Maternal and pregnancy factors | Alberta Canada N=256 137% | NSW Australia N=732 288% | WA Australia N=149 624% | Denmark N=645 993% | Norway N=456 353% | Scotland N=531 622% | Sweden N=913 779% | Massachusetts USA N=762 723% |
Study period | 2002–2007 | 1998–2006 | 2000–2005 | 1997–2006 | 1999–2006 | 1997–2006 | 1997–2006 | 1998–2007 |
Maternal age (years) | ||||||||
<20 | 5.8 | 4.3* | 4.6* | 1.6* | 2.4 | 8.3* | 1.8 | 6.5 |
20–34 | 79.5 | 76.7* | 75.2* | 82.6 | 81.7 | 74.6* | 80.1 | 71.5 |
≥35 | 14.7 | 19.0† | 20.2† | 15.8† | 15.9† | 17.1† | 18.1† | 22.0 |
Nullipara | 44.2† | 41.6† | 41.6† | 42.9† | 40.7† | 45.2† | 43.9† | 44.6 |
Multiple births | 1.6‡ | 1.6† | 1.7 | 1.5† | 1.9 | 1.5 | 1.5* | 2.3 |
Diabetes (any) | 4.0 | 5.4† | 4.3 | 1.7† | 1.5† | 0.8 | 1.3 | 5.3 |
Gestational diabetes | 3.5 | 5.0† | 3.8 | 1.3 | 0.8† | 0.5 | 0.9 | 4.4 |
Pre-existing DM | 0.5 | 0.4† | 0.6 | 0.4 | 0.7† | 0.4 | 0.4† | 1.0 |
Chronic hypertension | 0.4 | 1.2† | 1.1 | 0.4† | 0.6* | 0.3 | 0.5† | 1.6 |
Smoking | NA | 17.4* | 19.3* | 20.6* § | 18.6* ¶ | 24.8* | 10.7* †† | 12.3 |
13.1* ** | ||||||||
Induction of labour | 21.4* | 24.6† | 29.2† | 12.4† | 12.0† | 25.8 | 17.8† | 20.1 |
Mode of delivery | ||||||||
Normal vaginal | 61.4* | 64.8* | 57.6 | 75.7* | 77.3 | 65.3* | 76.8* | 66.5 |
Instrumental | 13.0* | 10.4* | 12.4 | 7.2† | 8.1† | 12.5 | 7.5 | 6.1 |
Caesarean section | 25.6† | 24.7† | 30.0† | 17.1† | 14.8† | 22.2† | 15.7† | 27.4 |
Term births | ||||||||
≥40 weeks | 40.1 | 49.6* | 43.6* | 54.1* | 53.6* | 54.4* | 53.5* | |
37–39 weeks | 51.2 | 43.9† | 48.8† | 39.4† | 40.0† | 38.6† | 40.8† | |
Preterm births (all) | 8.4 | 6.5† | 7.6 | 6.5† | 6.4 | 7.0 | 5.5 | 9.5 |
Elective—see below | 2.5 | 2.5† | 3.6† | 1.3† | 2.8 | 0.6§§ | 1.6 | NA |
Spontaneous | 5.9 | 4.0 | 4.0 | 5.2 | 3.6 | 6.4 | 3.9† | |
Outcomes | ||||||||
Any pregnancy hypertension | 6.0* | 8.8* | 9.1* | 3.6 | 5.8 | 5.9* | 3.9* | 7.0† |
Pre-eclampsia | 1.4† | 3.1* | 2.9* | 2.7* | 4.0* | 2.2* | 2.9* | 3.3† |
Pre-eclampsia ≤34 weeks | 0.7‡‡ | 0.3 | 0.6 | 0.3 | 0.4 | 0.3 | 0.4 | 0.6 |
Percentages may not total 100 because of missing data.
* Decreasing over the study period, χ2 for trend p<0.01.
† Increasing over the study period, χ2 for trend p<0.01.
‡ Alberta—multiple birth data available for 98.5% of women.
§ Denmark—smoking data available for 96% of women.
¶ Norway—daily smoking in the first trimester (available for 83% of women).
** Norway—daily smoking in the last trimester (available for 78% of women).
†† Sweden—smoking data available for 93% of women.
‡‡ Alberta—gestational age available for 2004–2007.
§§ Scotland—elective caesarean sections only.