Assisted Vaginal Deliveries in Mothers Admitted as Public or Private Patients in Western Australia

Kristjana Einarsdottir, Fatima Haggar, Sarah Stock, A.S. Gunnell, Fiona Stanley

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Abstract

BackgroundMothers delivering as private patients in Australia have a high rate of assisted deliveries, which could lead to adverse infant outcomes in this group of patients. We investigated whether the risk of adverse infant outcomes after assisted deliveries was different for mothers admitted as public or private patients for delivery, when compared with unassisted deliveries.Methods and findingsWe included 158,241 vaginal, singleton, term birth admissions in our study where the infant was live born and without birth defects. The study population was identified from statutory birth and hospital data collections held by the Western Australian (WA) Department of Health. We estimated odds ratios and confidence intervals using logistic regression models adjusted for a range of maternal demographic, pregnancy and birth characteristics. Interaction was assessed by including interaction terms in the models. Outcomes included low Apgar scores at five minutes (
Original languageEnglish
Pages (from-to)6pp
JournalPLoS One
Volume8
Issue number4
DOIs
Publication statusPublished - 2013

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