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Table 3 Log-binomial regression analysis (models I–IV) showing the effect of gestational diabetes mellitus on composite adverse maternal outcomes among women completed the follow up from pregnancy through to delivery in Gondar town public health facilities, Northwest Ethiopia March 2018- March, 2019 (n = 694)

From: Effects of gestational diabetes mellitus on risk of adverse maternal outcomes: a prospective cohort study in Northwest Ethiopia

Variables

Composite adverse maternal outcome

Model I

Model II

Model III

Model IV

Yes, n (%)

No, n (%)

CRR (95% CI)

ARR (95% CI)

ARR (95% CI)

ARR (95% CI)

GDM

      

Yes

64 (52.9)

57 (47.1)

1.79 (1.45, 2.21) ***

1.71 (1.36, 2.14) ***

1.70 (1.33, 2.17) ***

1.58 (1.22, 2.04)***

No

169 (29.5)

404 (70.5)

1

1

1

1

Maternal age (years )

      

< 25

54 (27.4)

143 (72.6)

1

1

1

1

25–29

82 (34)

159 (66)

1.24 (0.93, 1.65)

1.24 (0.94, 1.65)

1.24 (0.94, 1.65)

1.23 (0.93, 1.63)

30–34

59 (36.4)

103 (63.6)

1.33 (0.98, 1.80)

1.22 (0.89, 1.67)

1.22 (0.90, 1.67)

1.23 (0.90, 1.68)

≥ 35

38 (40.4)

56 (59.6)

1.47 (1.06, 2.06) *

1.32 (0.94, 1.85)

1.32 (0.94, 1.85)

1.35 (0.96, 1.89)

Educational level

      

Not formal education

37 (27.6)

97 (72.4)

1

1

1

1

Primary education

54 (34.8)

101 (65.2)

1.26 (0.89, 1.79)

1.33 (0.94, 1.87)

1.33 (0.94, 1.88)

1.34 (0.95, 1.88)

Secondary education and above

142 (35.1)

263 (64.9)

1.27 (0.94, 1.72)

1.32 (0.96, 1.80)

1.32 (0.96, 1.81)

1.31 (0.96, 1.80)

Employment status

      

Employed

104 (37.8)

171 (62.2)

1.23 (1.00, 1.51)

1.07 (0.86, 1.34)

1.08 (0.86, 1.34)

1.09 (0.88, 1.36)

Unemployed

129 (30.8)

290 (69.2)

1

1

 

1

MUAC

      

MUAC < 28 cm

187 (32.5)

389 (67.5)

1

1

1

1

MUAC ≥ 28 cm

46 (39)

72 (61)

1.20 (0.93, 1.55)

1.05 (0.82, 1.36)

1.06 (0.82, 1.37)

1.05 (0.81, 1.36)

Dietary diversity status

      

Adequate

103 (32)

219 (68)

1

 

1

1

Inadequate

130 (34.9)

242 (65.1)

1.09 (0.88, 1.35)

 

1.01 (0.82, 1.25)

0.94 (0.83, 1.27)

Level of physical activity

      

High

66 (31.7)

142 (68.3)

1

 

1

1

Moderate

101(31.9)

216 (68.1)

1.01 (0.78,1.30)

 

0.95 (0.74, 1.23)

0.94 (0.73, 1.21)

Low

66 (39.1)

103 (60.9)

1.23 (0.94, 1.62)

 

0.98 (0.73, 1.30)

1.00 (0.75, 1.33)

Antenatal depression

      

Yes

34 (48.6)

36 (51.4)

1.52 (1.17, 1.99) **

  

1.28 (0.97, 1.68)

No

199 (31.9)

425 (68.1)

1

  

1

  1. *= P < 0.05 **=P <0.01 ***= P< 0.001 1=Reference CRR Crude relative risk, ARR Adjusted relative risk, CI Confidence interval, GDM Gestational diabetes mellitus MUAC Mid-upper arm circumference
  2. Notes: Model I: shows crude relative risk. Model II: Adjusted for maternal and socio-demographic variables (adjusted by maternal age, educational status, employment status, MUAC) Model III: Adjusted for maternal/socio-demographic variables plus life style parameters (physical activity and dietary diversity) Model IV: Adjusted for maternal/socio demographic variables, life style variables plus antenatal depression.