From: Determinants of stillbirths in Ghana: does quality of antenatal care matter?
 | Cross tabulations | Multilevel logistic regression | |||
---|---|---|---|---|---|
 | Unweighted | Weighted | Unweighted | ||
Variable | N | % | % | [95Â % C.I] | Unadjusted OR [95Â % C.I] |
ANC quality score | |||||
 7 or less | 39 | 2.1 | 1.8 | [1.2 2.5] |  |
 8 or 9 | 38 | 1.3 | 1.3 | [0.9 1.8] | 0.62* [0.39 0.98] |
No. of ANC visits | |||||
 1–3 visits | 21 | 2.1 | 2.1 | [1.1 3.2] |  |
 Four or more | 56 | 1.4 | 1.4 | [0.9 1.8] | 0.66 [0.39 1.11] |
Trimester of first ANC visit | |||||
 First trimester | 40 | 1.5 | 1.4 | [0.9 1.9] |  |
 Second trimester | 34 | 1.7 | 1.7 | [1.1 2.4] | 1.14 [0.71 1.82] |
 Third trimester | 3 | 1.7 | 0.8 | [−0.1 1.8] | 1.1 [0.33 3.65] |
Type of ANC facility | |||||
 Gov’t hospital or polyclinic | 48 | 2.2 | 1.9 | [1.3 2.5] |  |
 Other Gov’t facility | 24 | 1.3 | 1.4 | [0.8 2.0] | 0.59* [0.35 0.98] |
 Private facility/maternity | 5 | 0.7 | 0.7 | [0.0 1.3] | 0.33* [0.13 0.83] |
Highest trained ANC provider | |||||
 Nurse | 52 | 1.4 | 1.3 | [0.9 1.8] |  |
 Doctor | 24 | 2.4 | 2.3 | [1.2 3.3] | 1.74* [1.05 2.89] |
 All others | 1 | 0.8 | 0.8 | [−0.8 2.3] | 0.67 [0.10 5.07] |
Reason for seeking ANC | |||||
 For checkup | 65 | 1.6 | 1.5 | [1.1 1.9] |  |
 For a problem | 12 | 1.5 | 1.5 | [0.6 2.5] | 0.9 [0.48 1.69] |
Delivery by SBA | |||||
 No | 17 | 0.9 | 0.7 | [0.3 1.0] |  |
 Yes | 60 | 2.1 | 2.1 | [1.5 2.8] | 2.59*** [1.47 4.57] |
Delivery assisted by | |||||
 Nurse/Midwife | 33 | 1.4 | 1.6 | [0.9 2.3] |  |
 Doctor | 27 | 5.5 | 5.1 | [2.9 7.2] | 4.15*** [2.43 7.11] |
 Other | 17 | 0.8 | 0.7 | [0.3 1.0] | 0.56 [0.31 1.03] |
Delivery in health facility | |||||
 No | 18 | 0.9 | 0.7 | [0.4 1.1] |  |
 Yes | 59 | 2.1 | 2.1 | [1.5 2.8] | 2.48** [1.43 4.33] |
Type of Delivery facility | |||||
 Gov’t hospital or polyclinic | 48 | 3.1 | 3.1 | [2.2 4.1] |  |
 Other Gov’t facility | 6 | 0.9 | 1.0 | [0.2 1.8] | 0.27** [0.11 0.64] |
 Private clinic/maternity | 5 | 0.8 | 0.9 | [0.0 1.8] | 0.25** [0.10 0.63] |
 Home/other/DK | 18 | 0.9 | 0.7 | [0.4 1.1] | 0.26*** [0.15 0.46] |
Caesarian delivery | |||||
 No | 62 | 1.4 | 1.3 | [0.9 1.7] |  |
 Yes | 15 | 4.3 | 4.7 | [2.1 7.3] | 3.34*** [1.84 6.07] |
Forceps delivery | |||||
 No | 68 | 1.4 | 1.4 | [1.0 1.8] |  |
 Yes | 9 | 9.6 | 8.0 | [2.3 13.8] | 7.11*** [3.30 15.3] |
Blood transfusion | |||||
 No | 71 | 1.5 | 1.4 | [1.0 1.8] |  |
 Yes | 6 | 6.5 | 6.3 | [1.1 11.4] | 4.68*** [1.90 11.5] |
IV Infusion | |||||
 No | 45 | 1.2 | 1.0 | [0.7 1.4] |  |
 Yes | 32 | 3.1 | 3.4 | [2.0 4.7] | 2.75*** [1.71 4.42] |
Any intervention | |||||
 No | 37 | 1.0 | 0.9 | [0.6 1.2] |  |
 Yes | 40 | 3.5 | 3.8 | [2.5 5.1] | 3.70*** [2.32 5.90] |
Past Stillbirth | |||||
 No | 63 | 1.4 | 1.3 | [1.0 1.7] |  |
 Yes | 14 | 6.4 | 5.4 | [2.5 8.4] | 4.93*** [2.66 9.16] |
Past miscarriage | |||||
 No | 63 | 1.5 | 1.5 | [1.1 1.9] |  |
 Yes | 14 | 1.8 | 1.7 | [0.7 2.8] | 1.13 [0.63 2.05] |
Past induced abortion | |||||
 No | 56 | 1.4 | 1.3 | [0.9 1.7] |  |
 Yes | 21 | 2.7 | 2.5 | [1.3 3.7] | 1.93* [1.16 3.21] |
Pregnancy complication | |||||
 No | 39 | 1.0 | 0.9 | [0.6 1.2] |  |
 Yes | 38 | 3.6 | 3.9 | [2.4 5.3] | 3.70*** [2.33 5.88] |
Type of Gestation | |||||
 Single pregnancy | 66 | 1.4 | 1.3 | [1.0 1.7] |  |
 Multiple pregnancy | 11 | 8.7 | 8.5 | [3.4 13.6] | 7.45*** [3.64 15.3] |
Sister maternal death | |||||
 No | 70 | 1.5 | 1.4 | [1.0 1.8] |  |
 Yes | 7 | 8.2 | 7.7 | [1.5 13.9] | 6.51*** [2.76 15.3] |
Current age in years | |||||
 15–19 | 4 | 1.7 | 2.0 | [−0.1 4.0] | 1.61 [0.62 4.18] |
 20–24 | 10 | 1.1 | 1.1 | [0.4 1.9] | 0.91 [0.44 1.89] |
 25–29 (ref) | 17 | 1.5 | 1.4 | [0.7 2.1] |  |
 30–34 | 14 | 1.3 | 1.0 | [0.4 1.5] | 0.82 [0.40 1.66] |
 35–39 | 13 | 1.5 | 1.7 | [0.6 2.7] | 0.92 [0.44 1.90] |
 40–49 | 19 | 3.0 | 2.8 | [1.4 4.3] | 2.16* [1.12 4.15] |
Marital status | |||||
 Currently married | 54 | 1.5 | 1.4 | [1.0 1.9] |  |
 Cohabitating | 6 | 0.9 | 0.8 | [0.1 1.4] | 0.58 [0.24 1.37] |
 Previously married | 5 | 1.4 | 1.3 | [0.1 2.4] | 0.95 [0.37 2.42] |
 Never married | 12 | 3.5 | 3.9 | [1.7 6.1] | 2.25* [1.17 4.34] |
No. of Pregnancies (Gravidity) | |||||
 One | 10 | 1.22 | 1.2 | [0.6 2.3] |  |
 Two | 12 | 1.48 | 1.4 | [0.8 2.5] | 1.22 [0.52 2.88] |
 Three | 10 | 1.23 | 1.2 | [0.6 2.1] | 1.05 [0.43 2.55] |
 Four | 8 | 1.16 | 1.1 | [0.5 2.3] | 0.96 [0.37 2.46] |
 Five or more | 37 | 2.14 | 2.1 | [1.4 3.0] | 1.82 [0.89 3.73] |
Education | |||||
 None | 20 | 1.3 | 1.0 | [0.4 1.5] |  |
 Primary | 13 | 1.2 | 1.4 | [0.6 2.2] | 0.99 [0.48 2.04] |
 Middle/JSS | 35 | 1.9 | 1.9 | [1.2 2.7] | 1.56 [0.88 2.80] |
 Secondary/SSS/higher | 9 | 2.2 | 2.2 | [0.4 4.0] | 1.81 [0.79 4.13] |
Household wealth index | |||||
 Poorest | 16 | 1.6 | 1.6 | [0.9 2.8] |  |
 Poorer/Middle | 22 | 1.2 | 1.1 | [0.7 1.8] | 0.76 [0.39 1.48] |
 Rich/Richest | 39 | 2.0 | 1.9 | [1.3 2.7] | 1.29 [0.69 2.43] |
Setting | |||||
 Rural | 34 | 1.1 | 1.1 | [0.7 1.5] |  |
 Urban | 43 | 2.3 | 2.3 | [1.5 3.1] | 2.05** [1.25 3.36] |
Region | |||||
 Greater Accra | 9 | 1.5 | 1.0 | [0.3 1.8] |  |
 Central | 7 | 1.6 | 1.3 | [0.3 2.3] | 1.14 [0.39 3.31] |
 Western | 1 | 0.3 | 0.4 | [−0.3 1.1] | 0.19 [0.02 1.53] |
 Volta | 3 | 0.8 | 0.8 | [−0.1 1.8] | 0.54 [0.14 2.13] |
 Eastern | 17 | 2.3 | 2.6 | [1.0 4.2] | 1.68 [0.70 4.03] |
 Ashanti | 15 | 1.8 | 1.7 | [0.7 2.8] | 1.3 [0.53 3.18] |
 Brong Ahafo | 14 | 2.9 | 2.8 | [1.2 4.5] | 2.16 [0.85 5.47] |
 Northern | 8 | 1.6 | 1.3 | [0.2 2.4] | 1.15 [0.40 3.27] |
 Upper East | 2 | 0.7 | 0.7 | [−0.2 1.6] | 0.47 [0.09 2.33] |
 Upper West | 1 | 0.4 | 0.4 | [−0.4 1.3] | 0.3 [0.04 2.55] |
Religious affiliation | |||||
 Catholic | 13 | 2.0 | 1.5 | [0.5 2.5] |  |
 Methodist/Presbyterian | 12 | 1.8 | 1.6 | [0.6 2.6] | 0.78 [0.45 1.32] |
 Pentecostal/charismatic | 21 | 1.5 | 1.7 | [0.9 2.4] | 0.85 [0.42 1.72] |
 Other Christian | 13 | 1.6 | 1.6 | [0.7 2.4] | 0.47 [0.16 1.40] |
 Moslem | 14 | 1.6 | 1.5 | [0.6 2.3] |  |
 Traditional/other | 4 | 0.9 | 0.9 | [0.0 1.8] |  |
Ethnicity | |||||
 Akan | 36 | 1.6 | 1.6 | [1.0 2.2] |  |
 Ga/Dangme/Guan | 11 | 2.2 | 2.1 | [0.3 3.9] | 1.3 [0.63 2.70] |
 Ewe | 10 | 1.6 | 1.4 | [0.4 2.4] | 1.01 [0.48 2.13] |
 Mole-Dagbani/Hausa | 9 | 1.5 | 1.4 | [0.4 2.5] | 0.89 [0.40 2.00] |
 Grussi/Gruma | 4 | 0.7 | 0.7 | [0.0 1.4] | 0.45 [0.15 1.32] |
 Other/4missing | 7 | 1.6 | 1.8 | [0.3 3.2] | 1.03 [0.44 2.44] |
 |  | Random effects for null model | |||
Cluster variance | Â | Â | 0.86* [0.49 1.51] | ||
Number of clusters | 400 | Â | Â | ||
Number of women | 4868 | Â | Â |