33 Regional variations in childbirth interventions in the Netherlands Table 2. Childbirth intervention rates by region total, and in subgroups by setting, stratified by parity (percentages) (continued) Nulliparous women, total and by care setting at the onset of labour (abbreviated as ‘midwife’ or ‘obstetrician’) Total GR FR DR OV FL GD UT NH ZH ZL NB LB Caesarean Section, % All women 17.8 19.3 19.0 17.2 17.4 17.6 16.3 16.7 17.9 17.7 17.6 18.5 19.4 Prelabour CS, % All women Obstetrician 4.5 10.2 4.6 10.0 4.7 11.5 4.1 8.6 4.4 10.2 3.6 7.9 4.1 10.2 4.2 10.6 4.3 10.7 4.4 9.2 4.6 10.4 5.2 11.1 5.8 10.8 Intrapartum CS, % All women (without prelabour CS) Midwife Obstetrician (without prelabour CS) 13.9 8.6 21.2 15.4 9.6 23.0 15.1 10.2 23.3 13.7 7.7 20.9 13.6 8.5 21.2 14.6 9.7 21.0 12.7 7.9 20.7 13.1 8.5 21.1 14.2 9.3 22.3 13.9 8.4 20.5 13.7 8.5 21.0 14.0 8.3 21.2 14.4 8.2 20.6 Involvement paediatrician <24 hours, % All women Midwife Obstetrician 50.4 38.1 65.8 59.6 45.6 76.3 49.9 37.9 67.6 51.1 37.2 66.5 47.7 34.8 64.8 48.3 38.1 60.8 55.9 43.4 74.7 60.0 49.0 76.9 36.9 26.9 51.6 50.8 36.5 66.4 46.9 32.5 65.6 53.0 42.5 64.5 60.3 47.0 71.9 Total n All women Midwife Obstetrician 338,029 174,918 161,286 10,540 5,186 5,331 13,004 7,200 5,765 9,090 4,334 4,735 24,818 13,630 11,070 10,228 4,963 5,246 40,325 22,842 17,324 29,231 16,308 12,812 56,366 30,470 25,414 75,788 37,206 37,940 6,474 3,373 3,082 45,643 21,821 23,705 16,522 7,585 8,862 Induction of labour, % All women Obstetrician 19.7 41.1 23.8 47.0 19.0 43.0 25.4 48.8 20.2 44.8 22.2 43.3 17.7 41.1 16.6 37.6 18.0 39.4 21.1 41.7 20.6 43.3 20.1 38.8 21.2 39.7 Augmentation after spontaneous onset of labour, % All women Midwife Obstetrician 17.3 11.2 33.2 14.5 8.8 29.3 14.8 9.5 32.5 18.0 12.0 33.2 14.0 8.6 30.9 22.6 14.2 41.3 17.2 11.3 34.3 16.1 11.5 29.4 17.9 12.1 34.6 18.4 11.6 33.9 12.4 7.1 27.2 18.8 11.7 33.8 16.6 10.1 30.2 Intrapartum oxytocin use, % All women Obstetrician 44.7 45.8 47.0 50.3 47.6 50.0 51.7 54.2 44.5 46.6 51.7 54.3 46.3 47.8 43.4 43.9 45.4 45.8 45.6 45.9 41.4 42.9 40.1 41.0 39.7 41.5 2
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