Bulletin of the World Health Organization

Elective induction versus spontaneous labour in Latin America

Gláucia Virgínia Guerra, José Guilherme Cecatti, João Paulo Souza, Aníbal Faúndes, Sirlei Siani Morais, Ahmet Metin Gülmezoglu, Renato Passini, Mary Angela Parpinelli, Guillermo Carroli, for the WHO Global Survey on Maternal & Perinatal Health in Latin America Study Group

Volume 89, Number 9, September 2011, 657-665

Table 2. Crude odds ratios (OR) and adjusted odds ratios (ORadj) of elective labour induction in women with low-risk pregnancies, by demographic and other characteristics, in selected Latin American countries, 2005

Characteristic Spontaneous onset of labour
Elective induction
OR (95% CI) ORadj (95% CI)a
No % No %
Age (years)
10–19 369 19.99 7666 21.55 0.90 (0.80–1.01) 0.96 (0.84–1.10)
20–34 1347 72.97 25 181 70.77 1.00 1.00
≥ 35 130 7.04 2733 7.68 0.89 (0.74–1.07) 0.98 (0.77–1.24)
Missing 1 17
Marital status
Having a partner 26 668 75.27 1513 81.96 1.00 1.00
No partner 8762 24.73 333 18.04 0.67 (0.59–0.76) 0.76 (0.67–0.87)
Missing 167 1
Years of schooling
< 7 9649 28.72 488 28.82 0.92 (0.77–1.11) 1.10 (0.91–1.34)
7–12 21 073 62.72 1047 61.85 0.90 (0.76–1.07) 1.06 (0.89–1.26)
> 12 2877 8.56 158 9.33 1.00 1.00
Missing 1998 154
Parity
Primipara 15 565 43.81 828 44.83 1.05 (0.95–1.17) 1.13 (1.01–1.27)
2–3 deliveries 15 232 42.87 769 41.64 1.00 1.00
> 3 deliveries 4734 13.32 250 13.54 1.05 (0.90–1.21) 1.07 (0.91–1.26)
Missing 66
Health-care facility
Public 26 734 75.10 1047 56.68 1.00 1.00
Social security 6118 17.19 666 36.06 2.78 (2.51–3.08) 2.90 (2.61–3.22)
Private 2741 7.71 134 7.26 1.25 (1.04–1.50) 1.85 (1.47–2.32)
BMI (kg/m2)
≤ 30 16 334 59.22 890 56.12 1.00 Not usedb
> 30 (obesity) 11 250 40.78 696 43.88 1.14 (1.03–1.26)
Missing 8013 261

BMI, body mass index; CI, confidence interval.

a Simple and multiple logistic regression model (including all variables except BMI).

b BMI was not used in multiple analyses due to the high number of cases in which data were missing.