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. 2024 Jan 15;48:e5. doi: 10.26633/RPSP.2024.5

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.

a

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).