Table 2.
Outcomes among women delivering in primary and secondary prevention clusters
| N | Primary Prevention1,2 | Secondary Prevention1,3 | ICC | Estimate4 | 95% CI | P value5 | |
|---|---|---|---|---|---|---|---|
| Non-inferiority test | |||||||
| Hb change | 2654 | N = 1555 | N = 1099 | ||||
| Mean (SD) | −0.37 (0.91) | −0.45 (0.76) | 0.16 | β = -0.01 | Not less than -0.276 | 0.535 | |
| Secondary outcomes | |||||||
| Hb drop ≥2 g/dL | 2654 | N = 1555 | N = 1099 | ||||
| 81 (5.2%) | 28 (2.6%) | 0.07 | RR = 0.46 | 0.15, 1.37 | 0.161 | ||
| Post-delivery Hb | 2654 | N = 1555 | N = 1099 | ||||
| Mean (SD) | 10.9 (1.2) | 10.8 (1.2) | 0.10 | β = 0.08 | −0.26, 0.42 | 0.616 | |
| PPH diagnosis | 2654 | N = 1555 | N = 1093 | ||||
| 5 (0.3%) | 6 (0.6%) | 0.02 | RR = 2.17 | 0.28, 16.46 | 0.455 | ||
| Transfer to higher level care | 2654 | N = 1555 | N = 1099 | ||||
| 2 (0.1%) | 1 (0.1%) | < 0.01 | RR = 0.77 | 0.09, 6.46 | 0.810 | ||
| Additional uterotonics7 | 2654 | N = 1555 | N = 1099 | ||||
| 4 (0.3%) | 2 (0.2%) | 0.01 | RR = 0.52 | 0.05, 5.15 | 0.573 | ||
1Results are presented as N (%) except where otherwise noted
2All 1555 in primary prevention clusters received 600mcg oral misoprostol; 9/1555 (0.6%) women in primary prevention clusters soaked the underpad
3112/1099 (10.2%) women in secondary prevention clusters soaked the underpad; 117 (10.7%) women in secondary prevention clusers received 800mcg misoprostol, including all 112 who soaked the underpad
4β Regression coefficient derived incorporating generalized estimating equations (GEE), RR Risk ratio derived from log-binomial regression incorporating generalized estimating equations (GEE)
5P value for Hb change is one-sided, all other p values are two-sided
6One sided 95% CI for non-inferiority test, pre-defined non-inferiority margin = -0.3
7Additional uterotonics administered at place of birth or at the hospital if transferred