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Table 1 Characteristics of deliveries with emergency caesarean section (CS) due to fetal distress and prolonged labour

From: Disclosing suboptimal indications for emergency caesarean sections due to fetal distress and prolonged labor: a multicenter cross-sectional study at 12 public hospitals in Nepal

Characteristics CS due to fetal distress
N = 1806
CS due to prolonged labour
N = 1322
Total cohort
N = 104,223
Maternal age, mean (SD) 24.1 (4.2) 24.3 (4.4) 24.0 (4.3)
Parity    
 0-para 1,023 (57%) 797 (60%) 40,538 (39%)
 1 previous birth 491 (27%) 304 (23%) 31,365 (30%)
 2–5 previous births 292 (16%) 292 (17%) 17,416 (17%)
 Missing 0 1 (0.1%) 14,893 (14%)
Education level    
 Illiterate 47 (2.6%) 37 (2.8%) 3134 (3.0%)
 Literate 118 (6.5%) 71 (5.4%) 6528 (6.3%)
 Basic education 188 (10%) 125 (9.5%) 11,298 (11%)
 Secondary and above 696 (39%) 437 (33%) 41,710 (40%)
 Higher 148 (8.2%) 212 (16%) 5657 (5.4%)
 Missing 609 (34%) 440 (13%) 35,896 (34%)
Ethnicity a    
 Advantaged groups 922 (51%) 627 (47%) 52,772 (51%)
 Disadvantaged groups 884 (49%) 695 (53%) 51,031 (49%)
 Missing 0 0 420 (0.4%)
Pregnancy induced hypertensive disorders 14 (0.8%) 10 (0.8%) 267 (0.3%)
Antepartum hemorrhage 1 (0.1%) 1 (0.1%) 95 (0.1%)
Stage of labour on admission    
 Not in labour 522 (40%) 706 (39%) 19,783 (19%)
 Latent phase of first stage of labour 698 (53%) 964 (53%) 40,781 (39%)
 Active phase of first stage of labour 94 (7.1%) 129 (7.1%) 23,045 (22%)
 Second stage of labour 8 (0.6%) 7 (0.4%) 3877 (3.7%)
 Missing 0 0 16,234 (16%)
Induction of labour    
 With prostaglandins 236 (13%) 264 (20%) 14,890 (14%)
 With amniotomy 54 (3.0%) 42 (3.2%) 2046 (2.0%)
 With oxytocin 154 (8.5%) 161 (12%) 7434 (7.1%)
 No induction 1362 (76%) 855 (65%) 53,627 (52%)
 Missing 0 0 16,324 (16%)
Mode of delivery    
 Spontaneous vaginal 0 0 64,846 (62%)
 Instrumental vaginal 0 0 3001 (2.9%)
 Caesarean section 1806 (100%) 1322 (100%) 18,964 (18%)
 Assisted breech 0 0 437 (0.5%)
 Missing 0 0 16,939 (16%)
Birth weight    
 < 2500 g 269 (15%) 160 (12%) 14,945 (14%)
 ≥ 2500 g 1366 (76%) 971 (73%) 66,732 (64%)
 Missing 171 (9.5%) 191 (14%) 22,546 (22%)
Gestational age    
 < 37 weeks 220 (17%) 306 (17%) 15,665 (15%)
 ≥ 37 weeks 911 (74%) 1329 (69%) 66,012 (63%)
 Missing 171 (9.5%) 191 (14%) 22,546 (22%)
  1. aAdvantageous group representing Brahmin, Chettri, Madeshi, and Janjati. Disadvantaged group representing Dalit, Muslim and other disadvantaged groups