Table 3. Crude and Adjusted Odds Ratios* for prediction of poor pregnancy outcome after presentation with RFM.
Variable | Median (range) or n | Crude Odds Ratio | Confidence Interval | p value | Adjusted Odds Ratio* | Confidence Interval | p value |
Gestation at presentation (days) | 254 (196–294) | 1.00 | 0.99–1.01 | 0.29 | 0.99 | 0.97–0.99 | 0.026 |
Gestation at presentation <37 weeks | n = 172 | 0.97 | 0.92–1.01 | 0.14 | 0.95 | 0.90–1.00 | 0.048 |
Maternal Age | 28 (17–46) | 1.00 | 0.95–1.05 | 0.95 | 1.04 | 0.98–1.10 | 0.24 |
Maternal BMI | 25.2 (17.2–52.8) | 0.98 | 0.94–1.03 | 0.46 | 1.01 | 0.95–1.08 | 0.71 |
Gravidity | 2 (1–9) | 0.93 | 0.77–1.12 | 0.43 | 0.97 | 0.77–1.23 | 0.82 |
Parity | 1 (0–7) | 0.94 | 0.72–1.13 | 0.63 | 0.99 | 0.72–1.37 | 0.95 |
Smoking (Yes/No) | n = 43 | 1.96 | 0.96–4.00 | 0.06 | 1.55 | 0.55–3.68 | 0.32 |
Alcohol (units/week) | 0 (0–6) | 0.77 | 0.31–1.87 | 0.56 | 0.72 | 0.19–2.68 | 0.62 |
Duration of RFM (hours) | 48 (3–1690) | 1.00 | 1.00–1.01 | 0.55 | 1.00 | 0.99–1.00 | 0.55 |
Significant Medical History (Yes/No) | n = 36 (11.8%) | 1.01 | 0.44–2.33 | 0.99 | 0.88 | 0.32–2.46 | 0.81 |
Significant Obstetric History (Yes/No)# | n = 15 (9.6%) | 1.35 | 0.40–4.53 | 0.63 | 1.61 | 0.36–7.35 | 0.54 |
FMs normalised to 45 minutes | 9 (0–72) | 0.96 | 0.92–0.99 | 0.022 | 0.98 | 0.95–1.02 | 0.28 |
Abnormal CTG (Yes/No) | n = 12 | 8.04 | 2.34–27.62 | 0.001 | 7.08 | 1.31–38.18 | 0.02 |
Further episodes of RFM (Yes/No) | n = 69 | 1.15 | 0.91–1.46 | 0.24 | 1.03 | 0.75–1.42 | 0.86 |
Systolic blood pressure (mmHg) | 110 (80–150) | 1.02 | 1.00–1.04 | 0.078 | 1.00 | 0.96–1.04 | 0.92 |
Diastolic blood pressure (mmHg) | 60 (50–114) | 1.05 | 1.01–1.08 | 0.004 | 1.04 | 1.00–1.09 | 0.045 |
Estimated fetal weight centile | 53 (0–100) | 0.95 | 0.94–0.97 | <0.001 | 0.95 | 0.94–0.97 | <0.001 |
Amniotic fluid index (cm) | 125 (10–252) | 0.99 | 0.99–0.99 | 0.019 | 0.99 | 0.98–1.00 | 0.13 |
Maximum pool depth (cm) | 51 (0–133) | 0.97 | 0.96–0.99 | 0.002 | 0.99 | 0.96–1.01 | 0.28 |
Abnormal Umbilical Artery Doppler | n = 1 | NA† | NA† | NA† | NA† | NA† | NA† |
Umbilical Artery Pulsatility Index | 0.8 (0.5–1.4) | 3.29 | 0.75–14.42 | 0.12 | 2.96 | 0.38–23.21 | 0.30 |
Log hCG | 4.20 (2.85–5.09) | 0.67 | 0.48–0.92 | 0.015 | 0.88 | 0.32–2.46 | 0.81 |
Log hPL | 2.54 (2.15–3.12) | 0.23 | 0.11–0.47 | <0.001 | 0.13 | 0.02–0.99 | 0.05 |
Log IMA | 1.97 (1.42–2.14) | 0.60 | 0.22–1.61 | 0.31 | 0.53 | 0.04–7.91 | 0.65 |
Log LDH | 2.70 (2.36–2.94) | 2.67 | 0.70–10.17 | 0.15 | 5.42 | 0.11–278.74 | 0.40 |
Log PAPP-A | 2.67 (1.63–4.52) | 0.94 | 0.77–1.14 | 0.50 | 0.78 | 0.44–1.38 | 0.39 |
AFP | 70.9 (1.7–232.2) | 0.99 | 0.99–1.00 | 0.23 | 0.99 | 0.99–1.00 | 0.13 |
Progesterone | 369.1 (167.9–777.8) | 0.99 | 0.99–1.00 | 0.079 | 1.00 | 1.00–1.00 | 0.73 |
Adjusted for gestation, number of fetal movements normalised to 45 minutes, abnormal CTG, diastolic blood pressure, estimated fetal weight centile, maximal pool depth and smoking status.
only calculated for parous participants.
Odds ratios could not be calculated as only one infant had abnormal umbilical artery Doppler at initial assessment.