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Table 2 Risk factors for stillbirths among cases and controls – bivariate analyses

From: Risk factors for stillbirths: how much can a responsive health system prevent?

Risk factors

Cases n (%)

n = 400

Controls n (%)

n = 800

p-value*

Sociodemographic factors

 Age of the mother >30 years

23 (5.8)

15 (1.9)

<0.001*

 Occupation of mother (working outside home)

117 (29.3)

283 (35.4)

0.03*

 Education of father (illiterate)

152 (38.0)

310 (38.8)

0.8

 Occupation of father (non-manual labourer)

163 (40.8)

365 (45.6)

0.11

 Sex of the child (male)a

218/393 (55.4)

485/800 (61.1)

 

Antenatal factors

 Birth order

  Primigravidae

174 (43.5)

275 (34.4)

<0.001*

  Multigravidae

226 (56.5)

525 (65.6)

 Gestation period (n = 1178)

   < 28 weeks

0

3 (0.4)

<0.001*

   < 37 weeks

298 (75.3)

286 (36.7)

 Mean interval between present and the last pregnancies among multigravida (months)

20.1 (10.3)

20.2 (9.4)

0.9

 Any previous stillbirths among multigravida mothers

33 (14.6)

59 (11.3)

0.2

 Registered with health facility during pregnancy

372 (93.0)

754 (94.3)

0.39

 Proportion of women registered in 1st trimester

187 (46.8)

479 (59.9)

<0.001*

 Received 3 or more ANC checkups

141 (35.3)

428 (53.5)

<0.001*

 Intake of iron tablets during pregnancy

263 (65.8)

567 (70.9)

0.07

 Multiple pregnancy (current pregnancy)

4 (1.0)

6 (0.8)

0.65

 Tetanus toxoid during pregnancy

385 (96.3)

772 (96.5)

0.83

 Ultrasound during pregnancy

104 (26)

205 (25.6)

0.9

 Exposure to active or passive smoking

156 (39)

170 (21.3)

<0.001*

 History of chewing tobacco during pregnancy

89 (22.3)

59 (7.4)

<0.001*

 History of injury or accident during pregnancy

41 (10.3)

11 (1.4)

<0.001*

 History of any physical violence during pregnancy

50 (12.5)

56 (7.0)

0.002*

 Gestational diabetes

12 (3.0)

30 (3.8)

0.5

 Intake of indigenous medicines during pregnancy

25 (6.3)

33 (4.1)

0.44

Factors during last trimester of pregnancy

 Bleeding per vagina during pregnancy

146 (36.5)

106 (13.3)

<0.001*

 Excessive or foul smelling vaginal discharge during pregnancy

75 (18.8)

62 (7.8)

<0.001*

 Burning micturition

199 (49.8)

312 (39.0)

<0.001*

 Oedema (hand or face or legs)

225 (56.3)

317 (39.6)

<0.001*

 Severe or persistent abdominal pain during pregnancy (not labour pain)

131 (32.8)

211 (26.4)

0.02*

 Blurring of vision or severe headache during pregnancy

132 (33.0)

123 (15.4)

<0.001*

 Severe anemia requiring blood transfusion

19 (4.8)

26 (3.3)

0.2

 High blood pressure during pregnancy

46 (11.5)

21 (2.6)

<0.001*

Factors related to labour and childbirth

 Any complication during labour

140 (35.0)

152 (19.0)

<0.001*

 Administration of 2 or more doses of medicines to augment labour

145 (36.3)

208 (26.1)

<0.001*

 Duration of labour (12 h or more)

37 (9.3)

71 (8.9)

0.53

 Mode of transport to reach facilities

n = 395

n = 616

<0.001*

  Ambulance

93 (23.5)

148 (23.9)

  Private vehicle

200 (50.6)

374 (60.4)

  Any public transport

102 (25.8)

94 (15.0)

 Time taken to reach facility

n = 393

n = 616

 

  Up to 30 min

253 (64.4)

439 (71.3)

0.02*

   > 30 min

140 (35.6)

177 (28.7)

 Time to attend after reaching the facility

n = 392

n = 615

 

  Up to 10 min.

171 (43.5)

390 (63.4)

<0.001*

   > 10 min.

222 (56.5)

225 (36.6)

 Mode of deliveryb

 

  Vaginal (spontaneously or with little maneuver)

375 (93.7)

783 (98.1)

  Instrumental delivery

24 (6.0)

10 (1.3)

  Caesarean section

1 (0.3)

5 (0.6)

 Presence of any visible structural birth defectb

 

  Yes

3 (0.8%)

3 (0.4%)

  No

350 (87.5%)

782 (97.8%)

  Do not know

47 (11.8%)

15 (1.9%)

  1. *Values of p < 0.05 considered as statistically significant difference or association, based on chi-square estimates for proportions
  2. aSex of stillborn children was not reliable hence was not considered for analyses
  3. bBecause the cell size was less than 5, these were not included in the analyses