Table 2

Primary reason for transfer, timing and urgency by planned place of birth and parity1
Home Freestanding midwifery unit
N = 16,619 N = 11,197
Nulliparous Multiparous Nulliparous Multiparous
n % n % n % n %
Women not transferred 2481 55.9 10682 88.4 3284 65.5 5478 90.8
Women transferred 2008 44.1 1448 11.6 1868 34.5 567 9.2
Primary reason for transfer2
  Malposition 11 0.3 15 0.1 8 0.1 3 <0.1
  Malpresentation 34 0.8 35 0.3 28 0.5 13 0.2
  Failure to progress 1st stage 521 11.2 206 1.7 457 8.0 76 1.2
  Fetal distress 1st stage 95 2.2 85 0.7 165 3.2 36 0.6
  Meconium staining 246 5.4 178 1.4 247 4.5 53 0.8
  Epidural request 131 2.8 44 0.4 139 2.4 23 0.3
  Hypertension 41 0.9 32 0.2 48 1.0 16 0.2
  Antepartum haemorrhage 34 0.8 26 0.2 32 0.6 14 0.2
  Failure to progress 2nd stage 300 6.7 78 0.6 316 5.3 48 0.7
  Fetal distress 2nd stage 30 0.6 11 0.1 29 0.5 6 0.1
  Postpartum haemorrhage 53 1.2 88 0.7 37 0.7 53 0.9
  Retained placenta 85 1.8 161 1.2 81 1.7 96 1.5
  Repair of perineal trauma 203 4.4 180 1.4 144 2.9 37 0.6
  Other before birth3 149 3.4 110 0.9 58 1.3 33 0.5
  Other after birth, maternal reasons 9 0.2 18 0.1 9 0.1 11 0.2
  Other after birth, neonatal reasons 42 0.9 141 1.1 33 0.6 32 0.6
  Not known 24 0.6 40 0.4 37 1.0 17 0.5
Timing of transfer2
  During labour (before birth) 1563 34.2 764 6.0 1521 26.9 316 4.9
  Immediately after birth 401 8.6 633 5.0 304 6.0 237 3.9
  Not known 44 1.3 51 0.6 43 1.5 14 0.5
Urgency of reason for transfer2
  Potentially urgent (before birth)4 462 10.3 206 1.6 540 9.5 102 1.5
  Non-urgent (before birth)5 640 13.6 244 2.0 589 10.3 98 1.5
  Potentially urgent (after birth)6 53 1.2 88 0.7 37 0.7 53 0.9
  Not classified7 853 19.1 910 7.3 702 14.0 314 5.3

1Including only women with known parity. Proportions are weighted to allow for different durations of data collection.

2As a proportion of all nulliparous/multiparous women planning birth in each setting.

3Including: prolonged rupture of membranes; failure to progress with no stage of labour specified; fetal distress with no stage specified or other concerns about the baby during labour; concerns about the mother during labour; pain relief other than epidural; maternal request, other than for epidural; non-medical reasons, including NHS resource issues such as staffing; clear breach of MU criteria or other factors that might indicate unsuitability for out of hospital birth.

4Transfers before birth for fetal distress (1st or 2nd stage or stage not specified), failure to progress in the 2nd stage or antepartum haemorrhage (excluding those where timing was not known or inconsistent).

5Transfers before birth for failure to progress in the 1st stage or epidural request (excluding those where timing was not known or inconsistent).

6Transfers after birth for postpartum haemorrhage.

7All other reasons for transfer (including not known) not classified as potentially urgent or non-urgent above.

Rowe et al.

Rowe et al. BMC Pregnancy and Childbirth 2013 13:224   doi:10.1186/1471-2393-13-224

Open Data