Table 4 Characteristics of maternity units associated with inadequate care for PPH in women with vaginal deliveries.

From: Evaluating the quality of care for postpartum hemorrhage with a new quantitative tool: a population-based study

 

cOR (95% CI)

Model 1

Model 2

Model 3

Model 4

Model 5

Model 6

Status

Number of deliveries per year

Level of care

Onsite presence of gynecologist

Onsite presence of anesthesiologist

Status and number of deliveries

aOR (95% CI)

aOR (95% CI)

aOR (95% CI)

aOR (95% CI)

aOR (95% CI)

aOR (95% CI)

Status

Public university

1

1

1

Public non-university

1.30 [0.83–2.03]

1.32 [0.85–2.03]

1.07 [0.66–1.73]

Private

1.81 [1.04–3.16]

1.72 [1.00–2.97]

1.43 [0.82–2.50]

Number of deliveries per year

≥ 3500

1

1

1

[2000–3500[

1.42 [0.75–2.71]

1.50 [0.80–2.80]

1.47 [0.79–2.73]

[1000–2000[

1.98 [1.04–3.77]

1.90 [1.02–3.56]

1.76 [0.91–3.37]

< 1000

2.38 [1.20–4.74]

2.20 [1.12–4.32]

2.08 [1.02–4.24]

Level of care

3

1

1

2

1.36 [0.85–2.16]

1.39 [0.87–2.20]

1

2.21 [1.33–3.65]

2.04 [1.24–3.35]

No 24-h on-site presence of an obstetrician-gynecologist

1.32 [0.87–2.01]

1.19 [0.78–1.82]

No 24-h on-site presence of an anesthesiologist

1.15 [0.64–2.06]

1.02 [0.57–1.82]

  1. N = 710 women with severe PPH.
  2. Multilevel logistic regression models (random intercept for maternity unit) with multiple imputation.
  3. Five models, each for 1 delivery hospital characteristic mentioned in the corresponding column, adjusted for individual characteristics (women at risk of PPH (i.e. at least one risk factor among: previous PPH, multiple pregnancy, pre-eclampsia, birth weight ≥ 4000 g), maternal country of birth, parity/previous cesarean delivery).
  4. CI confidence interval, cOR crude odds ratio, aOR adjusted odds ratio.