TABLE 3. Unadjusted and adjusted odds ratios for in-hospital delivery-related maternal deaths, Ecuador, 2015–2022.
Variable |
Odds ratio (95% CI); P value |
Adjusted odds ratio (95% CI); P value |
---|---|---|
Age group (years) |
|
|
10–14 |
0.41 (0.06 to 2.93); 0.374 |
0.59 (0.08 to 4.21); 0.598 |
15–19 |
0.75 (0.53 to 1.05); 0.096 |
1.10 (0.78 to 1.56); 0.578 |
20–29 |
Reference |
Reference |
30–39 |
1.22 (0.95 to 1.57); 0.118 |
0.98 (0.76 to 1.27); 0.892 |
40–49 |
1.17 (0.62 to 2.22); 0.629 |
0.92 (0.48 to 1.74); 0.790 |
50–59 |
NA |
NA |
Ethnicity |
|
|
Mestizo |
Reference |
Reference |
Indigenous |
0.25 (0.08 to 0.79); 0.018a |
0.61 (0.19 to 1.93); 0.401 |
Afrodescendant |
0.36 (0.05 to 2.58); 0.311 |
1.00 (0.14 to 7.22); 0.996 |
Montubio |
1.35 (0.19 to 9.64); 0.764 |
1.20 (0.17 to 8.58); 0.855 |
White |
1.09 (0.15 to 7.79); 0.929 |
0.91 (0.13 to 6.52); 0.928 |
Other |
10.33 (7.93 to 13.45); ≤0.001a |
9.59 (6.98 to 13.18); ≤0.001a |
Unknown |
0.33 (0.12 to 0.88); 0.027a |
0.35 (0.13 to 0.95); 0.039 |
Area where health center located |
|
|
Urban |
Reference |
Reference |
Rural |
0.31 (0.10 to 0.96); 0.042a |
0.46 (0.15 to 1.46); 0.188 |
Health sector |
|
|
Public |
Reference |
Reference |
Private |
3.01 (2.41 to 3.78); ≤0.001a |
1.99 (1.40 to 2.84); ≤0.001a |
Area of residence |
|
|
Urban |
Reference |
Reference |
Rural |
0.45 (0.31 to 0.66); ≤0.001a |
0.88 (0.59 to 1.3); 0.522 |
Type of delivery |
|
|
Single vaginal delivery |
Reference |
Reference |
Multiple vaginal delivery |
NA |
NA |
Elective C-section |
1.16 (0.59 to 2.26); 0.666 |
1.20 (0.6 to 2.39); 0.612 |
Emergency C-section |
11.82 (8.52 to 16.38); ≤0.001a |
7.49 (5.2 to 10.79); ≤0.001a |
Multiple delivery by C-section |
NA |
NA |
Other delivery by C-section |
5.56 (4.13 to 7.49); ≤0.001a |
3.39 (2.31 to 4.99); ≤0.001a |
Hospital stay |
|
|
≤24 hours |
Reference |
Reference |
≤48 hours |
0.48 (0.37 to 0.63); ≤0.001a |
0.47 (0.35 to 0.64); ≤0.001a |
>48 hours |
0.55 (0.39 to 0.77); ≤0.001a |
0.54 (0.37 to 0.8); 0.002a |
Year of discharge |
|
|
2015 |
Reference |
Reference |
2016 |
0.33 (0.11 to 1.01); 0.051 |
0.32 (0.11 to 1); 0.049 |
2017 |
0.71 (0.3 to 1.66); 0.428 |
0.67 (0.29 to 1.56); 0.352 |
2018 |
2.17 (1.12 to 4.21); 0.021a |
1.96 (1.01 to 3.8); 0.047 |
2019 |
2.19 (1.12 to 4.29); 0.022a |
1.81 (0.92 to 3.55); 0.084 |
2020 |
8.38 (4.68 to 15.02); ≤0.001a |
5.74 (3.19 to 10.32); ≤0.001a |
2021 |
10.52 (5.89 to 18.78); ≤0.001a |
5.87 (3.26 to 10.56); ≤0.001a |
2022 |
5.23 (2.83 to 9.65); ≤0.001a |
4.08 (2.2 to 7.57); ≤0.001a |
C-section: caesarean section; CI: confidence interval; NA: not applicable.
Statistically significant.
Source: Table prepared by the author based on analyses of data sets from the Statistical Registry of Hospital Beds and Discharges of the Ecuadorian National Institute of Statistics and Censuses (known as INEC).