Inadequate fetal heart rate monitoring and poor use of partogram associated with intrapartum stillbirth: a case-referent study in Nepal

Table 6 Association between intrapartum stillbirth and exposure variables (FHRM and partogram use)

	Live Birth (n=4476)	Intrapartum stillbirth (n=136)	Crude Odds Ratio^a	95 % CI	Adjusted Odds Ratio^b	95 % CI
Frequency of Fetal Heart Rate monitoring (FHRM)
1–30 min	1100	9	Ref		Ref
>30 min or no FHRM	3376	127	4.6	2.3–9.1	4.2	2.0–8.7
>60 min or no FHRM	1479	113	9.3	4.7–18.5	7.4	3.5–15.4
Use of Partogram
Yes	2456	24	Ref		Ref
No	2020	112	5.5	3.5–8.6	3.3	2.0–5.4

^aUnivariate logistic regression analysis to determine likelihood of intrapartum stillbirth
^bMultiple logistic regression analysis to determine likelihood of intrapartum stillbirth based on FHRM frequency and partogram use, adjusted for maternal age (continuous), parity (continuous), low birth weight (<2500grms), prematurity (<37 weeks), ANC attendance, indicated Cesarean section, and presence of maternal risk factor

ISSN: 1471-2393