Table 2

Emergency CS: distribution of deliveries (all singleton deliveries without deliveries by elective CS) and proportion of emergency CS according to risk factors

Singleton deliveries minus elective CSDeliveriesEmergency CS
n (%)n (% within category)OR95% CI
206 992 (100)26 305 (12.7)
Year
  200953 614 (27)7003 (13.1)Ref
  201054 166 (27)7023 (13.0)0.960.92 to 1.00
  201150 326 (24)6271 (12.5)0.900.86 to 0.94
  201248 886 (24)6008 (12.3)0.930.89 to 0.98
Size of maternity unit
  Small12 754 (6)1464 (11.5)1.020.95 to 1.09
  Medium88 907 (43)11 292 (12.7)Ref
  Large105 331 (51)13 549 (12.9)0.900.87 to 0.93
Weekend delivery (yes)60 733 (29)7763 (12.8)1.000.97 to 1.03
Night delivery (yes)100 357 (48)12 046 (12.0)0.930.90 to 0.95
Maternal age (years)
  15–193199 (2)309 (9.7)0.600.52 to 0.69
  20–34163 543 (79)20 034 (12.3)Ref
  35–4440 250 (19)5962 (14.8)1.481.42 to 1.53
Maternal smoking (yes)25 993 (13)3571 (13.7)1.101.05 to 1.15
Maternal BMI
  14.0–18.48679 (4)774 (8.9)0.770.70 to 0.84
  18.5–24.9131 611 (64)14 658 (11.1)Ref
  25.0–29.942 138 (20)6147 (14.6)1.341.29 to 1.39
  30–34.916 198 (8)2929 (18.1)1.751.66 to 1.84
  35.0+8366 (4)1797 (21.5)2.071.94 to 2.22
Maternal height≤163 cm (yes)49 899 (24)8701 (17.4)1.671.62 to 1.73
Parity
  Nulliparous99 149 (48)16 712 (16.9)Ref
 Multiparous without previous CS92 311 (45)3985 (4.3)0.250.24 to 0.27
 Multiparous with previous CS15 532 (8)5608 (36.1)2.972.84 to 3.10
Complication factors
  Diabetes380 (0.2)74 (19.5)
  Hypertension3598 (2)707 (19.6)
  Pre-eclampsia/eclampsia5872 (3)2110 (35.9)
  Placenta praevia617 (0.3)420 (68.1)
  Placental abruption967 (0.5)622 (64.3)
  Premature rupture of membranes17 450 (8)3536 (20.3)
Complication (yes)28 087 (14)7129 (25.4)1.981.90 to 2.06
Augmentation of labour (yes)59 228 (29)9825 (16.6)1.010.98 to 1.05
Any induced labour (yes)38 767 (19)7128 (18.4)1.401.35 to 1.46
 Induced by medication27 166 (13)5303 (19.5)
  Induced by operation21 359 (10)3882 (18.2)
Term
 <37+010 377 (5)3823 (36.8)2.942.77 to 3.12
  37+0–41+6186 441 (90)20 400 (10.9)Ref
 ≥42+010 174 (5)2082 (20.5)1.771.67 to 1.89
Female baby (yes)100 585 (49)11 923 (11.9)0.880.85 to 0.91
Breech (yes)4597 (2)3607 (78.5)43.7340.01 to 47.79
Fetal distress (yes)42 963 (21)9803 (22.8)2.372.28 to 2.45
Cephalopelvic disproportion (yes)3911 (2)2551 (65.2)13.9612.91 to 15.1
Macrosomia (yes)5642 (3)1173 (20.8)2.582.38 to 2.79
  • OR with 95% CI based on a multivariable logistic regression model.

  • BMI, body mass index; CS, caesarean section; n, Number; Ref, reference group.