You are viewing the site in preview mode

Skip to main content

Advertisement

Table 5 Single (main) reason for intrapartum caesarean, by previous caesarean and country

From: Why 'down under' is a cut above: a comparison of rates of and reasons for caesarean section in England and Australia

Reasons for caesarean All women No previous caesarean Previous caesarean
England Queensland OR (95% CI)+ England Queensland OR (95% CI)+ England Queensland OR (95% CI)+
% of ICS (N = 670) % of all births (N = 5,242) % of ICS (N = 524) % of all births (N = 3,463) % of ICS (N = 556) % of all births^(N = 4,655) % of ICS (N = 410) % of all births^(N = 2,843) % of ICS (N = 114) % of all births#(N = 587) % of ICS (N = 114) % of all births#(N = 620)
Previous Caesarean Only 1.9 0.3 6.7 1.0 4.17 (2.19-7.94)       11.4 2.2 30.7 5.7 2.76 (1.44-5.30)
Fetal Distress 48.5 6.2 32.4 4.9 0.77 (0.63-0.94) 51.6 6.2 38.0 5.5 0.86 (0.70-1.06) 33.3 6.5 12.3 2.3 0.31 (0.17-0.59)
Failure to Progress in Labour 33.9 4.3 41.6 6.3 1.50 (1.23-1.83) 33.6 4.0 43.2 6.2 1.64 (1.32-2.04) 35.1 6.8 36.0 6.6 1.00 (0.64-1.59)
Breech Presentation 10.7 1.4 9.2 1.4 0.87 (0.59-1.28) 11.3 1.4 9.8 1.4 0.91 (0.60-1.38) 7.9 1.5 7.0 1.3 0.69 (0.25-1.89)
Maternal Health Concerns 2.1 0.3 3.4 0.5 1.49 (0.73-3.05) 0.9 0.1 2.9 0.4 3.43 (1.19-9.84) 7.9 1.5 5.3 1.0 0.63 (0.22-1.81)
Shared Preference - - 0.4 0.1 - - - 0.2 0.0 - - - 0.9 0.2 -
Carer/Hospital Recommendation - - 1.5 0.2 - - - 1.7 0.3 - - - 0.9 0.2 -
Obstetric History 0.4 0.1 0.2 0.0 0.50 (0.05-4.85) 0.5 0.1 - - - - - 0.9 0.2 -
Premature Labour 0.3 0.0 2.5 0.4 11.80 (1.51-92.30) 0.2 0.0 1.5 0.2 5.81 (0.67-50.48) - - 6.1 1.1 -
Fetal Health Concerns 0.4 0.1 1.1 0.2 2.49 (0.61-10.11) 0.5 0.1 1.5 0.2 2.68 (0.66-10.88) - - - - -
Maternal Preference 0.3 0.0 0.4 0.1 0.80 (0.11-6.05) - - 0.5 0.1 - 1.8 0.3 - - -
Multiple Pregnancy 0.9 0.1 0.2 0.0 0.21 (0.03-1.81) 0.7 0.1 0.2 0.0 0.37 (0.04-3.32) 1.8 0.3 - - -
Other 0.6 0.1 0.4 0.1 0.77 (0.14-4.26) 0.5 0.1 0.5 0.1 1.05 (0.18-6.31) 0.9 0.2 - - -
  1. Note. ICS = Intrapartum caesarean section. +The odds for women in Queensland (relative to women in England) of having had a caesarean for the specified reason. ^The total number of women without a previous caesarean (irrespective of mode of birth for index pregnancy). #The total number of women with a previous caesarean (irrespective of mode of birth).