Table 2.
Characteristic Used for Adjustment to Odds Ratio |
Edinburgh Score > 12 − % [Nw]b | Adjusted Odds Ratio [95% CI]c Stillbirth vs Healthy Live Birth cOR [95% CI]: 1.90 [1.20, 3.02] |
|
---|---|---|---|
Stillbirth 14.8 [270] |
Healthy Live Birth 8.3 [461] |
||
Sociodemographic | |||
Maternal age at delivery, years | 1.9 [1.2, 3.0] | ||
< 20 | 18.7 [27] | 17.8 [32] | |
20–34 | 15.7 [192] | 7.0 [342] | |
35–39 | 9.9 [38] | 10.0 [75] | |
40+ | 7.1 [13] | 10.5 [12] | |
Maternal race/ethnicity | 1.8 [1.1, 2.8] | ||
Non-Hispanic white | 13.8 [122] | 6.1 [283] | |
Non-Hispanic black | 15.4 [51] | 13.4 [47] | |
Hispanic | 16.1 [81] | 11.6 [98] | |
Other | 13.5 [17] | 10.9 [33] | |
Maternal education, grade | 1.7 [1.0, 2.7] | ||
0–11 [none/primary/some secondary] | 28.4 [36] | 26.0 [37] | |
12 [completed secondary] | 17.7 [80] | 9.4 [92] | |
13+ [college] | 10.3 [152] | 6.1 [331] | |
Paternal education, grade | 1.6 [1.0, 2.5] | ||
0–11 [none/primary/some secondary] | 25.3 [48] | 14.6 [51] | |
12 [completed secondary] | 18.8 [90] | 12.5 [90] | |
13+ [college] | 8.1 [123] | 6.2 [305] | |
Marital status/cohabitating | 1.7 [1.0, 2.7] | ||
Not married or cohabitating | 17.8 [49] | 25.4 [48] | |
Cohabitating | 18.1 [62] | 9.5 [69] | |
Married | 12.6 [157] | 5.8 [343] | |
Insurance/method of payment | 1.7 [1.0, 2.7] | ||
No insurance | 27.2 [8] | 30.8 [5] | |
Any public/private assistance | 19.3 [116] | 14.4 [148] | |
VA/commercial health ins/HMO | 10.5 [144] | 5.0 [306] | |
Maternal Self-Reported Substance Abuse | |||
Average no. of cigarettes during 3 months prior to pregnancy | 1.8 [1.1, 2.9] | ||
Did not smoke | 12.4 [235] | 7.3 [419] | |
< 10 | 35.5 [21] | 27.2 [22] | |
≥ 10 | 25.9 [13] | 10.7 [18] | |
Alcohol consumption during 3 months prior to pregnancy | 2.0 [1.2, 3.1] | ||
Did not drink | 12.3 [166] | 8.4 [257] | |
Drank, no binging | 21.6 [59] | 7.6 [124] | |
Binged | 15.8 [44] | 9.6 [79] | |
Lifetime drug use | 1.9 [1.2, 3.1] | ||
Never used drugs | 13.6 [189] | 7.3 [320] | |
Ever used drugs w/o addiction | 19.9 [71] | 10.8 [131] | |
Ever used drugs w/ addiction | 0.0 [7] | 26.6 [4] | |
Maternal Medical / Physiologic | |||
Body mass index, kg/m2 | 1.7 [1.0, 2.7] | ||
< 18.5 [underweight] | 15.0 [9] | 14.4 [14] | |
18.5–24.9 [normal weight] | 10.5 [98] | 5.7 [252] | |
25–29.9 [overweight] | 14.7 [73] | 10.1 [96] | |
30–34 [obese] | 17.0 [45] | 12.0 [53] | |
≥ 35 [morbidly obese] | 22.4 [44] | 13.8 [44] | |
Blood type | 1.7 [1.0, 2.7] | ||
A | 15.7 [79] | 8.2 [167] | |
B | 10.9 [32] | 10.3 [51] | |
O | 9.8 [124] | 8.3 [221] | |
AB | 38.8 [17] | 7.0 [17] | |
Pregnancy-Associated | |||
Pregnancy history | 1.8 [1.2, 2.9] | ||
• Nulliparous; never pregnant or only elective terminations | 15.7 [95] | 7.4 [139] | |
• Nulliparous with previous losses | 13.4 [35] | 6.4 [24] | |
• Multiparous with no previous losses at < 20 wk or stillbirths | 10.8 [89] | 7.6 [202] | |
• Multiparous with no stillbirth but previous losses at < 20 wk | 13.6 [36] | 11.5 [88] | |
• Multiparous with stillbirth | 39.6 [14] | 12.3 [9] | |
Pregnancy wanted ever, before pregnancy | 1.9 [1.2, 3.0] | ||
Yes | 13.9 [252] | 7.7 [441] | |
No | 27.3 [15] | 22.7 [16] | |
Multi-fetal pregnancy | 2.0 [1.3, 3.2] | ||
Yes | 6.6 [21] | 0.0 [11] | |
No | 15.5 [249] | 8.5 [450] | |
Gestational age at delivery, weeks | 1.9 [1.0, 3.7] | ||
18–24 | 16.5 [105] | -- [0] | |
24–31 | 12.2 [72] | -- [0] | |
32+ | 14.9 [92] | 8.3 [461] | |
Psychosocial | |||
History of depressiond | 2.1 [1.3, 3.3] | ||
Yes | 21.2 [57] | 17.1 [127] | |
No | 13.1 [214] | 5.0 [334] | |
Significant Life Events: # of factorse | 1.7 [1.0, 2.7] | ||
0 | 13.4 [62] | 6.0 [129] | |
1 | 7.3 [83] | 5.2 [146] | |
2 | 10.4 [62] | 4.6 [115] | |
3 | 30.5 [43] | 21.7 [48] | |
4 | 31.1 [17] | 39.1 [15] | |
STAI trait-anxiety scale scoref | 1.6 [0.9, 2.6] | ||
≤ 25.8 | 11.2 [53] | 3.0 [129] | |
25.8–32.1 | 7.8 [53] | 3.3 [114] | |
32.1–38.9 | 7.8 [60] | 6.8 [121] | |
> 38.9 | 26.2 [94] | 23.0 [80] | |
STAXI-2 trait-anger scale scoref | 2.1 [1.3, 3.4] | ||
≤ 12.3 | 11.9 [53] | 5.8 [88] | |
12.3–14.9 | 12.9 [46] | 5.8 [99] | |
14.9–18.9 | 15.8 [80] | 7.2 [135] | |
> 18.9 | 17.9 [81] | 11.2 [122] | |
Follow-up | |||
Months to follow-up attempt | 1.8 [1.2, 2.9] | ||
< 6 | -- [0] | -- [0] | |
6–12 | 25.1 [31] | 12.0 [23] | |
12–18 | 9.7 [66] | 8.6 [109] | |
18–24 | 8.7 [63] | 9.5 [127] | |
24+ | 18.4 [111] | 7.0 [202] |
Nw=weighted sample size, 95% CI = 95% confidence interval, cOR=crude odds ratio
The Edinburgh is scored if there were responses for all 10 items.
Weighted percentages and sample sizes are given. The weights take into account the study design and differential consent based on characteristics recorded on all eligible deliveries that were screened for the study.
Odds ratios are taken from weighted logistic regression models with Edinburgh score > 12 (yes versus no) as the dependent variable. A separate model is fit for each row characteristic shown in the table as a covariate along with SCRN case status. The odds ratios reported are for stillbirth versus healthy live birth, adjusted for the covariate.
Women are classified as having a history of depression if they had taken antidepressant medications or if they indicated they had sought help for depression.
Significant life events are grouped as four factors: financial, emotional, traumatic, and partner. Factors that were noted are summed.
11 women with stillbirth (4%) and 18 women with healthy live birth (4%) were missing STAI and STAX-2 scales. The STAI scale is scored if there were responses for at least 17 of 18 items used in the summary score. An average of the non-missing items is computed [using the appropriate numeric coding for each item] and multiplied by 20 [the number of items that constitutes the scale as originally developed]. STAXI-2 is scored according to the specific instructions from the developer. Cutpoints given in the table are based on quartiles from the weighted distribution, using live birth controls.