Risk of complicated birth at term in nulliparous and multiparous women using routinely collected maternity data in England: cohort study.

ABSTRACT:

Objectives

To determine the rate of complicated birth at term in women classified at low risk according to the National Institute for Health and Care Excellence guideline for intrapartum care (no pre-existing medical conditions, important obstetric history, or complications during pregnancy) and to assess if the risk classification can be improved by considering parity and the number of risk factors.

Design

Cohort study using linked electronic maternity records.

Participants

276 766 women with a singleton birth at term after a trial of labour in 87 NHS hospital trusts in England between April 2015 and March 2016.

Main outcome measure

A composite outcome of complicated birth, defined as a birth with use of an instrument, caesarean delivery, anal sphincter injury

SUBMITTER: Jardine J 

PROVIDER: S-EPMC7527835 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature