Outcomes of completed pregnancies receiving obstetric care navigator (OCN) accompaniment during improvement intervention compared with those who did not receive services
Characteristic | OCN accompaniment | No OCN accompaniment | P value | ||
n | Value (%) | n | Value (%) | ||
Referral during pregnancy | 276/276 | 100 | 73/504* | 14.5 | < 0.001 |
>1 referral† | 77/276 | 27.9 | – | – | – |
Emergency referral | 231/276 | 83.7 | – | – | – |
Home delivery‡ | 73/276 | 26.5 | 426/506 | 84.2 | < 0.001 |
Caesarean delivery‡ | 97/276 | 32.6 | 30/506 | 6.0 | < 0.001 |
Stillbirth§ | 4/276 | 1.5 | 0/571 | 0 | 0.007 |
Neonatal death§ | 6/276 | 2.2 | 13/571 | 2.8 | 0.732 |
Maternal death§ | 0/276 | 0 | 0/571 | 0 | – |
Uterine rupture‡ | 1/276 | 0.4 | 0/506 | 0 | 0.175 |
Hypertensive disorders of pregnancy‡ | 23/276 | 8.3 | 13/506 | 2.6 | < 0.001 |
Italics signify statistical signifiance at p <0.05.
*Data missing for two patients.
†Excludes nulliparous women.
‡These outcomes were collected in postnatal interviews which were conducted with 782 mothers in the traditional birth attendant (TBA) cohort, or 506 of those who did not receive obstetric care navigator (OCN) support.
§These clinical outcomes represent the entire TBA cohort (n=847) as they were reported by TBAs on a deidentified basis and thus did not require postnatal interview or patient consent.