Table 2 Bivariate analysis of safety care measure and obstetric or neonatal outcomes according to model of care (PPA model vs standard care)
PPA | Standard care | p-value* | |||
|---|---|---|---|---|---|
n | n | ||||
C-section | 1728 | 67.3% | 1970 | 88.8% | < 0.001 |
Safety care measures | |||||
Prelabor c-section | 1364 | 53.1% | 1717 | 77.1% | < 0.001 |
Repeated c-section | 153 | 84.8% | 1154 | 92.7% | < 0.001 |
Prelabor c-section in PROM | 137 | 36.0% | 125 | 50.8% | 0.068 |
Amniotomy during labor < 6 cm | 37 | 1.4% | 6 | 0.3% | 0.119 |
GBS + without prophylaxis during labor | 32 | 8.0% | 5 | 1.6% | 0.016 |
C-section without antibiotic prophylaxis | 273 | 15.8% | 232 | 11.8% | < 0.001 |
Absence of PP prophylactic oxytocin | 310 | 12.1% | 248 | 11.1% | 0.149 |
Severe hypertension without MgSO4 | 14 | 30.8% | 18 | 56.7% | 0.014 |
Rh− mother / Rh + baby without anti-D | 53 | 28.4% | 48 | 29.2% | 0.227 |
Preterm < 34w birth without corticosteroids | 18 | 35.8% | 28 | 48.6% | 0.308 |
Obstetric and perinatal outcomes | |||||
Severe postpartum hemorrhage | 19 | 0.8% | 18 | 0.8% | 0.681 |
Return to OR / L&D unit | 16 | 0.6% | 10 | 0.5% | 0.405 |
Intraoperative injury (c-section only) | 25 | 1.4% | 41 | 2.1% | 0.878 |
Uterine rupture | 1 | 0.0% | 3 | 0.1% | 0.166 |
OASIS | 145 | 17.2% | 60 | 24.0% | 0.142 |
Episiotomy with OASIS | 9 | 2.5% | 5 | 7.5% | 0.028 |
Antibiotics use (excluding prophylaxis) | 562 | 21.9% | 601 | 27.1% | 0.039 |
Severe maternal morbidity | 102 | 4.0% | 105 | 4.7% | 0.719 |
Maternal ICU | 34 | 1.3% | 28 | 1.2% | 0.206 |
Late preterm | 148 | 5.7% | 273 | 12.2% | < 0.001 |
Early term | 854 | 33.2% | 916 | 41.1% | 0.005 |
Neonatal birth injury | 40 | 1.6% | 39 | 17.9% | 0.705 |
Apgar 5 min < 7 | 18 | 0.7% | 13 | 0.6% | 0.877 |
Neonatal ICU admission > 36w | 137 | 5.7% | 126 | 6.3% | 0.393 |
Neonatal death > 36w | 1 | 0.0% | 2 | 0.1% | 0.354 |