeclampsia/eclampsia, hypertension, diabetes (gestational and pre‐existing), fetal distress, cholestasis, Rh immunization, maternal wellbeing, other and fetal wellbeing, other.
Model adjusted for parity, citizenship, residency, marital/employment status and gestational age; and the following labor indications: preeclampsia/eclampsia, hypertension, diabetes (gestational and pre‐existing), fetal distress, cholestasis, Rh immunization, maternal wellbeing, other and fetal wellbeing, other.