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Table 4 Distribution of characteristics and their associations with adherence to the guidelines on antibiotic prophylaxis for vaginal delivery only

From: Prophylactic antibiotic use during labor and delivery in China: a nationwide, multicenter, hospital-based, cross-sectional study

Characteristics

Unweighted

Weighted

Total, no.

Adherence, no.

Proportion, %

Adherence rate, %

OR (95%CI, P value)

AOR (95%CI, P value)

Hospital level

 Secondary

10,634

8451

54.0

69.7

1 [reference]

1 [reference]

 Tertiary

34,871

26,697

46.0

75.0

1.30 (0.59–2.88, P = 0.514)

1.27 (0.60–2.71, P = 0.526)

Hospital type

 Maternity

22,505

18,570

44.5

83.9

1 [reference]

1 [reference]

 General

23,000

16,578

55.5

62.7

0.32 (0.17–0.63, P = 0.001)

0.33 (0.16–0.66, P = 0.002)

Mode of delivery

 Spontaneous vaginal

44,220

34,445

97.5

73.0

1 [reference]

1 [reference]

 Operative vaginal

1285

703

2.5

39.1

0.24 (0.09–0.67, P = 0.007)

0.32 (0.13–0.77, P = 0.012)

Premature rupture of membrane

 No

38,110

31,009

85.8

74.7

1 [reference]

1 [reference]

 Yes

7351

4120

14.2

56.7

0.44 (0.29–0.68, P < 0.001)

0.41 (0.25–0.66, P < 0.001)

Preterm

 No

41,672

33,061

93.6

73.9

1 [reference]

1 [reference]

 Yes

3232

2087

6.4

64.5

0.64 (0.42–0.99, P = 0.046)

0.67 (0.42–1.06, P = 0.085)

Meconium-stained amniotic fluid

 No

41,441

32,365

89.6

73.6

1 [reference]

1 [reference]

 Yes

3931

2708

10.4

59.7

0.53 (0.37–0.75, P < 0.001)

0.55 (0.36–0.85, P = 0.008)

Episiotomy

 No

33,187

26,951

65.3

77.0

1 [reference]

1 [reference]

 Yes

12,068

8026

34.7

63.0

0.51 (0.41–0.63, P < 0.001)

0.67 (0.46–0.96, P = 0.028)

Perineal laceration degree

 None, I and II

44,945

35,119

99.8

72.6

1 [reference]

1 [reference]

 III and IV

72

25

0.2

35.0

0.20 (0.05–0.89, P = 0.035)

0.09 (0.02–0.44, P = 0.003)

  1. OR odds ratio, AOR adjusted odds ratio (adjusted for all variables mentioned above), CI confidence interval