Table 2.
Multivariable associations between neonatal mortality and risk factors at start of pregnancy, start of delivery and 5 minutes after birth
Start of pregnancy | Start of delivery | After birth | Start of delivery (including multiple birth) | ||
---|---|---|---|---|---|
Site | 198 | 166 | 147 | 174 | |
Bangladesh | 1 | 1 | 1 | 1 | |
Jharkhand/Odisha, India | 1.66 (1.46, 1.89) | 1.61 (1.40, 1.84) | 2.04 (1.76, 2.37) | 1.62 (1.41, 1.86) | |
Mumbai, India | 0.27 (0.20, 0.34) | 0.27 (0.21, 0.35) | 0.37 (0.28, 0.50) | 0.25 (0.19, 0.33) | |
Nepal | 0.81 (0.65, 1.00) | 0.95 (0.76, 1.18) | 1.27 (1.00, 1.61) | 0.97 (0.78, 1.21) | |
Age | 14 | ||||
<18 | 1.55 (1.25, 1.92) | ||||
18–20 | 1.30 (1.14, 1.48) | ||||
21–23 | 1.11 (1.05, 1.17) | ||||
24–26 | 1 | ||||
27–29 | 0.99 (0.96, 1.03) | ||||
30–32 | 1.05 (0.98, 1.12) | ||||
33–35 | 1.14 (1.00, 1.29) | ||||
>35 | 1.27 (1.04, 1.54) | ||||
Birth interval (months) | 31 | 41 | 20 | 55 | |
Primigravida | 1.34 (1.14, 1.57) | 1.40 (1.22, 1.60) | 1.25 (1.08, 1.44) | 1.50 (1.31, 1.72) | |
<15 | 2.18 (1.69, 2.82) | 1.90 (1.48, 2.45) | 1.82 (1.38, 2.40) | 1.98 (1.53, 2.58) | |
15–26 | 1.11 (0.93, 1.33) | 1.01 (0.83, 1.22) | 1.01 (0.82, 1.23) | 1.04 (0.85, 1.26) | |
27–68 | 1 | 1 | 1 | 1 | |
>68 | 1.16 (0.95, 1.41) | 1.07 (0.88, 1.30) | 1.02 (0.83, 1.25) | 1.04 (0.85, 1.26) | |
Education | 35 | 50 | 41 | 49 | |
No school | 1 | 1 | 1 | 1 | |
Primary | 0.84 (0.73, 0.97) | 0.79 (0.68, 0.91) | 0.80 (0.69, 0.94) | 0.80 (0.69, 0.93) | |
Secondary | 0.65 (0.57, 0.75) | 0.60 (0.52, 0.69) | 0.62 (0.53, 0.71) | 0.61 (0.53, 0.70) | |
BSc/MSc | 0.39 (0.20, 0.76) | 0.30 (0.15, 0.59) | 0.37 (0.18, 0.75) | 0.25 (0.12, 0.50) | |
Household wealth (tertiles) | 12 | 12 | 13 | ||
1 | 1.31 (1.14, 1.50) | 1.32 (1.15, 1.52) | 1.33 (1.16, 1.53) | ||
2 | 1.12 (0.99, 1.27) | 1.10 (0.97, 1.25) | 1.11 (0.97, 1.26) | ||
3 | 1 | 1 | 1 | ||
Premature | 1658 | 745 | 1372 | ||
No | 1 | 1 | 1 | ||
Yes | 11.11 (9.89, 12.47) | 7.62 (6.59, 8.82) | 9.65 (8.56, 10.88) | ||
Pregnancy complications | 46 | 22 | 40 | ||
No | 1 | 1 | 1 | ||
Yes | 1.55 (1.37, 1.75) | 1.40 (1.22, 1.59) | 1.51 (1.33, 1.71) | ||
Season | 13 | 23 | 15 | ||
Warm | 1 | 1 | 1 | ||
Rainy | 1.00 (0.88, 1.14) | 1.05 (0.91, 1.21) | 1.01 (0.89, 1.16) | ||
Cold | 1.24 (1.09, 1.41) | 1.38 (1.20, 1.59) | 1.27 (1.11, 1.44) | ||
Presentation | 49 | ||||
Caesarean | 0.47 (0.36, 0.60) | ||||
Breech | 1.75 (1.33, 2.32) | ||||
Normal | 1 | ||||
Sex baby | 31 | ||||
Male | 1.38 (1.24, 1.54) | ||||
Female | 1 | ||||
Multiple birth | 333 | 508 | |||
No | 1 | 1 | |||
Yes | 6.78 (5.52, 8.32) | 7.67 (6.43, 9.16) | |||
Size at birth | 82 | ||||
Small | 1.50 (1.31, 1.73) | ||||
Normal | 1 | ||||
Large | 2.29 (1.89, 2.77) | ||||
Condition at 5 min | 1110 | ||||
Poor | 10.09 (8.81, 11.56) | ||||
Good | 1 | ||||
Condition arms | 119 | ||||
Normal | 1 | ||||
Floppy | 5.25 (3.91, 7.05) | ||||
AUC apparent validation | |||||
Bangladesh | 0.59 (0.58, 0.61) | 0.73 (0.71, 0.75) | 0.83 (0.81, 0.84) | 0.75 (0.74, 0.77) | |
Jharkhand/Odisha, India | 0.60 (0.57, 0.62) | 0.68 (0.65, 0.71) | 0.80 (0.78, 0.82) | 0.71 (0.68, 0.73) | |
Mumbai India | 0.63 (0.56, 0.70) | 0.75 (0.68, 0.83) | 0.92 (0.88, 0.96) | 0.75 (0.68, 0.82) | |
Nepal | 0.54 (0.47, 0.61) | 0.71 (0.66, 0.77) | 0.84 (0.79, 0.89) | 0.73 (0.67, 0.79) | |
Pooled average | 0.59 (0.58, 0.61) | 0.72 (0.68, 0.75) | 0.85 (0.80, 0.89) | 0.73 (0.70, 0.76) | |
AUC cross-validation | |||||
Bangladesh | 0.58 (0.56, 0.60) | 0.72 (0.70, 0.74) | 0.81 (0.79, 0.83) | 0.74 (0.72, 0.76) | |
Jharkhand/Odisha, India | 0.58 (0.56, 0.61) | 0.67 (0.65, 0.70) | 0.79 (0.77, 0.82) | 0.70 (0.67, 0.73) | |
Mumbai, India | 0.62 (0.55, 0.69) | 0.75 (0.68, 0.83) | 0.90 (0.85, 0.95) | 0.75 (0.67, 0.82) | |
Nepal | 0.53 (0.47, 0.60) | 0.71 (0.65, 0.77) | 0.84 (0.79, 0.89) | 0.72 (0.66, 0.78) | |
Pooled average | 0.58 (0.56, 0.59) | 0.71 (0.68, 0.74) | 0.83 (0.79, 0.86) | 0.73 (0.70, 0.75) |
ΔAIC is reported behind the predictors in bold font; odd ratios (95% confidence intervals) are reported behind predictor levels in regular font.