60 Chapter 3 Maternal and neonatal outcomes Of the women who received an MLC-aCTG, 1088 (68.9%) were in MLC at the onset of labour, and 498 women (31.5%) gave birth in MLC with 228 (14.4%) giving birth at home (Table 3). Of all women, 1218 (77.2%) had a spontaneous vaginal birth, 145 (9.2%) had an assisted vaginal birth, and 216 (13.6%) had a c-section. For 78 women (4.9%), a planned c-section was carried out, mostly in the group with the indication ‘external cephalic version’ (n = 65, 26.2%). During labour, 138 (8.7%) women had a c-section, 4.8% for suspected fetal distress, and 3.9% for prolonged labour. In 371 women (24.7%), labour was induced. Most women gave birth without pharmacological pain relief (n = 850, 56.5%) and had first or second-degree tear (n = 735, 54.2%). Twentyfour neonates (1.5%) had Apgar scores below seven at five minutes postpartum. One hundred and forty-eight neonates (9.6%) were born with a birth weight below the 10th percentile (SGA) and 121 (7.8%) above the 90th percentile (LGA). Thirty-three neonates (2.1%) were born pre-term (<37 weeks gestation). For 564 neonates (35.8%), the paediatrician was consulted within the first 12 h postpartum, and 181 neonates (11.5%) were admitted to the pediatric ward or NICU within the first seven days postpartum. During the 6-year study period, 27 neonates (1.7%) experienced one or more severe neonatal outcomes. Four cases (0.3%) of perinatal death (up to 28 days after birth), were reported. The causes were asphyxia, Potter’s sequence, and tight umbilical cord entanglement, respectively. For one case, the cause of death was unknown. An overview of the most relevant clinical diagnoses of the composite severe neonatal outcome is given in Supplementary Table S1.
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