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more than 60 min extra.
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Table 2 Nature of requests for less care according to participants
Requesta Regular community
midwives (%)
Hospital VWD;
p-value
Wanting home birth in high risk pregnancy
72.5 57.3
Refusal of diabetes testing 77.1 54.2
Refusal of foetal monitoring 28.6 51.2
Refusal of assisted vaginal delivery 21.9 48.0
Wanting unassisted childbirth 18.1 11.8 0.03
Refusal of indicated caesarean section 10.8 26.5
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pelvic exams, active management of the third stage, manual placental removal, routine lab testing, routine ultrasounds, doptone during antenatal checks, number of routine antenatal checks, biometric ultrasound for suspicion of IUGR or macrosomia, indicated antibiotic prophylaxis, episiotomy, vitamin K, PKU testing for the neonate and precautionary iv access during labour.
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Table 3 Requests for home delivery according to the indication for secondary care IndicationbcA: Community midwives N (%)
B: Hospital VWD; N (%)
C: Holistic midwivesd N (%)
p-value (between A and B)p-value (between A and C) BMI>40198 (48.4)123 (34.1)13 (61.9) 0.34 Post term pregnancy157 (38.5)123 (34.4)18 (85.8)0.49 Previous caesarean section111 (27.2)124 (38.8)16 (76.2) Ruptured membranes >24 hrs118 (29.1)85 (23.7)13 (61.9)0.18 Previous PPH > 2 litres77 (19.1)71 (19.7)8 (38.1)0.98 Hypertensive disorders48 (11.9)61 (17.0)11 (52.4)0.13 0.11 Preterm delivery49 (12.3)35 (9.8)11 (52.4)0.28 Breech birth8 (2.0)34 (9.5)9 (39.1) Diabetes requiring insulin11 (2.8)15 (4.2)3 (N/A)0.52 N/A Twin birth5 (1.2)18 (5.0)2 (N/A) N/A Declined requests for home delivery in case of at least one of the above indications
201 (48.6)105 (27.9)16 (66.7) 0.08 Been called for help with an UC39 (9.6)26 (6.2)6 (28.6)0.07 b5DUHLQGLFDWLRQV PHQWLRQHGOHVVWKDQÀYHWLPHVLQWKHIUHHWH[WÀHOGV ZHUH,8*5-HKRYDK·V:LWQHVVSRVLWLYHFXOWXUHIRU*%6 cTwin birth and diabetes requiring insulin were too rare in the group of holistic midwives to calculate. d0LGZLYHVZKRFODVVLÀHGWKHPVHOYHVDVZRUNLQJLQDKROLVWLFVHWWLQJ 6LJQLÀFDQWGLͿHUHQFH
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