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Prevalence of amniotomy in Sweden: a nationwide register study
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Kalmar County, Sweden.ORCID iD: 0000-0002-8561-4890
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Linnaeus University, Linnaeus Knowledge Environments, Sustainable Health. Region Kalmar County, Sweden.ORCID iD: 0000-0002-0961-5250
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0002-0895-674x
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0002-1944-773X
2022 (English)In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 22, no 1, article id 486Article in journal (Refereed) Published
Abstract [en]

Background Amniotomy is a commonly used labor intervention with uncertain evidence, and there are complications connected to the intervention. Yet, the Swedish prevalence of amniotomy is unknown. The aim of the study was therefore to describe the prevalence of amniotomy in Sweden. Methods This nationwide register-based study included 330,913 women giving birth in 2017-2020. Data were collected from the Swedish Pregnancy Register in which the majority of data is collected via direct transfer from medical records. Prevalence of amniotomy was described for all births, for nulliparous and multiparous women with spontaneous onset of labour, and at the hospital level. Descriptive statistics and chi-square test were used to analyse the data. Results For all births, the prevalence of amniotomy was 40.6%. More amniotomies were performed in Robson group 1 compared to Robson group 3; 41.1% vs 32.3% (p < 0.001). The prevalence for all births remained the same during the study period; however, a decrease from 37.5 to 34.1%, was seen in Robson group 1 and Robson group 3 (p < 0.001). Variations in the prevalence between hospitals were reported. The hospitals with the fewest number of births annually had the highest prevalence of amniotomy (45.0%), and the lowest prevalence was reported at the University hospitals (40.4%) (p < 0.001). Conclusions Amniotomy is a common labor intervention in Sweden, given that almost half of the laboring women underwent the intervention. Our results, regarding variations in the prevalence between hospitals, could imply a potential for fewer amniotomies in Swedish childbirth care.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2022. Vol. 22, no 1, article id 486
Keywords [en]
Amniotomy, Labor intervention, Nulliparity, Multiparity, Register study, Prevalence
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-115194DOI: 10.1186/s12884-022-04805-wISI: 000811201100003PubMedID: 35701766Scopus ID: 2-s2.0-85131866675OAI: oai:DiVA.org:lnu-115194DiVA, id: diva2:1681466
Available from: 2022-07-06 Created: 2022-07-06 Last updated: 2023-04-17Bibliographically approved

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Tallhage, SofiaÅrestedt, KristoferSchildmeijer, KristinaOscarsson, Marie

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