|  | Mode of delivery | |||
---|---|---|---|---|---|
Crude OR b | Adjusted OR | 95Â % CI | |||
Lower | Upper | ||||
Distal factors | |||||
Macro region of Brazil | North | 2,2 | 2.5 | 1.3 | 4.6 |
Northeast | 2,2 | 2.3 | 1.1 | 4.7 | |
South | 2,5 | 2.8 | 1.4 | 5.5 | |
Southeast a | 1 | 1 | - | - | |
Midwest | 3,2 | 3.4 | 1.6 | 7.1 | |
Intermediate factors | |||||
Clinical or obstetrical conditions potentially associated with obstetric emergencies before childbirth | Yes | 2,7 | 2.7 | 1.7 | 4.4 |
No a | 1 | 1 | - | - | |
Prenatal counseling favorable for vaginal delivery | Yes | 0,4 | 0,5 | 0.3 | 0.6 |
No a | 1 | 1 | - | - | |
Decision on the type of delivery at the end of pregnancy | No | 3,4 | 3.5 | 2.6 | 4.5 |
Yes, vaginal a | 1 | 1 | - | - | |
Yes, cesarean | 13,6 | 12.1 | 7.1 | 20.7 | |
Proximal factors | |||||
Type of labor | Spontaneous a | 1 | 1 | - | - |
Induced | 0,3 | 0,2 | 0,1 | 0,4 | |
Cervical dilation at admission | â„4Â cm a | 1 | 1 | - | - |
<4Â cm | 1,6 | 2.1 | 1.4 | 3.3 | |
Use of any of the good practices during labor | Yes | 0,2 | 0,3 | 0,2 | 0,5 |
No a | 1 | 1 | - | - | |
Use of spinal or epidural analgesia | Yes | 4,0 | 3.7 | 1.8 | 7.6 |
No a | 1 | 1 | - | - | |
Presence of at least one midwife during assistance with labor | No | 2,3 | 1.0 | 0.6 | 1.7 |
Yes a | 1 | 1 | - | - |