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Table 4 Maternal and perinatal complications after outcome of labor

From: Maternal and perinatal outcome after previous caesarean section in rural Rwanda

Complications

ToL 297 (%)

ERCS 138 (%)

Unadjusted OR (95% CI)

Adjusted OR (95% CI)a

Maternal

 Total Morbidities

23 (7.7)

5 (3.6)

2.2 (1.8 - 6.7)

1.4 (1.2 – 5.4)

 Postpartum hemorrhage

8 (2.7)

2 (1.4)

1.9 (0.4 - 8.9)

3.0 (0.6 - 14.5)

 Puerperal sepsis

10 (3.4)

3 (2.2)

1.6 (0.4 - 5.7)

1.9 (0.5 - 7.1)

 Ruptured uterus

5 (1.6)

0 (0.0)

-

-b

 Blood transfusion

2 (0.6)

1 (0.7)

0.9 (0.1 - 10.3)

0.7 (0.1 - 8.8)

 Hysterectomy

1 (0.3)

0 (0.0)

-

-b

 At least one maternal complication

7 (2.3)

4 (2.8)

2.2 (0.8 - 6.0)

2.4 (0.9 - 7.8)

Perinatal

 Total admissions to NICU

64 (21.5)

35 (25.4)

0.8 (0.5 - 1.3)

0.8 (0.5 - 1.6)

 Birth Asphyxia

40 (13.4)

15 (10.9)

1.3 (0.7 - 2.4)

1.9 (1.6 - 3.6)

 Death (Rate/1000)

8 (26.9)

4 (28.9)

0.9 (0.3 - 3.1)

0.4 (0.2 - 2.3)

 Fresh stillbirth (Rate/1000)

5 (16.8)

1 (7.2)

2.3 (1.3 - 20.3)

1.4 (1.1 - 15.5)

 Neonatal deaths before 24 h (Rate/1000)

2 (6.7)

3 (21.7)

0.3 (0.1 - 1.8)

0.3 (0.2 - 2.1)

 Neonatal deaths after 24 h(Rate/1000)

1 (3.4)

0 (0.0)

-

-b

  1. aOdds ratios have been adjusted for maternal age, marital status, antenatal visits, gestational age, previous CS indications and inter-delivery interval from prior CS. CI denotes confidence interval. Odds ratios express the likelihood of complications among the women who had a ToL as compared to ERCS
  2. NICU, neonatal intensive care unit
  3. -b Denotes not applicable