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Table 3 Foetal heart rate monitoring and adherence to guidelines

From: Risk factors of stillbirths in four district hospitals on Pemba Island, Tanzania: a prospective cohort study

 

Live births, n = 1386

Stillbirths, n = 31

OR (95% CI)

P-value

FHR at admission registered

   

<0.001*** 

“Was there foetal heart rate on admission?”

    

Yes

1041 (76.3%)

11 (35.5%)

Ref

 

No / Marked as unknown

324 (23.7%)

20 (64.5%)

5.84 (2.77–12.32)

 

Missing

21

0

  

FHR value at admission

   

 <0.001**

Slow < 120 bpm

8 (0.6%)

2 (6.5%)

31.5 (5.76-172.17)

 

Normal 120–160 bpm

1008 (72.7%)

8 (25.8%)

Ref

 

Fast > 160 bpm

8 (0.6%)

0 (0%)

0

 

No value measured

362 (26.1%)

21 (67.7%)

7.31 (3.21–16.65)

 

Missing

0

0

  

Last measured FHR value

   

 <0.001**

Slow < 120 bpm

48 (3.5%)

2 (6.5%)

5.01 (0.98–25.47)

 

Normal 120–160 bpm

721 (52%)

6 (19.4%)

Ref

 

Fast > 160 bpm

14 (1%)

0 (0%)

0

 

No value measured

603 (43.5%)

23 (74.2%)

4.58 (1.85–11.33)

 

Missing

0

0

  

FHR value measured at any time during admission a

   

 < 0.001**

No foetal heart rate value measured at any time

275 (19.8%)

19 (61.3%)

6.4 (3.07–13.34)

 

Foetal heart rate value measured during admission

1111 (80.2%)

12 (38.7%)

Ref

 

Delivery mode with no foetal heart rate at admission b,c

   

 0.006**

CS with no foetal heart rate at admission

24 (7.5%)

5 (25%)

4.13 (1.38–12.32)

 

SVD with no FHR at admission

297 (92.5%)

15 (75%)

Ref

 

Missing

3

0

  
  1. Note. FHR Foetal heart rate, CS Caesarean section, OR Odds ratio, CI Confidence interval
  2. *Fischer’s exact test, **Pearson Chi-Square test, aComputed from the variables “FHR value at admission” and “Last measured FHR value”. If no values were collected in either of the two, there was no foetal heart rate value measured at any time. bVacuum extraction or forceps was not performed in women presenting with no FHR at admission. cCrosstab made with layering. “FHR at admission”-variable used for layering and “Delivery mode” used in the crosstab. Significant results are in bold