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Table 2 Adjusted Odds Ratios (OR) and 95% Confidence Intervals (95%CI) obtained from a multivariable multinomial logistic regression model for timing of ultrasound at different independent variables. The Maternity Experiences Survey (MES)

From: Factors associated with the timing of the first prenatal ultrasound in Canada

Variable

Early

Adjusted OR (95%CI)a

Late

Adjusted OR (95%CI)a

MATERNAL FACTORS

 Fertility medications or procedures

  Yes

3.47 (2.59–4.65)

1.39 (0.33–5.80)

 Health problems before pregnancy

  Yes

1.30 (1.09–1.56)

0.55 (0.31–0.97)

 Health Problems during pregnancy

  Yes

1.27 (1.09–1.48)

1.05 (0.73–1.50)

 Pre-pregnancy BMI

  Underweight (less than 18.5)

1.81 (1.34–2.44)

0.87 (0.39–1.93)

  Overweight/obese (25+)

1.06 (0.92–1.23)

0.99 (0.70–1.39)

  Intended pregnancy

  Unintended

1.13 (0.96–1.34)

1.89 (1.38–2.59)

BEHAVIOURAL RISK FACTORS

 Smoking during the last 3 months of pregnancy

  Yes

0.97 (0.76–1.24)

1.00 (0.62–1.61)

 Alcohol during pregnancy

  Yes

0.69 (0.53–0.90)

1.01 (0.57–1.79)

REPRODUCTIVE HISTORY

 Parity

  Multiparous

0.67 (0.57–0.78)

1.41 (0.97–2.05)

 History of premature birth

  Yes

1.41 (1.06–1.89)

0.56 (0.24–1.32)

 History of ectopic pregnancy or stillbirth

  Yes

1.50 (1.00–2.26)

0.40 (0.14–1.19)

 History of miscarriage

  Yes

2.04 (1.65–2.54)

0.61 (0.33–1.11)

 History of therapeutic abortion

  Yes

1.01 (0.81–1.25)

0.89 (0.54–1.47)

PRENATAL AND BIRTH RELATED FACTORS

 Type of prenatal care provider

  Family doctor/GP

0.94 (0.78–1.12)

1.26 (0.89–1.77)

  Midwife and otherb

1.16 (0.86–1.57)

1.71 (0.94–3.11)

 Mode of delivery

  Caesarean

1.11 (0.95–1.29)

1.14 (0.81–1.62)

 Birthweight

   < 2500

1.25 (0.89–1.77)

0.76 (0.28–2.09)

   > 4000

0.90 (0.73–1.13)

0.96 (0.59–1.58)

SOCIO-DEMOGRAPHIC FACTORS

 Maternal age at delivery

   < 20

0.54 (0.34–0.84)

1.11 (0.53–2.33)

  35+

0.92 (0.76–1.12)

0.93 (0.61–1.42)

 Country of birth/Aboriginal status

  Born outside of Canada

0.82 (0.67–0.99)

1.75 (1.14–2.68)

  Aboriginal

0.83 (0.58–1.19)

0.59 (0.28–1.24)

 Marital status

  With partner

0.80 (0.60–1.08)

0.92 (0.51–1.65)

 Province of prenatal care

  Newfoundland and Labrador

1.66 (1.20–2.30)

1.25 (0.54–2.86)

  Prince Edward Island

0.84 (0.60–1.18)

1.60 (0.85–3.01)

  Nova Scotia

1.68 (1.25–2.28)

1.24 (0.57–2.70)

  New Brunswick

1.29 (0.90–1.87)

1.14 (0.57–2.29)

  Ontario

2.16 (1.76–2.65)

0.98 (0.63–1.54)

  Manitoba

0.66 (0.45–0.98)

2.88 (1.64–5.05)

  Saskatchewan

1.50 (1.05–2.14)

1.12 (0.53–2.36)

  Alberta

1.37 (1.05–1.77)

1.55 (0.87–2.78)

  British Columbia

1.90 (1.45–2.50)

0.84 (0.44–1.58)

  Territories

1.01 (0.68–1.52)

4.50 (2.27–8.93)

 Urban/Rural

  Rural

0.83 (0.66–1.03)

0.94 (0.57–1.57)

  Urban (< 30,000)

0.87 (0.70–1.07)

0.58 (0.35–0.98)

  Urban (30,000-99,000)

0.94 (0.72–1.24)

0.93 (0.51–1.70)

  Urban (100,000-499,999)

0.90 (0.71–1.13)

1.21 (0.69–2.14)

 Travelled to another city or town for birth

   < 80 km

0.99 (0.83–1.19)

1.28 (0.88–1.86)

  80 km+

1.24 (0.87–1.75)

0.28 (0.12–0.65)

 Education

  Post-secondary, below bachelor

0.96 (0.78–1.19)

0.74 (0.51–1.07)

  Bachelor

0.98 (0.77–1.25)

0.48 (0.29–0.80)

  Graduate

0.91 (0.68–1.22)

0.55 (0.27–1.10)

 Employment during pregnancy

  Yes

0.96 (0.79–1.17)

0.83 (0.57–1.21)

 Household income (Canadian Dollar)

  30,000- < 60,000

1.02 (0.81–1.28)

1.37 (0.92–2.05)

  60,000- < 100,000

0.94 (0.74–1.21)

0.74 (0.45–1.24)

  100,000+

1.41 (1.07–1.85)

0.74 (0.38–1.47)

 INTERACTION: Prenatal care provider x History of miscarriage

  OB/GYN x No miscarriage

1.00

1.00

  Family doctor x miscarriage

0.90 (0.64–1.25)

0.76 (0.29–1.98)

  Midwife and other x miscarriage

0.31 (0.14–0.66)

1.51 (0.20–11.35)

  1. aObtained using a multivariable multinomial logistic regression model using ‘Optimal’ as the reference category
  2. bOther includes: Nurse or nurse practitioner, other doctor (unspecified) or a response of ‘other’ to the question asking about the type healthcare provider that provided most of the respondent’s prenatal care