Pregnancy and birth characteristics | n (%) | Chi-Square | ||
---|---|---|---|---|
Respondents n = 12,239 | National perinatal registry* n = 161,720 | p-value | ||
Singleton or multiple pregnancy | Singleton pregnancy | 11,989 (98.0) | 159,213 (98.5) | p < 0.001 |
Multiple pregnancy | 250 (2.0) | 2477 (1.5) | ||
Responsible care provider at onset of pregnancy | Midwife-led care | 10,347 (84.5) | 138,498 (86.3) | p < 0.001 |
Obstetrician-led care | 1855 (15.2) | 21,975 (13.7) | ||
General practitioner | 26 (0.1) | Â | ||
Other | 11 (0.1) | Â | ||
Planned place of birth one month prior to birth | Midwife-led care at home | 3563 (29.1) | Â | Â |
Midwife-led care in a birth centre | 1209 (9.9) | Â | ||
Midwife-led care in a the hospital | 4476 (36.6) | Â | ||
Obstetrician-led care in the hospital | 2744 (22.4) | Â | ||
Hadn’t decided yet | 247 (2.0) |  | ||
Birth plan prepared | Yes | 7861 (64.2) | Â | Â |
No | 4378 (35.8) | Â | ||
Responsible care provider at onset of labour | Midwife-led care | 7342 (60.0) | 77,801 (48.6) | p < 0.001 |
Obstetrician-led care | 4877 (39.8) | 82,354 (51.4) | ||
General practitioner | 20 (0.2) | Â | ||
No care provider | 2 (0.0) | Â | ||
Onset of labour | Spontaneous | 8204 (67.0) | 104,906 (67.0) | p < 0.001 |
Spontaneous rupture of membranes, followed by an induction with tablets or oxytocin | 436 (3.6) | 39,050 (25.0) | ||
Rupture of membranes to induce labour | 728 (5.9) | |||
Induction of labour with tablets/foley catheter/oxytocin | 2149 (17.6) | |||
Caesarean section | 722 (5.9) | 12,460 (8.0) | ||
Unplanned transfer from midwife-led care to obstetrician-led care | Yes | 3239 (44.0) | 34,535 (44.4) | p < 0.398 |
No | 4123 (56.0) | 43,266 (55.6) | ||
Mode of birth | Spontaneous vaginal birth | 7613 (62.2) | 118,823 (76.5) | p < 0.001 |
Spontaneous vaginal birth with episiotomy | 1463 (12.0) | |||
Vacuum or forceps delivery | 1156 (9.4) | 11,240 (7.2) | ||
Attempted vacuum or forceps, followed by a caesarean section | 113 (0.9) | 12,962 (8.3) | ||
Unplanned caesarean section | 1244 (10.2) | |||
Planned caesarean section | 650 (5.3) | 12,460 (8.0) | ||
Pharmacological pain relief | No pharmacological pain relief | 7451 (64.3) | 93,334 (57.7) | p < 0.001 |
Epidural | 2619 (22.6) | 68,386 (42.3) | ||
Remifentanil | 1100 (9.5) | |||
Epidural and remifentanil | 171 (1.5) | |||
Other | 200 (1.7) | |||
Epidural and ‘other’ | 30 (0.3) | |||
Remifentanil and ‘other’ | 6 (0.1) | |||
Epidural, remifentanil and ‘other’ | 5 (0.0) | |||
Missing | 657 | Â | ||
Anesthesia during caesarean section | Spinal, epidural or combined spinal/epidural (CSE) | 1839 (91.6) | Â | Â |
General anesthesia | 168 (8.4) | Â | ||
Actual place of birth | Midwife-led care at home | 2486 (20.3) | 20,487 (12.7) | p < 0.001 |
Midwife-led care at birth centre | 480 (3.9) | 4241 (2.6) | ||
Midwife-led care at the hospital | 1405 (11.5) | 19,309 (11.9) | ||
Obstetrician-led care at the hospital | 7866 (64.3) | 117,516 (72.7) | ||
Other | 2 (0.0) | 155 (0.1) | ||
Gestational age at birth | < 37 + 0 | 723 (5.9) | 10,030 (6.2) | p < 0.001 |
37 + 0–38 + 6 | 2392 (19.6) | 37,464 (23.2) | ||
39 + 0–40 + 6 | 6410 (52.5) | 85,341 (52.9) | ||
41 + 0–41 + 6 | 2268 (18.6) | 28,468 (17.7) | ||
> 42 + 0 | 418 (3.4) | 11 (0.0) | ||
Missing | 28 | Â | Â | |
Before or during COVID-19 pandemic | 2015–February 2020 (prior COVID-19 pandemic) | 8363 (68.3) |  |  |
March–December 2020 (during COVID-19 pandemic) | 3876 (31.7) |  | ||
Care providers present during birth | Community midwife | 5236 (42.8) | Â | Â |
Hospital based midwife | 5408 (44.2) | Â | ||
Obstetric registrars and/or obstetrician | 5759 (47.1) | Â | ||
Maternity care assistant | 2997 (24.5) | Â | ||
Nurse | 6684 (54.6) | Â | ||
Paediatrician | 2121 (17.3) | Â | ||
Anaesthesiologist | 1943 (15.9) | Â | ||
Care provider in training/student | 2932 (24.0) | Â | ||
Other | 68 (0.6) | Â | ||
Other individuals present during birth | Partner | 11,922 (97.4) | Â | Â |
Other parent(s) of baby (non-partners) | 16 (0.1) | Â | ||
Mother (in law) | 902 (7.4) | Â | ||
Father (in law) | 42 (0.3) | Â | ||
Child (ren) | 81 (0.7) | Â | ||
Sister(s) | 275 (2.3) | Â | ||
Brother(s) | 11 (0.1) | Â | ||
Other family members | 25 (0.2) | Â | ||
Friend(s) | 164 (1.3) | Â | ||
Doula | 127 (1.0) | Â | ||
Birth photographer | 120 (1.0) | Â | ||
Others in care capacity | 2 (0.0) | Â |