Table 4.
Adverse perinatal outcomes associated with easily recognisable congenital malformations stratified by degree of congenital malformation in a cohort of Gambian neonates born following relatively healthy pregnancy
|
Major (n = 39) |
Normal (n = 6610) |
OR (95%CI) | p-value |
Minor (n = 101) |
Normal (n = 6610) |
OR (95%) | p-value | |
|---|---|---|---|---|---|---|---|---|
| Birth weighta | ||||||||
| Normal | 34(0.6) | 5949 (99.4) | 1.65 (0.50–4.29) | 0.29 | 95 (1.6) | 5949 (98.4) | 1.40 (0.62–3.94) | 0.42 |
| Low | 5 (0.9) | 527(99.1) | 6 (1.1) | 527 (98.9) | ||||
| Macrosomia | 0 (0.0) | 132 (100.0) | - | 0 (0.0) | 132 (100.0) | - | ||
| 1-min Apgarb score | ||||||||
| Normal | 30 (0.5) | 6367 (99.5) | 96 (1.5) | 6366 (98.5) | ||||
| Low | 9 (3.8) | 230 (96.2) | 8.33 (3.43–18.27) | < 0.001 | 5 (2.1) | 229 (97.9) | 1.45 (0.45–3.54) | 0.42 |
| 5-min Apgarc score | ||||||||
| Normal | 36 (0.5) | 6547 (99.5) | 98 (1.5) | 6547 (98.5) | 0.04 | |||
| Low | 3 (5.9) | 48 (94.1) | 11.35 (2.16–37.88) | < 0.001 | 3 (5.9) | 48 (94.1) | 4.17 (0.82–13.30) | |
| Neonatal Admission | ||||||||
| No | 25 (0.4) | 6256 (99.6) | 87 (1.4) | 6256 (98.6) | ||||
| Yes | 14 (3.8) | 354 (96.2) | 9.89 (4.70–19.97) | < 0.001 | 14 (3.8) | 354 (96.2) | 2.84 (1.48–5.09) | < 0.001 |
| Death within 24h | ||||||||
| No | 35 (0.5) | 6605 (99.5) | 100 (1.5) | 6605 (98.5) | ||||
| Yes | 4 (44.4) | 5 (55.6) | 148.91 (28.37–728.18) | < 0.001 | 1 (16.7) | 5 (83.3) | 13.19 (0.28–119.05) | 0.09 |
| Death between 24h and 28 days | ||||||||
| No | 24 (0.4) | 6301 (99.6) | 97 (1.5) | 6301 (98.5) | ||||
| Yes | 9 (15.3) | 50 (84.7) | 47.06 (18.30–111.63) | < 0.001 | 1 (2.0) | 50 (98.0) | 1.30 (0.03–7.75) | 0.80 |
| Overall death on day 28d | ||||||||
| No | 24 (0.4) | 6301 (99.6) | 97 (1.5) | 6301 (98.5) | ||||
| Yes | 13 (19.1) | 55 (80.9) | 61.81 (27.40–133.95) | < 0.001 | 2 (3.5) | 55 (96.5) | 2.36 (0.28–9.18) | 0.22 |
a birth weight missing in n = 2
b 1-min Apgar score missing in n = 15
c 5-min Apgar score missing in n = 15
d Survival status on day 28 missing in n = 258