Total (N) | Case group | Control group | ||
---|---|---|---|---|
13,064 | 195,351 | |||
n | % (95% CI) | n | % (95% CI) | |
Previous pregnancy | ||||
FOC | 1709 | 13.1 (12.5–13.7) | 1897 | 1.0 (0.9–1.0) |
Mode of delivery in first pregnancy | ||||
Spontaneous vaginal | 3861 | 30.0 (28.6–30.5) | 134 462 | 68.8 (68.5–69.2) |
Vacuum | 2787 | 21.3 (20.6–22.1) | 28 485 | 14.6 (14.4–14.8) |
Breech or forceps | 82 | 0.6 (0.5–0.8) | 1721 | 0.9 (0.8–0.9) |
Unplanned caesarean section | 4034 | 30.9 (29.9–31.9) | 20 050 | 10.3 (10.1–10.4) |
Emergency caesarean section | 722 | 5.5 (5.1–5.9) | 2343 | 1.2 (1.2–1.2) |
Elective caesarean section | 1579 | 12.1 (11.5–12.7) | 8282 | 4.2 (4.1–4.3) |
Obstetric challenges | ||||
Uterine curettage | 167 | 1.3 (1.1–1.5) | 1581 | 0.8 (0.8–0.9) |
Manual placenta removal | 274 | 2.1 (1.9–2.4) | 2945 | 1.5 (1.5–1.6) |
Third- or fourth-degree tears of the perineum | 458 | 3.5 (3.2–3.8) | 2539 | 1.3 (1.3–1.4) |
Shoulder dystociaa | 74 | 0.6 (0.4–0.7) | 425 | 0.2 (0.2–0.2) |
Adverse neonatal outcomes | ||||
Very or extremely preterm delivery (< 31 + 6 weeks) | 74 | 0.6 (0.4–0.7) | 1147 | 0.6 (0.6–0.6) |
Need for intensive care unita | 1079 | 8.3 (7.8–8.8) | 16 022 | 8.2 (8.1–8.3) |
Neonatal mortalityb | 112 | 0.9 (0.7–1.0) | 899 | 0.5 (0.4–0.5) |
The second pregnancy | ||||
Age (mean; SD) | 31.2 (4.8) | 29.8 (4.8) | ||
Smoking status smoker | 1524 | 11.7 (11.1–12.3) | 20 988 | 10.7 (10.6–10.9) |
Maternal BMI (kg/m2) (mean; SD) | 25.1 (5.2) | 24.5 (4.9) | ||
Maternal gestational diabetes | 2321 | 17.8 (17.1–18.5) | 25 255 | 12.9 (12.8–13.1) |
Neonatal weight, grams (mean; SD) | 3620 (459) | 3591(515) | ||
Induction of labour | 2495 | 19.1 (18.4–19.9) | 33 410 | 17.1 (16.9–17.3) |
Length of pregnancy (week + day) (mean; SD) | 39 + 4 (8) | 39 + 6 (6) | ||
preterm (< 37 gestational weeks) | 258 | 2.0 (1.7–2.2) | 7046 | 3.6 (3.5–3.7) |