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Table 2 Characteristics of 20,662 women/21,255 infants at KCMC, Tz, 2000-07

From: Caesarean section among referred and self-referred birthing women: a cohort study from a tertiary hospital, northeastern Tanzania

 

All births

Referred

Self-referred

 

N = 20,662/21,255

N = 4,004/4,150

N = 14,708/15,041

Factors

%

CS rate

%

CS rate

%

CS rate

Age, years (median 27)

      

   < 20

9.6

29.7

15.0

45.7

8.5

22.2

   20-24

27.2

30.2

27.9

53.2

27.6

23.9

   25-29

28.7

33.0

23.8

59.3

30.0

27.4

   30-35

24.3

35.3

22.0

58.7

24.5

29.9

   > 35

10.1

35.6

11.4

55.5

9.4

30.6

Parity (mean 1.3, median 1)

      

   0

38.5

28.9

40.3

48.8

39.0

23.1

   1-4

58.1

35.6

55.0

60.4

58.2

29.7

   > = 5

3.4

28.7

4.7

46.0

2.8

21.8

Maternal education

      

   None

2.2

45.2

4.2

58.7

1.7

35.7

   Primary (1-7)

64.8

34.7

77.9

55.2

61.5

28.0

   Secondary (8-11)

4.7

29.0

3.9

53.8

4.9

24.9

   Higher (12+)

28.0

27.8

14.0

53.7

31.9

24.6

Current residence

      

   Rural

46.2

38.1

67.2

53.4

40.2

31.9

   Urban

49.3

27.4

27.9

57.9

55.3

23.1

   Semi urban

4.5

36.3

4.9

60.7

4.5

29.6

Female Genital Mutilation

      

   FGM, any type

25.2

36.5

32.4

55.9

23.0

29.5

   No FGM

74.8

31.5

67.6

54.7

77.0

26.2

HIV status

      

   †HIV test recorded

47.9

31.8

39.6

50.4

52.7

28.1

   HIV + (of recorded)

6.4

32.4

7.3

44.8

6.3

29.5

Antenatal care

      

   One visit or more

99.2

32.7

99.2

55.1

99.3

26.9

   4 visits or more

75.5

32.1

60.2

55.5

76.5

26.7

Serious mat. morbidity*

      

   Yes

5.4

47.9

8.6

56.5

4.4

43.2

   No

94.6

31.9

91.4

54.9

95.6

26.2

Low birth weight (g)

      

   < 2500

13.1

32.2

18.5

49.4

11.6

33.6

   > = 2500

86.9

38.6

81.5

56.1

88.4

26.4

Outcomes

      

Haemorrhage**

      

   > = 750 cc

2.3

81.3

3.5

83.3

2.0

80.4

   < 750 cc

97.7

31.3

96.5

47.9

98.0

26.6

Postpartum stay

      

   > 9 days

2.1

57.0

3.6

69.9

1.8

50.2

   < = 9 days

97.9

31.7

96.4

54.3

98.2

26.0

Maternal death

      

   Yes

0.1

40.7

0.2

37.5

0.1

44.4

   No

99.9

32.7

99.8

54.9

99.9

26.9

Apgar score

      

   Apgar < 7 at 5"

2.7

48.8

5.1

57.8

2.1

42.9

   Apgar > = 7 at 5"

97.3

32.7

94.9

55.3

97.7

27.0

Neonatal death

      

   Yes

1.0

44.0

1.9

46.8

0.7

43.1

   No

99.0

32.8

98.1

54.9

99.3

27.0

Transfer to neonatal ward

      

   Yes

14.2

21.8

21.5

61.9

12.2

45.3

   No

85.8

10.5

78.5

52.7

87.8

24.6

  1. †Associated to referral status (P < .01; Chi-Square). *Including hypertensive disorders in pregnancy including preeclampsia, abruptio placentae and placenta praevia. **Data available for 2005 and onwards.