Table 4

Mode of birth, intervention rates and perineal outcomes by planned place of birth

Intervention and planned place of birthNo. of eventsNo. of birthsIncidence of events (%)Unadjusted ORAdjusted OR*
Normal vaginal birth992 1181 251 42079.3
 Hospital920 5141 171 70378.611
 Birth centre63 79071 50589.22.26 (2.19–2.33)2.72 (2.63–2.81)
 Home7814821295.25.36 (4.69–6.12)5.91 (5.15–6.78)
Vacuum extraction88 5861 251 4207.1
 Hospital85 9751 171 7037.311
 Birth centre250371 5053.50.44 (0.42–0.47)0.42 (0.40–0.44)
 Home10882121.30.19 (0.15–0.24)0.18 (0.14–0.24)
Forceps birth56 3321 251 4204.5
 Hospital54 4511 171 7034.611
 Birth centre182071 5052.50.54 (0.50–0.57)0.54 (0.50–0.58)
 Home6182120.70.15 (0.11–0.21)0.21 (0.14–0.31)
Intrapartum caesarean section94 3031 251 4207.5
 Hospital91 2381 171 7037.811
 Birth centre287171 50540.50 (0.47–0.52)0.45 (0.43–0.48)
 Home19482122.40.29 (0.24–0.35)0.29 (0.24–0.35)
Mode of birth not stated20 0811 251 4201.6
 Hospital19 5251 171 7031.711
 Birth centre52171 5050.70.43 (0.39–0.49)0.41 (0.36–0.46)
 Home3582120.40.25 (0.16–0.39)0.26 (0.17–0.41)
Oxytocin augmentation199 3021 251 42015.9
 Hospital193 2291 171 70316.511
 Birth centre579071 5058.10.45 (0.43–0.46)0.41 (0.40–0.43)
 Home28382123.40.18 (0.15–0.21)0.19 (0.16–0.22)
Epidural or spinal analgesia for labour166 7461 251 42013.3
 Hospital161 7961 171 70313.811
 Birth centre467571 5056.50.44 (0.42–0.45)0.41 (0.39–0.43)
 Home27582123.30.22 (0.18–0.25)0.22 (0.19–0.26)
Intact perineum†308 2321 157 11726.6
 Hospital283 8871 080 46526.311
 Birth centre20 56268 634301.20 (1.17–1.23)1.39 (1.36–1.43)
 Home3783801847.22.51 (2.37–2.66)2.72 (2.56–2.90)
Episiotomy†193 1711 157 11716.7
 Hospital187 2761 080 46517.311
 Birth centre568868 6348.30.43 (0.42–0.45)0.37 (0.36–0.39)
 Home20780182.60.13 (0.11–0.15)0.13 (0.10–0.15)
Third or fourth degree perineal trauma23 1651 157 1172
 Hospital†‡21 4541 080 465211
 Birth centre164168 6342.41.21 (1.13–1.29)1.17 (1.09–1.25)
 Home7080180.90.43 (0.32–0.59)0.53 (0.36–0.73)
  • Cases with missing data were not included in rates or regression calculations.

  • Variables on mode of birth and intervention are as defined by each state or territory.

  • *Logistic regression adjusted for maternal age, country of birth, gestational age and parity at 99% CI.

  • †Denominator=excluded caesarean section.

  • ‡Included episiotomy extensions.