Proximal or biodemographic factors |
Fetal factors |
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Sex |
Sex of the fetus was coded as either female or male. |
Multiple pregnancy |
Number of fetuses: Women were categorised as singleton (one fetus) or multiple pregnancy (twins or higher-order multiple gestations). |
Maternal factors |
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Maternal age |
Maternal age at the time of the survey was divided into 5-year age bands: <20, 20–24, 25–29, 30–34, 35–39, 40–44, 45 and above. |
Gravidity |
Gravidity (number of pregnancies) was used as a proxy for parity (number of deliveries) for which information was not available. Gravidity was categorised as ‘first’ if the index pregnancy was the first pregnancy, ‘second - fourth’ and ‘five or more’. |
Any complication during pregnancy |
Women who reported to have any of the following complications during their index pregnancy were coded as ‘yes’, otherwise ‘no’: anaemia, eclampsia, other hypertensive disorders, antepartum haemorrhage, intrapartum haemorrhage, abnormal fetal position, breech presentation and obstructed labour. |
Mode of delivery |
This was categorised into vaginal delivery, assisted vaginal delivery and caesarean section. |
Intermediate factors or behavioural factors |
Lifestyle factors |
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Smoking tobacco |
Women were asked about smoking and chewing tobacco during the interview; current practice was coded as ‘yes’, while women who never practised or no longer practised were coded as ‘no’. |
Chewing tobacco |
Health seeking behaviour |
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Antenatal care visits |
Number of antenatal care (ANC) visits was categorised as ‘≥4 visits’ (which is recommended as adequate by the WHO), and ‘<4 visits’. |
Timing of first ANC visit |
Timing of the first ANC visit was categorised as ‘visit in the first trimester (or first 3 months), which is recommended as adequate by the WHO, and ‘after first 3 months’. |
Place of delivery |
Place of delivery was grouped as ‘medical facility’ or ‘home’. |
Distal or socioeconomic factors |
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Social factors |
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Religion |
Women were categorised into the following religious groups: ‘Hindu’, ‘Muslim’, ‘Christian’ and ‘Others’ which included several groups with small numbers such as Sikh, Buddhists, etc. |
Place of residence |
Place of residence was grouped into urban and rural. |
Social group |
Women were categorised into the following social groups: ‘Schedule caste (SC)’, ‘Schedule tribe (ST)’ and ‘Others’
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Economic factors |
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Education |
Maternal education at the time of the survey was categorised into: illiterate, primary school or below, secondary school, tertiary and above. |
Occupation |
Based on occupational status, women were grouped as ‘being in paid employment’ or ‘not in paid employment’. |
Economic status |
Asset index was used to measure the economic status of the participants. Asset index scores were calculated and the study sample was divided into quintiles ranging from the lowest (quintile 1) to highest (quintile 5) socioeconomic status. |
Pregnancy complication |
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Anaemia during pregnancy |
This is a derived variable based on questions related to the following signs and symptoms: paleness, giddiness, weakness, excessive fatigue. |