Julia Košinár, Anna Laros
The genesis of the teacher habitus-a longitudinal study with Swiss primary teacher students
Zeitschrift fur bildungsforschung
study aimed investigate delivery management patients antepartum stillbirth using data fetal death certificates linked maternal hospital discharge records identified populationbased sample patients singleton antepartum stillbirth 20 42 weeks gestation california 2007 2011 primary outcomes intended mode delivery actual mode delivery used multivariable regressions examine association patient demographic clinical hospital characteristics mode delivery separate analysis performed patients prior cesarean delivery versus 7813 patients singleton antepartum stillbirth 1356 prior cesarean 6457 prior cesarean labor attempted 518 patients prior cesarean 937 patients without prior cesarean 762 958 patients respectively delivered vaginally overall 189 patients underwent cesarean delivery 605 among prior cesarean 102 among without prior cesarean multivariable regression analysis identified several factors associated risk cesarean delivery medically indicated instance among patients without prior cesarean malpresentation vast majority breech presentation associated increased likelihood planned cesarean adjusted odds ratio 326 95 confidence interval ci 253422 cesarean delivery attempting labor adjusted 309 95 ci 225425 patients without prior cesarean delivery urban teaching hospital associated lower likelihood planned cesarean lower likelihood cesarean delivery attempting labor adjusted ors ranged 028 056 p 0001 one six patients antepartum stillbirth underwent cesarean delivery among patients attempted labor rate vaginal delivery generally high suggesting potential opportunity increase vaginal delivery population singleton antepartum stillbirths 189 underwent cesarean delivery rate vaginal delivery high labor attempted clinical nonclinical factors associated risk cesarean delivery