Table 3.
Estimated risk of severe maternal outcome (SMO = NM + MD) among women with severe hypertensive disorders during pregnancy or childbirth according to characteristics of current pregnancy and delays in obstetric care
| Predictors |
Total |
SMO |
PLTC |
PR | 95% CI | ||
|---|---|---|---|---|---|---|---|
| % | n | % | n | % | |||
|
Prenatal coverage (a) |
|
|
|
|
|
|
|
| Public |
92.7 |
291 |
90.7 |
4566 |
92.6 |
0.76 |
0.47 – 1.23 |
| Other |
7.3 |
30 |
9.3 |
351 |
7.1 |
(ref) |
|
|
Prenatal adequacy (b) |
|
|
|
|
|
|
|
| No |
23.6 |
84 |
21.9 |
1486 |
23.7 |
0.91 |
0.71 – 1.15 |
| Yes |
76.4 |
299 |
78.1 |
4771 |
76.3 |
(ref) |
|
|
Hospitalization coverage (c) |
|
|
|
|
|
|
|
| Public |
99.3 |
386 |
98.7 |
6269 |
99.4 |
0.53 |
0.17 – 1.66 |
| Other |
0.7 |
5 |
1.3 |
41 |
0.6 |
(ref) |
|
|
Gestational age at hospital admission (d) |
|
|
|
|
|
|
|
| <22 |
1,5 |
12 |
3.1 |
86 |
1.4 |
5.06 |
2.60 – 9.82 |
| 22 – 27 |
4.9 |
35 |
|
288 |
4.6 |
4.47 |
2.53 – 7.92 |
| 28 – 33 |
20.7 |
111 |
28.9 |
1265 |
20.2 |
3.33 |
2.21 – 5.02 |
| 34 – 36 |
22.5 |
89 |
23.2 |
1409 |
22.5 |
2.45 |
1.59 – 3.79 |
| ≥37 |
47.2 |
76 |
19.8 |
3062 |
48.9 |
(ref) |
|
| Postpartum |
3.2 |
61 |
15.9 |
152 |
2.4 |
11.82 |
7.59 – 18.43 |
|
Gestational age at delivery (e) |
|
|
|
|
|
|
|
| <22 |
0.5 |
3 |
0.9 |
30 |
0.5 |
3.23 |
1.13 – 9.28 |
| 22 – 27 |
3.0 |
27 |
7.8 |
172 |
2.8 |
4.83 |
2.72 – 8.57 |
| 28 – 33 |
17.5 |
110 |
31.8 |
1030 |
16.7 |
3.43 |
2.19 – 5.38 |
| 34 – 36 |
22.6 |
96 |
27.7 |
1380 |
22.3 |
2.31 |
1.57 – 3.41 |
| ≥37 |
51.8 |
95 |
27.5 |
3284 |
53.1 |
(ref) |
|
| Still pregnant |
4.6 |
15 |
4.3 |
284 |
4.6 |
1.78 |
1.03 – 3.10 |
|
Mode of delivery (f) |
|
|
|
|
|
|
|
| C-section |
74.8 |
309 |
79.8 |
4694 |
74.5 |
1.33 |
0.99 – 1.79 |
| Other |
25.2 |
78 |
20.2 |
1605 |
25.5 |
(ref) |
|
|
Onset of labor (g) |
|
|
|
|
|
|
|
| Spontaneous |
26.8 |
66 |
17.7 |
1716 |
27.4 |
(ref) |
|
| Induction |
9.0 |
33 |
8.9 |
562 |
9.0 |
1.50 |
0.86 – 2.60 |
| Elective C-section |
59.0 |
254 |
68.3 |
3665 |
58.5 |
1.75 |
1.11 – 2.76 |
| Abortion |
0.6 |
4 |
1.1 |
37 |
0.6 |
2.63 |
1.05 – 6.59 |
| Still pregnant |
4.5 |
15 |
4.0 |
285 |
4.5 |
1.35 |
0.77 – 2.37 |
|
Access to referral center (h) |
|
|
|
|
|
|
|
| Not scheduled |
10.2 |
69 |
18.4 |
576 |
9.7 |
2.98 |
1.62 – 5.47 |
| Scheduled |
46.4 |
207 |
55.3 |
2715 |
45.9 |
1.97 |
1.30 -2.97 |
| Spontaneous |
43.3 |
98 |
26.2 |
2628 |
44.4 |
(ref) |
|
|
Delays |
|
|
|
|
|
|
|
| Women/family members (i) |
39.9 |
146 |
44.9 |
2179 |
39.6 |
1.23 |
0.89 – 1.69 |
| Health service (j) |
16.2 |
129 |
35.6 |
874 |
15.0 |
2.86 |
1.89 – 4.33 |
| Health professional (l) |
19.1 |
132 |
36.6 |
1066 |
18.0 |
2.45 |
1.53 – 3.92 |
| Any delays |
55.6 |
256 |
73.6 |
3131 |
54.5 |
2.22 |
1.44 – 3.43 |
| Total | 391 | 100 | 6315 | 100 | |||
Values in bold mean they are statistically significant; PR = prevalence ratio adjusted by cluster effect.
Missing data: (a) 1468 cases; (b) 66 cases; (c) 5 cases; (d) 60 cases; (e) 180 cases; (f) 20 cases; (g) 69 cases; (h) 413; (i) 875 cases; (j) 513 cases; (l) 613 cases.