Lianne Zondag

75 Regional variations in childbirth interventions and their correlations Table 1. Primary outcomes: process of care and intervention rates by region (continued) Actual place of birth*, % Home Hospital/birth centre midwife-led Hospital obstetrician-led 21.4 16.0 62.7 22.7 14.9 62.4 30.5 11.7 57.8 20.6 14.2 65.2 28.8 13.3 57.9 21.0 12.3 66.7 29.3 13.2 57.5 21.6 18.2 60.2 20.7 17.6 61.7 17.4 18.0 64.6 15.9 25.5 58.6 17.3 14.2 68.5 17.3 16.1 66.6 Episiotomy in vaginal births, % 14.8 11.9 13.4 15.1 16.6 9.9 15.3 12.4 10.4 14.8 20.2 19.8 20.6 Midwife-led care at onset of labour Total GR FR DR OV FL GD UT NH ZH ZL NB LB Total n 328,009 10,013 12,901 7,884 23,922 8,942 41,401 30,601 59,750 70,023 6,068 42,040 14,464 Intrapartum transfer to obstetrician-led care, % nulliparous multiparous 60.9 26.1 60.2 23.1 57.1 23.0 63.5 26.9 56.8 22.8 67.7 31.1 60.5 24.4 63.9 27.3 61.5 26.8 56.6 24.8 54.9 19.7 67.2 31.6 62.8 26.5 AROM, % nulliparous multiparous 46.9 57.3 45.3 53.9 49.5 56.3 47.9 60.1 47.3 59.1 51.6 58.2 46.8 56.8 44.4 55.3 46.9 55.4 48.1 58.9 50.0 61.0 46.1 58.7 43.3 55.1 Midwife-led care at time of birth Total GR FR DR OV FL GD UT NH ZH ZL NB LB Total n 189,060 5,912 7,985 4,461 14,962 4,706 24,600 17,014 33,578 42,223 3,922 21,557 8,140 Postpartum administration of oxytocin, % nulliparous multiparous 76.0 69.1 59.0 50.3 71.6 61.6 74.1 70.1 69.9 60.0 76.7 72.9 68.8 61.8 80.3 72.4 73.2 66.7 80.7 73.5 88.2 84.6 81.4 77.0 85.3 80.3 Episiotomy, % nulliparous multiparous 23.4 7.0 17.0 4.8 19.4 5.7 25.9 7.2 32.9 9.5 13.8 3.4 23.4 7.3 19.1 5.3 14.4 4.0 26.2 6.8 41.7 12.5 28.1 10.5 31.6 9.7 3

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