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Table 5 Determinants of fetal and early neonatal mortality at MTRH from Jan 2005-Mar 2011

From: A case-control study of risk factors for fetal and early neonatal deaths in a tertiary hospital in Kenya

    

LR test statistic

Predictor

Cases n (%)

Controls n (%)

Adjusted OR (95% CI)

x 2

Degrees of freedom

P value

Qualification of birth attendant

   

10.58

1

<0.01

 Midwife

142 (74)

191 (50)

1

   

 Doctor

50 (26)

187 (49)

0.2 (0.1-0.6)

   

Number of antenatal care visits

   

7.35

2

0.03

 0-1

31 (26)

15 (4)

4.5 (1.2-16.7)

   

 2-3

74 (63)

212 (59)

1.0

   

 Above 4

13 (11)

133 (36)

0.5 (0.2-1.5)

   

Gestational age at admission

   

19.72

2

<0.01

 <37 weeks

116 (72)

74 (20)

7.0 (2.4-20.4)

   

 37-42 weeks

39 (24)

274 (75)

1.0

   

 > 42 weeks

6 (4)

15 (4)

16.2 (2.8-92.3)

   

Premature rupture of membrane

   

6.38

1

0.01

 No

148 (74)

373 (93)

1.0

   

 Yes

52 (26)

27 (7)

4.1 (1.4-12.1)

   

Haemorrhage

   

4.09

1

0.04

 No

183 (91)

371 (95)

1.0

   

 Yes

17 (9)

29 (5)

4.8 (1.1-21.9)

   

Dystocia

   

5.08

1

0.02

 No

158 (79)

336 (84)

1.0

   

 Yes

42 (21)

64 (16)

3.6 (1.2-10.9)

   

Other maternal complications

   

0.47

1

0.49

 No

184 (92)

378 (94)

2.0 (0.3-13.9)

   

 Yes

16 (8)

22 (6)

1.0

   

Sepsis

   

0.3

1

0.58

 No

163 (82)

275 (69)

1.0

   

 Yes

37 (18)

125 (31)

1.4 (0.5-3.9)

   

Asphyxia

   

1.65

1

0.20

 No

127 (63)

326 (81)

1.0

   

 Yes

73 (37)

74 (19)

0.4 (0.1-1.7)

   

Respiratory Distress syndrome

   

0.05

1

0.82

 No

134 (67)

306 (76)

1.0

   

 Yes

66 (33)

94 (24)

0.9 (0.4-2.3)

   

Congenital malformation

   

4.14

1

0.04

 No

179 (89)

182 (95)

1.0

   

 Yes

21 (11)

18 (5)

6.3 (1.2-31.6)

   

Baby’s birth weight

   

2.82

1

0.09

 Above 2500 gms

49 (27)

282 (71)

1.0

   

 less than 2500 gms

133 (73)

116 (29)

2.4 (0.9-6.7)

   

Baby’s Apgar score

   

26.09

1

<0.001

 7-10 at 5 mins

79 (50)

349 (95)

1.0

   

 0-6 at 5 mins

78 (49)

20 (5)

26.4 (6.1-113.8)

   
  1. Reference category for logistic regression represented by 1.0.
  2. Numbers may not add to total sample size due to missing values.