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Table 4 Pooled and site-wise adjusted analysis for adverse birth outcomes according to Hba1c levels

From: Early to mid-pregnancy HbA1c levels and its association with adverse pregnancy outcomes in three low middle-income countries in Asia and Sub-Saharan Africa

Outcomes

Sylhet-Bangladesh

N = 2955

Karachi-Pakistan

N = 2453

Pemba-Tanzania

N = 4102

Total

N = 9510

aRR(95%CI)

aRR(95%CI)

aRR(95%CI)

aRR(95%CI)

Pregnancy ended in stillbirth (Gestational Age > 22 Weeks)

N = 124

N = 91

N = 124

N = 339

 HbA1c < 5.7

-

Ref

Ref

Ref

 HbA1c 5.7–6.4

-

1.5 (0.6–3.9)

0.5 (0.2–1.2)

1.2 (0.9–1.7)

 HbA1c ≥ 6.5

-

10.1 (3.6–28.4)

8.3 (2.8–24.3)

6.3 (3.4–11.6)

Preterm birth

(< 37 weeks of Gestation)

N = 331

N = 351

N = 210

N = 892

 HbA1c < 5.7

Ref

-

-

Ref

 HbA1c 5.7–6.4

1.2 (0.8–1.9)

-

-

1.2 (0.9–1.6)

 HbA1c ≥ 6.5

6.8 (1.8–25.9)

-

-

3.5 (1.8–6.7)

Large for gestational age

(> 10th centile)

N = 30

N = 32

N = 470

N = 532

 HbA1c < 5.7

Ref

Ref

Ref

Ref

 HbA1c 5.7–6.4

0.5 (0.1–2.4)

1.4 (0.3–6.1)

1.1 (0.8–1.4)

1.2 (0.9–1.6)

 HbA1c ≥ 6.5

34.8 (8.8–139.6)

12.0 (2.8–52.0)

4.1 (1.9–8.4)

5.5 (2.9–10.6)

Caesarean section delivery

N = 385

N = 375

N = 132

N = 892

 HbA1c < 5.7

-

Ref

-

-

 HbA1c 5.7–6.4

-

1.3 (0.7–2.2)

-

-

 HbA1c ≥ 6.5

-

5.7 (1.8–18.3)

-

-

  1. The stillbirth model was adjusted for gravidity, previous history of stillbirth, tobacco use, biomass exposure and maternal anemia. The preterm model was adjusted for maternal age, MUAC, parity, gravidity, previous cesarean section, tobacco use and biomass exposure. The LGA model was adjusted for maternal education status, maternal BMI, MUAC, gravidity, biomass exposure, tobacco use, and previous history of diabetes. The cesarean section model was adjusted for maternal age, wealth quintile, maternal BMI, parity, and gravidity