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Table 1 Labor and maternal characteristics of live births and fresh stillbirths (n=10,481). Values are given as mean± SD or percentage (number)

From: Newborn resuscitation simulation training and changes in clinical performance and perinatal outcomes: a clinical observational study of 10,481 births

 

Period 1

Baseline

Period 2

Individual skill training

Period 3

Local champions

P value

Period 1 vs 2

Period 1 vs 3

Period 2 vs 3

01.09.15–31.08.16

01.09.16–30.09.17

01.10.17–31.08.18

    

Months (n)

12

13

11

    

Births (n)

3572

4003

2 906

    

Admission from the health center

3.9 (140)

5.6 (226)

5.9 (171)

<0.001a

<0.001a

<0.001a

0.675a

Mother had no formal educationb

9.3 (196)

8.2 (328)

6.3 (184)

<0.001a

0.140a

<0.001a

<0.004a

Maternal ageb

26.2 ±6.9

26.1 ±6.7

26.1 ±6.8

0.835c

   

No antenatal care

0.9 (33)

0.9 (35)

1.0 (28)

0.928a

   

Antenatal problem

1.5 (52)

2.0 (79)

2.3 (67)

0.039a

0.084a

0.011a

0.343a

Cervical dilatation on admission (cm)

5.7 ±2.5

5.6 ±2.6

5.8 ±2.6

0.009c

0.897d

0.009d

0.005d

10-cm cervical dilation on admission

6.7 (212)

7.4 (262)

8.5 (212)

0.044a

0.263a

0.013a

0.135a

Hours in labor before admission (h:min)

5:08 ±2:29

4:28 ±2:32

4:44 ±2:15

<0.001c

<0.001d

<0.001d

0.004d

Fetal heart rate on admission

   

0.001a

0.001a

0.006a

0.744a

 Normal (120–160 bpm)

91.7 (3274)

93.1 (3724)

93.2 (2709)

    

 Abnormal (<120 or >160)

1.0 (37)

1.2 (49)

1.3 (38)

    

 Not detectable

0.5 (19)

0.9 (37)

0.7 (20)

    

 Not measured

6.7 (241)

4.8 (192)

4.8 (139)

    

Fetal heart rate during labor

   

<0.001a

<0.001a

<0.001a

0.022e

 Normal (120–160 bpm)

82.6 (2952)

85.5 (3423)

85.5 (2486)

    

 Abnormal (<120 or >160)

5.3 (190)

7.3 (291)

8.7 (252)

    

 Not detectable

0.5 (19)

1.0 (40)

0.7 (20)

    

 Not measured

11.5 (411)

6.2 (248)

5.1 (148)

    

Final fetal heart rate before delivery

134.0 ±14.0

132.9 ±17.3

132.5 ±17.3

0.075c

   

Mode of delivery

   

0.020a

0.181a

0.222a

0.010a

 Spontaneous vaginal delivery

75.3 (2690)

75.8 (3035)

75.0 (2179)

    

 Cesarian delivery

23.8 (851)

23.0 (922)

23.7 (690)

    

 Assisted breech delivery

0.6 (22)

0.5 (22)

1.1 (31)

    

 Vacuum extraction

0.3 (9)

0.6 (23)

0.2 (5)

    

 Others

0.0 (0)

0.0 (1)

0.0 (1)

    

Singleton/multiple

   

0.353a

   

 Singleton

96.0 (3428)

96.1 (3847)

96.6 (2808)

    

 Multiple

4.0 (144)

3.9 (56)

3.4 (98)

    

Labor complicationsf

2.4 (85)

2.3 (94)

2.7 (78)

0.634a

   

 Uterine rupture

0.2 (6)

0.1 (5)

0.1 (3)

0.763a

   

 Pre-eclampsia

0.5 (17)

0.6 (25)

0.6 (16)

0.686a

   

 Eclampsia

0.3 (9)

0.2 (7)

0.5 (14)

0.056a

   

 Cord prolapse

0.8 (25)

0.7 (29)

0.6 (16)

0.653a

   

 Prepartum bleeding

0.7 (23)

0.8 (31)

1.0 (28)

0.348a

   

 Shoulder dystocia

0.2 (7)

0.0 (1)

0.1 (3)

0.062g

   
  1. aChi-squared test
  2. bData collection initiated 01.02.2016
  3. cKruskal-Wallis test
  4. dMann-Whitney test
  5. eNot significant after Bonferroni correction
  6. fOne or several labor complications
  7. gFischer’s exact test