Skip to main content
. Author manuscript; available in PMC: 2009 May 1.
Published in final edited form as: Pediatrics. 2008 May;121(5):e1381–e1390. doi: 10.1542/peds.2007-1966

TABLE 4.

Bivariate Analysis of Intrapartum and Infant Risk Factors for Birth Asphyxia (BA) Mortality

Intrapartum Risk Factor BA Cases Total n RR (95% CI)
Place of Delivery
 Home 183 20,025 1 (ref)
 Health Facility (Hospital or Clinic) 35 2,069 1.85 (1.27 to 2.68) **
 On way to clinic/outdoors 6 270 2.43 (1.09 to 5.43) *
Maternal Fever §
 No fever 200 21,577 1 (ref)
 Fever 24 784 3.3 (2.15 to 5.07) **
Vaginal Bleeding §
 No bleeding 208 21,464 1 (ref)
 Bleeding 17 876 2.00 (1.23 to 3.27) **
Swelling of face, hands, or feet §
 No swelling 162 18,348 1 (ref)
 Swelling of face, hands, or feet 63 4,019 1.78 (1.33 to 2.37) **
Convulsions §
 No convulsions 221 22,263 1 (ref)
 Convulsions 4 85 4.74 (1.80 to 12.46) **
Prolonged Labor
 Labor <24 hours primiparous or <12 hours multiparous 149 16,117 1 (ref)
 Labor >24 hours primiparous or > 12 hours multiparous 75 6,172 1.31 (1.00 to 1.73) *
Multiple pregnancy
 Singleton 211 23,296 1 (ref)
 Multiple birth 19 366 5.73 (3.38 to 9.72) **
Rupture of membranes
 ROM<24 hours 194 20,577 1 (ref)
 ROM>24 hours 27 1,564 1.83 (1.22 to 2.76) **
Amniotic fluid
 Clear 126 14,595 1 (ref)
 Green 1 88 1.32 (0.19 to 9.32)
 Red 56 4,100 1.58 (1.14 to 2.19) **

Infant Risk Factors

Birth weight, kg
 <2 20 1,146 11.88 (6.09 to 23.14) **
 2.0-2.4 10 5,638 1.21 (0.54 to 2.69)
 2.5-2.9 15 10,211 1 (ref)
 >3.0 6 5,767 0.71 (0.27 to 1.82)
Gestational age, weeks
 <34 50 498 14.33 (10.31 to 19.91) **
 34-37 43 3,822 1.61 (1.13 to 2.27) **
 37-42 115 16,411 1 (ref)
 >42 22 2,918 1.07 (0.69 to 1.67)
Infant sex
 Male 135 12,195 1 (ref)
 Female 95 11,467 0.75 (0.58 to 0.97) *
*

0.01< p ≤ 0.05

**

p ≤ 0.01

§

Symptoms reported within 7 days prior to delivery