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Table 3 Adjusted multinomial logistic regression, associations between intrapartum interventions and breastfeeding outcomes in hospital

From: The association between intrapartum interventions and immediate and ongoing breastfeeding outcomes: an Australian retrospective population-based cohort study

 

Formula Given in Hospital

Last Feed at Breast

N (%)

Adjusted OR (95% CI)a

P value

N (%)

Adjusted OR (95% CI)

P value

Method of Birth

 Vaginal Birth

92,467 (23.0)

1

330,867 (81.5)

1

 Pre-labour CS

42,667 (38.0)

1.75 (1.72–1.77)

< 0.001

81,799 (72.1)

0.66 (0.65–0.67)

< 0.001

 In-labour CS

31,488 (41.7)

1.96 (1.93–1.99)

< 0.001

53,001 (69.7)

0.65 (0.64–0.66)

< 0.001

Epidural Analgesia

 No

112,057 (25.7)

1

353,235 (80.3)

1

 Yes

54,585 (35.4)

1.45 (1.43–1.47)

< 0.001

112,460 (72.4)

0.71 (0.70–0.72)

< 0.001

Synthetic Oxytocin Infusion

 No

105,774 (25.9)

1

330,523 (80.4)

1

 Yes

60,868 (33.3)

1.24 (1.22–1.26)

< 0.001

135,172 (73.3)

0.78 (0.77–0.79)

< 0.001

Mutually Exclusive Interventions

 No Intervention

40,360 (18.0)

1

193,968 (85.7)

1

0

 Pre-labour CS only

41,333 (37.7)

2.17 (2.13–2.21)

< 0.001

80,226 (72.5)

0.53 (0.52–0.54)

< 0.001

 In-labour CS only

7011 (37.0)

2.17 (2.10–2.24)

< 0.001

14,178 (74.3)

0.59 (0.57–0.61)

< 0.001

 Epidural analgesia only

11,048 (28.3)

1.63 (1.59–1.67)

< 0.001

30,834 (78.2)

0.64 (0.62–0.66)

< 0.001

Synthetic oxytocin infusion only

17,744 (25.1)

1.30 (1.27–1.33)

< 0.001

56,834 (79.2)

0.74 (0.73–0.76)

< 0.001

Number of Interventions Received

 None

40,360 (18.0)

1

193,968 (85.7)

1

 One

77,136 (32.4)

1.77 (1.74–1.79)

< 0.001

181,612 (75.5)

0.61 (0.60–0.62)

< 0.001

 Two

34,989 (36.2)

2.08 (2.04–2.12)

< 0.001

69,547 (71.4)

0.52 (0.51–0.53)

< 0.001

 Three

14,157 (45.7)

2.90 (2.83–2.98)

< 0.001

20,568 (65.8)

0.43 (0.42–0.45)

< 0.001

  1. Abbreviation: OR odds ratio, CI confidence interval, CS caesarean section
  2. aAdjusted for parity, maternal BMI, sex of baby, smoking status during pregnancy, SEIFA quintile, infant birth weight, hospital admission status, infant gestational age, country region of birth, marital status and maternal age