Table 3.
Mixed-effects logistic regression analysis of predictors for uterine rupturea
| n | %b | aOR | SE | 95%CI | p value | ||
|---|---|---|---|---|---|---|---|
| Geographical characteristics | |||||||
| Country | Senegal | 278 | 48.86 | Ref | |||
| Mali | 291 | 51.14 | 1.33 | 0.24 | 0.94–1.89 | 0.112 | |
| Hospital Type | Capital | 121 | 21.27 | Ref | |||
| Regional | 293 | 51.49 | 1.59 | 0.32 | 1.08–2.34 | 0.018 | |
| District | 155 | 27.24 | 1.22 | 0.24 | 0.82–1.80 | 0.327 | |
| Location of residence | In town of hospital | 433 | 76.10 | Ref | |||
| Out of town, same region | 76 | 13.36 | 1.06 | 0.19 | 0.75–1.50 | 0.736 | |
| Outside of region | 56 | 9.84 | 1.90 | 0.38 | 1.28–2.81 | 0.001 | |
| Maternal characteristics | |||||||
| Age | < 20 | 45 | 7.91 | 1.06 | 0.21 | 0.71–1.56 | 0.789 |
| 20–35 | 408 | 71.70 | Ref | ||||
| > 35 | 106 | 18.63 | 1.09 | 0.13 | 0.85–1.38 | 0.498 | |
| Parityc | 1 birth | 55 | 9.67 | Ref | |||
| 2 births | 72 | 12.65 | 2.74 | 0.56 | 1.84–4.07 | < 0.001 | |
| 3 or 4 births | 147 | 25.83 | 4.89 | 0.96 | 3.33–7.19 | < 0.001 | |
| > 5 births | 294 | 51.67 | 7.57 | 1.45 | 5.19–11.03 | < 0.001 | |
| Obstetric factors | |||||||
| No. Prenatal Visits | None | 135 | 23.73 | 1.80 | 0.21 | 1.44–2.25 | < 0.001 |
| 1 to 4 | 381 | 66.96 | Ref | ||||
| > 4 | 44 | 7.73 | 0.98 | 0.17 | 0.70–1.36 | 0.891 | |
| Prior Cesarean | Yes | 121 | 21.27 | 2.02 | 0.23 | 1.61–2.54 | < 0.001 |
| No | 447 | 78.56 | Ref | ||||
| Obstructed labor + Referral | Not obstructed or referred | 43 | 7.56 | Ref | |||
| Not obstructed, Referred | 87 | 15.29 | 7.61 | 1.50 | 5.17–11.19 | < 0.001 | |
| Obstructed, Not referred | 101 | 17.75 | 23.65 | 4.57 | 16.20–34.53 | < 0.001 | |
| Obstructed + Referred | 336 | 59.05 | 46.25 | 8.04 | 32.90–65.02 | < 0.001 | |
| > 90th centile birth weight | Yes | 140 | 0.25 | 1.61 | 0.17 | 1.30–1.98 | < 0.001 |
| No | 420 | 0.75 | Ref | ||||
aMissing values: Age (n = 10), Parity (n = 1), No. Prenatal Visits (n = 9), Referral (n = 1), Prior cesarean delivery (n = 1), Obstructed labor (n = 1), ≥ 90th centile birth weight [3600 g] (n = 9), Location of residence (n = 4)
bPercentage of uterine rupture cases
cAmong cases of uterine rupture all women in the lowest parity category were parity = 1 representing the current pregnancy