Table 4.
Bivariate and multivariate logistic regression analysis of determinant factors of newborn outcomes after emergency cesarean section at east Gojjam Zone public hospital December-January, 2023
| Variable | Adverse outcomes (n = 159) | Favorable outcomes (n = 159) | COR(95%CI) | AOR(95%CI) |
|---|---|---|---|---|
| Age of mother | ||||
|
< 20 20–24 25–29 30–35 > 35 |
1(0.6) 35(22) 71(44.7) 35(22) 17(10.7) |
7(4.4) 38(23.4) 58(36.5) 47(29.6) 9(5.7) |
1 6.4(0.75, 55) 8.5(1.2, 71.6) 5.2(0.6, 44) 1.3(1.3, 124) |
1 4.1(0.45, 37) 7.1(0.8,61) 4.5(0.5, 20) 3.6(1.1, 9.7) |
| Stage of labour Latent | ||||
|
First stage Active first stage Second stage |
79(49.7) 49(30.8) 31(19.5) |
91(57.2) 51(32.1) 17(10.7) |
1 0.9(0.55, 1.4) 0.5(0.24, 0.92) |
1 0.75(0.4, 1.4) 0.6(0.25,1.6) |
| Danger sign | ||||
|
Yes No |
31(19.5) 128(80.5) |
6(3.8) 153(96.2) |
6.2(2.5, 15.2) 1 |
3.5(2.4, 36) 1 |
| Referred from another facility | ||||
|
Yes No |
116(72.9) 43(27.1) |
94(59.1) 65(40.9) |
1.8(1.2, 2.9) 1 |
1.6(0.9,2.7) 1 |
| History emergency cesarean section | ||||
|
Yes No |
24(15.1) 133(84.9) |
48(30.2) 111(69.8) |
0.4(0.24, 0.71) 1 |
0.5(0.2, 1.1) 1 |
| Consent accepted immediately for ECS | ||||
|
Yes No |
137(86.2) 22(13.9) |
148(93.1) 11(6.9) |
1 2.2(1.1, 4.6) |
1 1.4(0.6,3.6) |
| Indication of ECS | ||||
|
APH Cord prolapse Obstructed labour GIII MSAF NRFHR CPD Two scars in labour Others |
6(3.7) 5(3.4) 8(5) 20(12.6) 44(27.7) 28(17.6) 25(15.7) 23(14.5) |
12(7.6) 4(2.5) 7(4.4) 22(13.8) 75(47.2) 10(6.3) 7(4.4) 22(13.8) |
1 0.4(0.8, 2.1) 0.4(0.11, 1.8) 0.6(0.17, 1.7) 0.8(1.3, 2.4) 0.2(0.05, 0.6) 0.14(0.04, 0.5) 0.5(0.15, 1.5) |
1 4.2(0.49, 2.7) 3.6()0.52,25 3.2(0.6,17) 5.2(1.1–26) 1.5(0.24,9.4) 1.2(0.2,8) 2.9(0.55,15) |
| Decision-to-delivery time | ||||
|
≤ 30 min > 30 min |
37(23.3) 122(76.7) |
27(17) 132(83) |
1 1.5(0.85, 2.6) |
1 1.7(0.87, 3.3) |
ECS: Emergency Cesarean Section, APH: Antepartum Hemorrhage, NRFHR: Non-reassuring Fetal Heart rate, GIII MSAF, Grade III Meconium Stained Amniotic Fluid, CPD: Cephalo-pelvic Disproportion