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Table 4 Prevalence, unadjusted (OR) and odds ratios (AOR) for lower Apgar scores among Fijian women with GDM, 2013–2014

From: Factors associated with macrosomia, hypoglycaemia and low Apgar score among Fijian women with gestational diabetes mellitus

Variables

Prevalence of low Apgar score (%)

OR

95% CI

AOR

95% CI

Maternal sociodemographic factors

 Age (years)

  18–25

15.2

1.00

 

1.00

 

  26–35

13.9

0.90

0.36, 2.27

0.97

0.26, 3.59

  ≥ 36

8.2

0.50

0.14, 1.82

0.18

0.02, 1.44

 Race/ethnicity

  Othersa

9.1

1.00

 

1.00

 

  Itaukei Fijians

11.2

1.26

0.27, 5.98

1.32

0.20, 8.61

  FIDs

16.0

1.91

0.41, 8.94

1.60

0.21, 11.92

 Educational level

  Non-tertiary (primary/secondary)

16.0

1.00

 

1.00

 

  Tertiary (university/polytechnic)

8.7

0.50

0.22, 1.16

0.54

0.18, 1.62

 Marital status

  Not married

10.3

1.00

 

1.00

 

  Married

13.4

1.34

0.38, 4.70

1.66

0.35, 7.85

 Gravidity (number of pregnancies)

  Primigravid (first pregnancy)

11.8

1.00

 

1.00

 

  Multiparous (2/more children)

14.3

1.25

0.41, 3.85

2.77

0.58, 13.29

  Grand multiparous (≥5 children)

9.1

0.75

0.17, 3.24

1.77

0.19, 16.60

Maternal risk factors (yes, no)

 Family history of diabetes

  No

13.4

1.00

 

1.00

 

  Yes

12.7

0.94

0.45, 1.96

1.40

0.52, 3.76

 Previous baby > 4 kg

  No

13.6

1.00

 

1.00

 

  Yes

10.9

0.78

0.30, 1.99

1.64

0.45, 5.95

 Previous neonatal death

  No

13.2

1.00

 

1.00

 

  Yes

10.0

0.73

0.09, 5.98

1.49

0.12, 18.50

 Maternal BMI (kg/m2)

  Underweight/normal (< 25)

14.7

1.00

 

1.00

 

  Overweight (25–29.9)

22.5

1.68

0.50, 5.62

1.58

0.37, 6.70

  Obese (classes 1–3, ≥30.0)

10.7

0.69

0.24, 2.03

0.28

0.07, 1.16

Antenatal factors

 Booking age of gestation (weeks)

  1st trimester (0–13)

11.4

1.00

 

1.00

 

  2nd trimester (14–27)

12.9

1.15

0.49, 2.72

1.46

0.44, 4.85

  3rd trimester (≥28)

16.7

1.56

0.54, 4.53

7.87

1.11, 55.75*

 Age of gestation at GDM diagnosis (weeks)

  1st trimester (0–13)

11.5

1.00

 

1.00

 

  2nd trimester (14–27)

15.5

1.40

0.38, 5.19

1.53

0.24, 10.01

  3rd trimester (≥27)

11.1

0.96

0.25, 3.64

0.53

0.06, 4.56

 Age of gestation at delivery (weeks)

   < 37

27.9

1.00

 

1.00

 

  37–41

10.0

0.29

0.13, 0.64*

0.14

0.04, 0.46*

Maternal post-pregnancy factors

 Delivery intervention

  Induced labour

   No

10.6

1.00

 

1.00

 

   Yes

14.3

1.41

0.62, 3.18

0.16

0.01, 2.52

  Caesarean section

   No

15.4

1.00

 

1.00

 

   Yes

7.7

0.46

0.18, 1.16

2.86

0.16, 56.32

  Preeclampsia

   No

11.2

1.00

 

1.00

 

   Yes

20.8

2.08

0.92, 4.73

5.57

1.73, 18.00*

  Polyhydramnios

   No

12.8

1.00

 

1.00

 

   Yes

50.0

6.84

0.42, 112.15

10.51

0.34, 326.38

  1. *Confidence Interval (CI) that does not include 1.00, significant
  2. BMI body mass index, GDM gestational diabetes mellitus, FIDs Fijians of Indian Descent
  3. §others means part-Europeans, Chinese, and other Pacific Islanders