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Table 1 Characteristics of deliveries with emergency caesarean section (CS) due to fetal distress and prolonged labour

From: Disclosing suboptimal indications for emergency caesarean sections due to fetal distress and prolonged labor: a multicenter cross-sectional study at 12 public hospitals in Nepal

Characteristics

CS due to fetal distress

N = 1806

CS due to prolonged labour

N = 1322

Total cohort

N = 104,223

Maternal age, mean (SD)

24.1 (4.2)

24.3 (4.4)

24.0 (4.3)

Parity

   

 0-para

1,023 (57%)

797 (60%)

40,538 (39%)

 1 previous birth

491 (27%)

304 (23%)

31,365 (30%)

 2–5 previous births

292 (16%)

292 (17%)

17,416 (17%)

 Missing

0

1 (0.1%)

14,893 (14%)

Education level

   

 Illiterate

47 (2.6%)

37 (2.8%)

3134 (3.0%)

 Literate

118 (6.5%)

71 (5.4%)

6528 (6.3%)

 Basic education

188 (10%)

125 (9.5%)

11,298 (11%)

 Secondary and above

696 (39%)

437 (33%)

41,710 (40%)

 Higher

148 (8.2%)

212 (16%)

5657 (5.4%)

 Missing

609 (34%)

440 (13%)

35,896 (34%)

Ethnicity a

   

 Advantaged groups

922 (51%)

627 (47%)

52,772 (51%)

 Disadvantaged groups

884 (49%)

695 (53%)

51,031 (49%)

 Missing

0

0

420 (0.4%)

Pregnancy induced hypertensive disorders

14 (0.8%)

10 (0.8%)

267 (0.3%)

Antepartum hemorrhage

1 (0.1%)

1 (0.1%)

95 (0.1%)

Stage of labour on admission

   

 Not in labour

522 (40%)

706 (39%)

19,783 (19%)

 Latent phase of first stage of labour

698 (53%)

964 (53%)

40,781 (39%)

 Active phase of first stage of labour

94 (7.1%)

129 (7.1%)

23,045 (22%)

 Second stage of labour

8 (0.6%)

7 (0.4%)

3877 (3.7%)

 Missing

0

0

16,234 (16%)

Induction of labour

   

 With prostaglandins

236 (13%)

264 (20%)

14,890 (14%)

 With amniotomy

54 (3.0%)

42 (3.2%)

2046 (2.0%)

 With oxytocin

154 (8.5%)

161 (12%)

7434 (7.1%)

 No induction

1362 (76%)

855 (65%)

53,627 (52%)

 Missing

0

0

16,324 (16%)

Mode of delivery

   

 Spontaneous vaginal

0

0

64,846 (62%)

 Instrumental vaginal

0

0

3001 (2.9%)

 Caesarean section

1806 (100%)

1322 (100%)

18,964 (18%)

 Assisted breech

0

0

437 (0.5%)

 Missing

0

0

16,939 (16%)

Birth weight

   

 < 2500 g

269 (15%)

160 (12%)

14,945 (14%)

 ≥ 2500 g

1366 (76%)

971 (73%)

66,732 (64%)

 Missing

171 (9.5%)

191 (14%)

22,546 (22%)

Gestational age

   

 < 37 weeks

220 (17%)

306 (17%)

15,665 (15%)

 ≥ 37 weeks

911 (74%)

1329 (69%)

66,012 (63%)

 Missing

171 (9.5%)

191 (14%)

22,546 (22%)

  1. aAdvantageous group representing Brahmin, Chettri, Madeshi, and Janjati. Disadvantaged group representing Dalit, Muslim and other disadvantaged groups