Table 5 Factors associated with episiotomy for multipara and non-operative vaginal deliveries according to maternal age (hierarchical regression adjusted on the year of delivery, hospital status, hypertensive disorders and gestational diabetes).
From: Episiotomy practices in France: epidemiology and risk factors in non-operative vaginal deliveries
< 20 years | 20–29 years | 30–39 years | ≥ 40 years | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
OR | CI− | CI+ | OR | CI− | CI+ | OR | CI− | CI+ | OR | CI− | CI+ | |
All deliveries | ||||||||||||
Prematurity | 0.54 | 0.36 | 0.80 | 0.52 | 0.49 | 0.56 | 0.54 | 0.51 | 0.56 | 0.41 | 0.34 | 0.49 |
Epidural analgesia | 1.77 | 1.41 | 2.22 | 1.58 | 1.54 | 1.63 | 1.60 | 1.57 | 1.64 | 1.73 | 1.60 | 1.87 |
Non-reassuring fetal heart | 1.86 | 1.36 | 2.53 | 1.60 | 1.54 | 1.67 | 1.57 | 1.53 | 1.62 | 1.57 | 1.43 | 1.73 |
Meconium in amniotic fluid | 1.64 | 1.19 | 2.27 | 1.25 | 1.21 | 1.30 | 1.19 | 1.15 | 1.23 | 1.21 | 1.10 | 1.33 |
Shoulder dystocia | 1.95 | 1.06 | 3.60 | 1.55 | 1.43 | 1.68 | 1.48 | 1.39 | 1.57 | 1.75 | 1.44 | 2.14 |
Scarred uterus | 4.13 | 3.08 | 5.56 | 3.33 | 3.22 | 3.45 | 2.60 | 2.53 | 2.67 | 1.97 | 1.79 | 2.16 |
Multiple pregnancy | – | – | – | 1.98 | 1.53 | 2.56 | 1.71 | 1.45 | 2.03 | 4.05 | 2.44 | 6.70 |
Breech presentation | – | – | – | – | – | – | – | – | – | – | – | – |
Singleton deliveries | ||||||||||||
Prematurity | 0.48 | 0.30 | 0.77 | 0.54 | 0.50 | 0.58 | 0.56 | 0.52 | 0.59 | 0.42 | 0.34 | 0.52 |
Epidural analgesia | 1.68 | 1.32 | 2.15 | 1.57 | 1.52 | 1.62 | 1.58 | 1.55 | 1.62 | 1.73 | 1.60 | 1.87 |
Non-reassuring fetal heart | 1.53 | 1.06 | 2.20 | 1.60 | 1.53 | 1.66 | 1.60 | 1.55 | 1.64 | 1.59 | 1.44 | 1.76 |
Meconium in amniotic fluid | 1.50 | 1.04 | 2.15 | 1.24 | 1.19 | 1.29 | 1.17 | 1.14 | 1.21 | 1.18 | 1.07 | 1.31 |
Shoulder dystocia | – | – | – | 1.26 | 1.16 | 1.38 | 1.27 | 1.19 | 1.36 | 1.54 | 1.24 | 1.92 |
Scarred uterus | 4.81 | 3.47 | 6.62 | 3.40 | 3.28 | 3.52 | 2.64 | 2.57 | 2.71 | 2.02 | 1.83 | 2.23 |
Newborn weight (ref < 4,000 g) | 1.63 | 1.08 | 2.46 | 1.63 | 1.57 | 1.69 | 1.49 | 1.45 | 1.53 | 1.27 | 1.14 | 1.40 |
Breech presentation | – | – | – | – | – | – | – | – | – | – | – | – |