Different settings of place of midwife-led birth: evaluation of a midwife-led birth centre

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Table 2 Outcomes of women in primary care at the onset of labour subdivided for planned place of birth and the period before and after the introduction of the midwife-led birth centre

	Before introduction of the birth centre				After introduction of the birth centre						Birth centre (N)	%	C	D
	Home (n)	%	Hospital (n)	%	Home (n)	%	A	Hospital (n)	%	B	Birth centre (N)	%
	443	21	1391	67	470	12	A	1583	41	B	1671	44
Intrapartum related neonatal morbidies										*			*	*
Neonatal encephalopathy	0	0.00	0	0.00	0	0.00		0	0.00		1	0.06
Brachius plexus injury	0	0.00	0	0.00	0	0.00		1	0.06		0	0.00
Fractured clavicle	0	0.00	4	0.29	0	0.00		2	0.13		4	0.24
Cephalohaematoma	0	0.00	0	0.00	0	0.00		0	0.00		0	0.00
Neonatal infection	3	0.68	17	1.22	3	0.64		9	0.57		30	1.80
Low Apgar score (<7 after 5 min)	4	0.90	24	1.73	4	0.85		20	1.26		29	1.74
Neonatal unit admission	10	2.26	48	3.45	6	1.28		17	1.07		35	2.09
Other trauma related to birth	0	0.00	4	0.29	0	0.00		0	0.00		3	0.18
Total intrapartum related neonatal morbidities	13	2.93	78	5.61	9	1.91		43	2.72		88	5.27
Intra partum and early neonatal death (24 h)
No	441	100	1389	100	470	100		1582	100		1670	100
Yes	2	0.45	2	0.14	0	0.00		1	0.06		1	0.06
Intrapartum related maternal morbidies							*						*
Postpartum haemorrhage >1000 cc	24	5	80	6	15	3		86	5		82	5
Third/fourth degree rupture	16	4	33	2	9	2		35	2		43	3
Total intrapartum related maternal morbidities	37	8	107	8	22	5		118	7		123	7
Interventions										*			*	*
None	395	89	1166	84	420	89		1368	86		1403	84
Vacuum or forceps extraction	34	8	159	11	35	7		134	8		173	10
Caesarean section	14	3	66	5	15	3		81	5		95	6

A = home before versus after the introduction of the midwife-led birth centre
B = hospital before versus after the introduction of the midwife-led birth centre
C = birth centre versus home (after the introduction of the midwife-led birth centre)
D = birth centre versus hospital (after the introduction of the midwife-led birth centre)
* p < 0.05 (Chi square test or Fisher exact test)