Table 3

Mode of delivery according to type of obstetric care

Private patients
n=5479 (%)
Public patients
n=24 574 (%)
Crude OR
(95% CI)
Adjusted OR †
(95% CI)
Spontaneous vaginal delivery2488 (45.4)14 991 (61.0)0.53 (0.50 to 0.56)*0.55 (0.52 to 0.60)*
Operative vaginal delivery1104 (20.1)4048 (16.5)1.28 (1.19 to 1.38)*1.44 (1.31 to 1.58)*
Vacuum delivery647 (11.8)2201 (9.0)1.36 (1.24 to 1.49)*1.47 (1.32 to 1.65)*
Forceps delivery457 (8.3)1847 (7.5)1.12 (1.01 to 1.25)*1.21 (1.06 to 1.37)*
Caesarean section (all)1887 (34.4)5535 (22.5)1.81 (1.70 to 1.93)*1.57 (1.45 to 1.70)*
Scheduled caesarean section1150 (21.0)2194 (8.9)2.71 (2.51 to 2.93)*1.99 (1.80 to 2.18)*
Emergency caesarean section737 (13.5)3341 (13.6)0.99 (0.91 to 1.08)0.97 (0.88 to 1.08)
Emergency caesarean section
Spontaneous onset labour
233 (4.3)1232 (5.0)0.84 (0.73 to 0.97)*0.80 (0.68 to 0.95)*
Emergency caesarean section
Induction of labour
271 (4.9)1314 (5.3)0.92 (0.81 to 1.05)0.94 (0.80 to 1.10)
Emergency caesarean section
No labour
235 (4.3)799 (3.3)1.33 (1.15 to 1.55)*1.33 (1.11 to 1.59)*
  • *p<0.05.

  • †Adjusted for maternal age, marital status, SE group, nationality, parity, smoker, medical disorders, psychiatric disorders, body mass index, assisted conception, previous perinatal death, fetal conditions, antenatal complications.