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Table 3 Obstetric and birth-related factors associated with survival to discharge for VLBW infants in 2013

From: Comparison of morbidity and mortality of very low birth weight infants in a Central Hospital in Johannesburg between 2006/2007 and 2013

Variable (number)

Died/survived

Mortality percentage [95% CI]

P value

Birthplace

   

Inborn (472)

121/351

25.6 [21.9 – 29.7]

 

Born Outside Health facility (33)

17 /16

51.5 [35.2 – 67.5]

0.006

Born at another hospital (36)

6 /30

16.6 [7.9 – 31.9]

 

Born at Midwife obstetric unit (19)

5/14

26.3 [11.8 – 48.8]

 

Antenatal care

   

Yes (397)

92/305

23.1 [19.3 – 27.6]

0.016

No (140)

47 /93

33.5 [26.3 – 41.7]

 

Antenatal steroids

   

Yes (220)

44 /176

20 [15.3 – 25.8]

0.001

No (288)

95/193

32.9 [27.8 – 38.6]

 

Maternal hypertension

   

Yes (126)

24 /106

18.4 [12.7 – 26]

0.022

No (366)

105 /261

28.6 [24.3 – 33.5]

 

Maternal HIV

   

Yes (160)

47 /113

29.3[22.9 – 36.9

0.038

No (362)

76 /286

20.9[17.1 – 25.5]

 

Mode of delivery

   

NVD (221)

87/134

39.3[33.2 – 45.6]

 

Vaginal breech (18)

9 /9

50 [29 – 71]

 

CS elective (15)

3 /12

20 [7 – 45.2]

<0.001

CS emergency (296)

48/248

16.2 [12.5 – 21]

 

SGA

   

Yes (174)

30/144

17.2 [12.4 – 23.5]

 

No (384)

112/272

29.1 [24.8-33.9]

<0.01

Resuscitation at birth

   

Yes (203)

93/110

45.8 [39.1 – 52.7]

<0.001

No (344)

53/291

21.7 [17 – 27.3]

 

Major birth defect

   

Yes (12)

7/5

58.3 [31.9 – 80.7]

0.013

No (536)

140 / 396

26.1 [22.6 – 30]