Table 5 Sociodemographic and clinical variables for severe maternal morbidity (SMM) and near miss (NM)/death. Teresina, Piaui, Brazil
Variables | SMM (n = 343) | NM/Death (n = 66) | CCa (n = 824) | SMM vs. CCb | NM/Death vs. CCc | |||
|---|---|---|---|---|---|---|---|---|
N | % | N | % | N | % | OR (CI 95 %) | OR (CI 95 %) | |
Age < 20 years | ||||||||
No | 266 | 77.5 | 49 | 74.2 | 654 | 79.4 | 1.0 | 1.0 |
Yes | 77 | 22.5 | 17 | 25.8 | 170 | 20.6 | 1.1 (0.3–1.6) | 1.3 (0.5–1.9) |
Education < 8 years | ||||||||
No | 209 | 60.9 | 41 | 62.1 | 505 | 61.3 | 1.0 | 1.0 |
Yes | 134 | 39.1 | 25 | 37.9 | 319 | 38.7 | 1.1 (0.7–1.9) | 0.9 (0.6–1.4) |
Partner | ||||||||
Yes | 272 | 79.3 | 51 | 77.3 | 629 | 76.3 | 1.0 | 1.0 |
No | 71 | 20.7 | 15 | 22.7 | 195 | 23.7 | 0.8 (0.5–2.3) | 0.9 (0.6–1.8) |
Number of pregnancies ≥ 4 | ||||||||
No | 295 | 86.0 | 57 | 86.4 | 722 | 87.6 | 1.0 | 1.0 |
Yes | 48 | 14.0 | 9 | 13.6 | 102 | 12.4 | 1.1 (0.4–1.9) | 1.1 (0.6–1.7) |
Previous cesarean | ||||||||
No | 89 | 25.9 | 21 | 31.8 | 264 | 32.0 | 1.0 | 1.0 |
Yes | 254 | 74.1 | 45 | 68.2 | 560 | 68.0 | 1.3 (0.7–2.3) | 1.0 (0.8–2.0) |
Gestational age < 37 weeks | ||||||||
No | 172 | 50.6 | 28 | 45.2 | 432 | 54.5 | 1.0 | 1.0 |
Yes | 168 | 49.4 | 34 | 54.8 | 360 | 45.5 | 1.2 (0.6–1.3) | 1.5 (0.8–2.3) |
Prenatal consultations < 6 | ||||||||
No | 165 | 49.4 | 31 | 49.2 | 402 | 50.4 | 1.0 | 1.0 |
Yes | 169 | 50.6 | 32 | 50.8 | 396 | 49.6 | 1.0 (0.6–1.6) | 1.0 (0.7–2.1) |
Comorbidities | ||||||||
No | 265 | 77.3 | 53 | 80.3 | 650 | 78.9 | 1.0 | 1.0 |
Yes | 78 | 22.7 | 13 | 19.7 | 174 | 21.1 | 1.0 (0.5–1.5) | 0.9 (0.4–1.9) |
Hysterectomyd | ||||||||
No | 341 | 99.4 | 46 | 69.7 | 824 | 100.0 | --- | --- |
Yes | 2 | 0.6 | 20 | 30.3 | --- | --- | ||
Cesarean section (current delivery) | ||||||||
No | 91 | 27.1 | 5 | 8.2 | 322 | 40.2 | 1.0 | 1.0 |
Yes | 245 | 72.9 | 56 | 91.8 | 479 | 59.8 | 6.2 (1.7–11.3)* | 8.3 (1.9–13.1)* |
Length of hospital stay (≥5 days) | ||||||||
No | 160 | 46.6 | 22 | 33.3 | 768 | 93.2 | 1.0 | 1.0 |
Yes | 183 | 53.4 | 44 | 66.7 | 56 | 6.8 | 6.7 (1.5–8.4)* | 9.6 (1.7–12.8)* |
APGAR 1st minute < 7 | ||||||||
No | 277 | 85.5 | 39 | 73.6 | 744 | 93.5 | 1.0 | 1.0 |
Yes | 47 | 14.5 | 14 | 26.4 | 52 | 6.5 | 2.5 (1.7–4.9)* | 4.6 (1.9–5.4)* |
APGAR 5th minute < 7 | ||||||||
No | 313 | 96.6 | 50 | 94.3 | 770 | 96.7 | 1.0 | 1.0 |
Yes | 11 | 3.4 | 3 | 5.7 | 26 | 3.3 | 1.0 (0.5–2.6) | 1.2 (0.7–2.2) |
Fetal weight < 2500 g | ||||||||
No | 195 | 58.4 | 29 | 50.0 | 445 | 54.6 | 1.0 | 1.0 |
Yes | 139 | 41.6 | 29 | 50.0 | 370 | 45.4 | 0.8 (0.5–1.5) | 1.3 (0.8–1.8) |
Neonatal death | ||||||||
No | 299 | 89.5 | 47 | 81.0 | 715 | 87.7 | 1.0 | 1.0 |
Yes | 35 | 10.5 | 11 | 19.0 | 100 | 12.3 | 0.8 (0.4–1.4) | 1.4 (0.7–1.9) |