Table 2.
Pregnancy Outcomes by Maternal TBI Status
| TB Uninfected | TBI | Crude Analysis | Adjusted Analysis | Expanded Adjusted Analysis | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Categorical outcomes | N (%) | N (%) | COR | 95% CI | P | AOR | 95% CI | P | AOR | 95% CI | P |
| Stillbirth | 51 (0.51) | 28 (1.1) | 2.16 | 1.34–3.40 | .001 | 1.90 | 1.13–3.21 | .016 | 1.97 | 1.00–3.91 | .051 |
| Neonatal death | 7 (0.09) | 4 (0.22) | 2.35 | .62–7.81 | .17 | 1.90 | .54–6.68 | .32 | 2.98 | .57–15.6 | .20 |
| Preeclampsia | 246 (2.5) | 83 (3.3) | 1.33 | 1.03–1.70 | .028 | 1.27 | .79–2.04 | .32 | 1.22 | .65–2.26 | .54 |
| Severe preeclampsiaa | 103 (1.0) | 44 (1.7) | 1.68 | 1.17–2.38 | .004 | 1.62 | 1.03–2.56 | .036 | 1.85 | .98–3.49 | .060 |
| Emergency cesarean section | 1119 (11.3) | 344 (13.6) | 1.23 | 1.08–1.40 | .002 | 1.28 | 1.02–1.63 | .033 | 1.68 | 1.23–2.28 | .0009 |
| Placental ablation | 37 (0.4) | 13 (0.5) | 1.37 | .70–2.52 | .33 | 1.34 | .61–2.98 | .46 | 1.41 | .62–3.24 | .41 |
| Polyhydramnios | 55 (0.6) | 21 (0.8) | 1.50 | .88–2.44 | .12 | 1.29 | .65–2.58 | .47 | 1.40 | .60–3.23 | .43 |
| Oligohydramnios | 283 (2.9) | 73 (2.9) | 1.01 | .77–1.30 | .95 | .91 | .66–1.25 | .56 | 1.02 | .67–1.53 | .94 |
| Low birthweightb | 319 (4.2) | 97 (5.3) | 1.26 | 1.00–1.59 | .049 | 1.38 | 1.01–1.88 | .041 | 1.38 | .96–1.98 | .080 |
| Prematurityc | 356 (4.7) | 97 (5.3) | 1.13 | .89–1.42 | .29 | 1.23 | .92–1.64 | .16 | 1.32 | .96–1.81 | .087 |
| IUGRd | 486 (4.9) | 126 (5.0) | 1.01 | .83–1.23 | .90 | 1.04 | .79–1.36 | .79 | 1.18 | .82–1.69 | .38 |
| Continuous outcomes | Value | Value | Diff. | 95% CI | P | Adj. diff. | 95% CI | P | Adj. diff. | 95% CI | P |
| Birthweight (g), mean (SD) | 3407 (560) | 3424 (607) | 16 | −13–45 | .27 | −3.5 | −37–30 | .84 | −11 | −48–26 | .56 |
| Birthweight 2nd percentile | 2094 | 1866 | −228 | −514–34 | .086 | −145 | −426–136 | .31 | −269 | −412 – −124 | .0003 |
| Birthweight 3rd percentile | 2345 | 2155 | −190 | −323 – −57 | .0052 | −210 | −333 – −87 | .0008 | −191 | −336 – −48 | .009 |
| Birthweight 5th percentile | 2570 | 2460 | −110 | −244–24 | .10 | −114 | −237–9 | .0069 | −119 | −240–1 | .052 |
| Birthweight 10th percentile | 2790 | 2760 | −30 | −85–25 | .10 | −62 | −123 – −1 | .045 | −45 | −98–8 | .095 |
| Gestation (wk), mean (SD) | 39.7 (2.0) | 39.7 (2.2) | 0.00 | −.10–.10 | .98 | −0.09 | −.20–.02 | .17 | −0.11 | −.23–.01 | .10 |
| Gestation 2nd percentile | 34.6 | 34.0 | −.60 | −2.1–.99 | .47 | −1.29 | −2.7–.16 | .082 | −1.27 | −2.39 – −.15 | .027 |
| Gestation 3rd percentile | 36.0 | 35.1 | −.90 | −1.89 – −.12 | .026 | −1.07 | −1.89 – −.26 | .0099 | −1.14 | −2.34–.05 | .060 |
| Gestation 5th percentile | 37.0 | 36.9 | −.10 | −.73–.44 | .63 | −0.42 | −.99–.13 | .13 | −0.57 | −1.03 – −.11 | .016 |
| Gestation 10th percentile | 38.0 | 37.9 | −.10 | −.40–.11 | .27 | −0.14 | −.37–.09 | .22 | −0.20 | −.44–.04 | .11 |
Adjustments were made for maternal age and African origin, with random effects fitted for maternal study code to account for repeated observations. Because of missing data, the adjusted models excluded 481 (3.9%) pregnancies. The expanded adjusted analyses also include covariates maternal education, parity, body mass index, and smoking; because of missing data, 4964 (39.9%) pregnancies were excluded from these models. Quantile regression models for percentiles of birthweight and gestational age did not include random effects.
Abbreviations: Adj. diff., adjusted difference; AOR, adjusted odds ratio; CI, confidence interval; COR, crude odds ratio; Diff., crude difference; HELLP, hemolysis, elevated liver enzymes, low platelet count syndrome; ICD, International Classification of Disease; IUGR, intrauterine growth restriction; NA, not available; SD, standard deviation; SGA, small for gestational age; TB, tuberculosis; TBI, TB infection.
aSevere preeclampsia, HELLP syndrome, or eclampsia. This model required parity to be categorized at 0 or >0 to allow model convergence.
bIUGR defined by presence of ICD-10 code O365 (maternity care due to known or suspected IUGR).
cLow birthweight was defined as birthweight <2500 g.
dPrematurity was defined as gestational length <37 weeks.