Table 4. Associations with Early Neonatal Mortality After Cesarean Section.
Deaths | Unadjusted | Adjusted | ||||||
(n/N) | % | OR | 95% CI | P | aOR | 95% CI | P | |
Age, y | ||||||||
≤30 | 103/906 | 11.4 | 1.0 (reference) | |||||
>30 | 71/370 | 19.1 | 1.8 | (1.8–2.6) | <0.001 | 1.0 | (0.6–1.6) | 0.949 |
Program | ||||||||
Masisi, DRC | 54/446 | 12.1 | 0.8 | (0.6–1.1) | 0.244 | |||
Lubutu, DRC | 19/174 | 10.9 | 0.7 | (0.5–1.2) | 0.263 | |||
Bo, Sierra Leone | 72/338 | 21.3 | 2.2 | (1.6–3.1) | <0.001 | 2.2 | (1.5–3.3) | <0.001 |
Kabezi, Burundi | 29/318 | 9.1 | 0.6 | (0.4–0.9) | 0.007 | 1.1 | (0.6–1.7) | 0.838 |
Parity | ||||||||
≤6 | 134/1083 | 12.4 | 1.0 (reference) | |||||
≤6 | 40/193 | 20.7 | 1.9 | (1.3–2.7) | 0.002 | 1.7 | (1.0–2.9) | 0.068 |
Procedure | ||||||||
Elective | 3/47 | 6.4 | 1.0 (reference) | |||||
Emergency | 171/1229 | 13.9 | 2.4 | (0.7–7.7) | 0.152 | |||
Indications | ||||||||
Obstructed Labor | 22/399 | 5.5 | 0.3 | (0.2–0.4) | <0.001 | 0.5 | (0.3–0.8) | 0.004 |
Malpresentation | 27/233 | 11.6 | 0.8 | (0.5–1.2) | 0.314 | |||
Previous Cesarean section | 5/184 | 2.7 | 0.2 | (0.06–0.4) | <0.001 | 0.2 | (0.09–0.6) | 0.003 |
Fetal distress | 16/128 | 12.5 | 0.9 | (0.5–1.6) | 0.693 | |||
Uterine rupture | 53/117 | 45.3 | 7.1 | (4.7–10.7) | <0.001 | 6.6 | (4.1–10.6) | <0.001 |
Antepartum hemorrhage | 35/101 | 34.7 | 4.0 | (2.6–6.2) | <0.001 | 3.6 | (2.2–6.2) | <0.001 |
Multiple gestation | 2/26 | 7.7 | 0.5 | (0.1–2.2) | 0.380 | |||
Cord prolapse | 9/39 | 23.1 | 1.9 | (0.9–4.2) | 0.086 | 2.7 | (1.2–6.1) | 0.017 |
Pre-eclampsia/eclampsia | 3/31 | 9.7 | 0.7 | (0.7–2.2) | 0.518 | |||
Other | 2/18 | 11.1 | 0.8 | (0.2–3.5) | 0.754 |
OR, odds ratio; aOR, adjusted odds ratio.