Timing of singleton births by onset of labour and mode of birth in NHS maternity units in England, 2005-2014: A study of linked birth registration, birth notification, and hospital episode data
Timing of singleton births by onset of labour and mode of birth in NHS maternity units in England, 2005-2014: A study of linked birth registration, birth notification, and hospital episode data
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DOI：
10.1371/journal.pone.0198183
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发表时间：
2018-06-14
期刊：
影响因子：
3.7
通讯作者：
Macfarlane, Alison
中科院分区：
文献类型：
--
作者：
Martin, Peter;Cortina-Borja, Mario;Macfarlane, Alison
背景产妇护理必须每周7天、每天24小时提供。众所周知，产科干预可以影响出生的时间，但在英格兰国家一级以前没有分析尚未详细调查的方式，其中出生的日子和时间不同的劳动力和分娩方式的开始。从2005年到2014年，英格兰NHS妇产科有615例单胎分娩。我们使用描述性统计和负二项回归模型与谐波条款，以建立模式的出生时间不同的劳动力的发病，分娩方式和孕龄。ResultsThe出生的时间由一天的时间和一周的天数变化很大的劳动力和出生模式的发病。自发性发作后的自然分娩更有可能发生在午夜至早上6点之间，而不是一天中的其他时间，并且在工作日也比周末和公共假期略多。选择性剖腹产集中在工作日的早晨。引产后的分娩更有可能发生在周二至周六的午夜时分和公共假日期间的前几天，而不是在星期日，星期一和期间或刚刚结束的公共假日periods.ConclusionThe分娩的时间不同的劳动力和出生模式的发病和这些模式有影响助产士和医务人员。需要进一步的研究来了解这些发现背后的过程。
BackgroundMaternity care has to be available 24 hours a day, seven days a week. It is known that obstetric intervention can influence the time of birth, but no previous analysis at a national level in England has yet investigated in detail the ways in which the day and time of birth varies by onset of labour and mode of giving birth.MethodWe linked data from birth registration, birth notification, and Maternity Hospital Episode Statistics and analysed 5,093,615 singleton births in NHS maternity units in England from 2005 to 2014. We used descriptive statistics and negative binomial regression models with harmonic terms to establish how patterns of timing of birth vary by onset of labour, mode of giving birth and gestational age.ResultsThe timing of birth by time of day and day of the week varies considerably by onset of labour and mode of birth. Spontaneous births after spontaneous onset are more likely to occur between midnight and 6am than at other times of day, and are also slightly more likely on weekdays than at weekends and on public holidays. Elective caesarean births are concentrated onto weekday mornings. Births after induced labours are more likely to occur at hours around midnight on Tuesdays to Saturdays and on days before a public holiday period, than on Sundays, Mondays and during or just after a public holiday.ConclusionThe timing of births varies by onset of labour and mode of birth and these patterns have implications for midwifery and medical staffing. Further research is needed to understand the processes behind these findings.