Table 2.
Use of antenatal care and birth circumstances in the Taabo HDSS in 2011–2014, stratified by foetal outcome, and crude ORs for fatal outcome from univariate logistic regression analysis
| Foetal outcome | |||||
|---|---|---|---|---|---|
| Characteristics | Live birtha | Fatal birth | Total | ||
| 2858 (96.0) | 118 (4.0) | 2976 (100.0) | OR (95% CI) | P-value | |
| Antenatal care | |||||
| Antenatal visits | |||||
| Yes | 2763 (96.7) | 102 (86.4) | 2865 (96.3) | 1.00 | |
| No | 95 (3.3) | 16 (13.6) | 111 (3.7) | 4.56 (2.59, 8.03) | < 0.001* |
| Rubella test | |||||
| Yes | 138 (4.8) | 4 (3.4) | 142 (4.8) | 1.00 | |
| No | 2720 (95.2) | 114 (96.6) | 2834 (95.2) | 1.30 (0.50, 3.37) | 0.596 |
| HIV test | |||||
| Yes | 539 (18.9) | 14 (11.9) | 553 (18.6) | 1.00 | |
| No | 2319 (81.1) | 104 (88.1) | 2423 (81.4) | 1.73 (0.98, 3.04) | 0.058 |
| Two doses of tetanus vaccination | |||||
| Yes | 1293 (45.2) | 25 (21.2) | 1318 (44.3) | 1.00 | |
| No | 1565 (54.8) | 93 (78.8) | 1658 (55.7) | 3.07 (1.96, 4.81) | < 0.001* |
| Iron/folic acid supplementation | |||||
| Yes | 816 (28.6) | 17 (14.4) | 833 (28.0) | 1.00 | |
| No | 2042 (71.4) | 101 (85.6) | 2143 (72.0) | 2.37 (1.41, 3.99) | 0.001* |
| Syphilis test | |||||
| Yes | 425 (14.9) | 12 (10.2) | 437 (14.7) | 1.00 | |
| No | 2433 (85.1) | 102 (89.8) | 2539 (85.3) | 1.54 (0.84, 2.83) | 0.161 |
| Birth circumstances | |||||
| Location during delivery | |||||
| HDSS hamlets | 299 (10.5) | 4 (3.4) | 303 (10.2) | 1.00 | |
| HDSS village | 1682 (58.8) | 78 (66.1) | 1760 (59.1) | 3.11 (1.19, 8.09) | 0.020* |
| Taabo-cité | 538 (18.8) | 22 (18.6) | 560 (18.8) | 2.78 (1.00, 7.73) | 0.050 |
| Outside Taabo HDSS | 339 (11.9) | 14 (11.9) | 353 (11.9) | 2.84 (0.98, 8.28) | 0.055 |
| Place of delivery | |||||
| Health centre/hospital | 1419 (49.6) | 63 (53.4) | 1482 (49.8) | 1.00 | |
| At home | 1340 (46.9) | 52 (44.1) | 1392 (46.8) | 0.88 (0.60, 1.27) | 0.485 |
| On the way to health centre | 22 (0.8) | 2 (1.7) | 24 (0.8) | 2.48 (0.66, 9.40) | 0.180 |
| Other | 77 (2.7) | 1 (0.8) | 78 (2.6) | 0.43 (0.08, 2.22) | 0.315 |
| Birth assistance | |||||
| Midwife/doctor/nurse | 1390 (48.6) | 61 (51.7) | 1451 (48.8) | 1.00 | |
| Traditional birth assistance | 341 (11.9) | 13 (11.0) | 354 (11.9) | 0.69 (0.47, 1.60) | 0.651 |
| Alone | 61 (2.1) | 10 (8.5) | 71 (2.4) | 3.74 (1.83,7.64) | < 0.001* |
| Parent/friend | 997 (34.9) | 33 (28.0) | 1030 (34.6) | 0.75 (0.49, 1.16) | 0.200 |
| Other | 69 (2.4) | 1 (0.8) | 70 (2.3) | 0.33 (0.05, 2.42) | 0.275 |
| Delivery | |||||
| Normal | 2801 (98.0) | 105 (89.0) | 2906 (97.7) | 1.00 | |
| Caesarean section | 29 (1.0) | 8 (6.8) | 37 (1.2) | 7.65 (3.48, 16.81) | < 0.001* |
| Instrumental delivery | 28 (1.0) | 5 (4.2) | 33 (1.1) | 5.12 (2.02, 13.03) | 0.001* |
| Heavy bleeding during delivery | |||||
| No/cannot remember | 2301 (80.5) | 81 (68.6) | 2382 (80.0) | 1.00 | |
| Yes | 557 (19.5) | 37 (31.4) | 594 (20.0) | 1.90 (1.28, 2.83) | 0.002* |
| Childbirth costs | |||||
| Mean amount, in FCFA (min-max) | 14,479 (500–996,000) | 30,066 (1000–400,000) | 15,004 (500–996,000) | ||
| Free of charge | 388 (13.6) | 31 (26.3) | 419 (14.1) | 1.00 | |
| Payment of charge | 606 (21.2) | 22 (18.6) | 628 (21.1) | 0.45 (0.26, 0.80) | 0.006* |
| Do not know | 1864 (65.2) | 65 (55.1) | 1929 (64.8) | 0.44 (0.28, 0.68) | < 0.001* |
CI confidence interval, OR odds ratio
*Includes all live births with survival of more than 7 days