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Table 4 Delivery Complications and Fetal/Neonatal Outcomes by Polyhydramnios

From: Polyhydramnios among women in a cluster-randomized trial of ultrasound during prenatal care within five low and low-middle income countries: a secondary analysis of the first look study

 

Overall

DRC

Other

With

Polyhydramnios

N = 305

No

Polyhydramnios

N = 18,327

Odds Ratiob/Estimatec

(95% CI)

With

Polyhydramnios

N = 229

No

Polyhydramnios

N = 2062

With

Polyhydramnios

N = 76

No

Polyhydramnios

N = 16,265

Delivery complications

 Obstructed labor, n (%)

20 (7)

773 (4)

 

12 (5)

43 (2)

8 (11)

730 (5)

 Hemorrhage, n (%)

6 (2)

360 (2)

 

1 (0)

20 (1)

5 (7)

340 (2)

 Hypertensive disorder, n (%)

6 (2)

366 (2)

 

0 (0)

0 (0)

6 (8)

366 (2)

 Fetal malposition, n (%)

12 (4)

352 (2)

 

7 (3)

13 (1)

5 (7)

339 (2)

 C-section delivery, n (%)

17 (6)

2,154 (12)

 

7 (3)

28 (1)

10 (13)

2,126 (13)

 Maternal death < 42 days, n (rate/100,000 deliveries)

0 (0)

23 (126)

 

0 (0)

3 (146)

0 (0)

20 (123)

 Maternal sepsis, n (%)

5 (2)

281 (2)

 

2 (1)

27 (1)

3 (4)

254 (2)

Fetal/Neonatal outcomesa

 Male, n (%)

173 (57)

9,314 (51)

 

137 (60)

1,068 (52)

36 (47)

8,246 (51)

 Low birth weight, n (%)

23 (8)

2,288 (13)

 

15 (7)

226 (11)

8 (11)

2,062 (13)

 GA at delivery, Mean (std)

39.0 (2.9)

38.6 (3)

 

39.1 (3)

38.7 (13)

38.8 (3.4)

38.5 (5)

 Multiple gestation, n (%)

1 (0)

205 (1)

 

0 (0)

42 (2)

1 (1)

163 (1)

 Congenital anomaly, n (%)

0 (0)

32 (0)

 

0 (0)

0 (0)

0 (0)

32 (0)

 Stillbirth, n (rate/1,000)

13 (43)

451 (25)

1.29 (0.78, 2.12)

10 (44)

77 (37)

3 (40)

374 (23)

 Birth weight, g, Mean (std)

3082 (551)

2979 (498)

79.2 (31.1, 127.2)

3102 (528)

2965 (533)

3023 (615)

2981 (494)

 Preterm Birth, n (%)

33 (11)

2,359 (13)

0.89 (0.54, 1.46)

22 (10)

262 (13)

11 (16)

2,097 (13)

 Neonatal death < 28 days, n (rate/1,000)

12 (41)

379 (21)

2.43 (1.15, 5.13)

5 (23)

36 (18)

7 (97)

343 (22)

  1. aFetal/Neonatal outcomes are calculated at the maternal level if at least one fetus/neonate has the outcome
  2. bOdds Ratio from a multivariable logistic regression model adjusting for at least one polyhydramnios finding, DRC/Other, Age, Parity and Previous LB with general estimating equations to control for cluster level effects
  3. cEstimate from a multivariable regression model adjusting for at least one polyhydramnios finding, DRC/Other, Age, Parity and Previous LB with general estimating equations to control for cluster level effects