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Table 4 Independent risk factors for newborn deaths (still births plus neonatal deaths) for newborns whose mothers had obstetric complications

From: Still births, neonatal deaths and neonatal near miss cases attributable to severe obstetric complications: a prospective cohort study in two referral hospitals in Uganda

Characteristic Still births and neonatal deaths (n = 626) Near miss and Ωothers (n = 1516) Crude risk ratios and 95% CI p-values Adjusted risk ratios and 95% CI p-values
∞Severe maternal outcome       
Yes 393 (62.8) 305 (20.1) 6.70 (5.45–8.22) <0.001 2.87 (4.52–7.19) <0.001
No 233 (37.2) 1211 (79.9) Ref   Ref  
Age category       
18 years or less 53 (8.5) 130 (8.6) Ref   Ref  
19–24 years 221 (35.3) 632 (41.7) 0.85 (0.60–1.22) 0.396 0.93 (0.60–1.45) 0.747
>24 years 352 (56.2) 754 (49.7) 1.14 (0.81–1.61) 0.440 1.04 (0.64–1.70) 0.874
Gravidity       
1 167 (26.7) 535 (35.3) Ref   Ref  
2–4 300 (47.9) 751 (49.5) 1.29 (1.03–1.58) 0.028 1.31(0.97–1.76) 0.074
5 and more 159 (25.4) 230 (15.2) 2.21 (1.70–2.89) <0.001 2.06 (1.36–3.12) 0.001
Employment status       
Formal 50 (8.0) 160 (10.6) Ref   Ref  
Informal 215 (34.3) 467 (30.8) 1.47 (1.03–2.10) 0.033 0.99 (0.60–1.60) 0.832
Unemployed 360 (57.5) 887 (58.6) 1.30 (0.92–1.82) 0.132 0.97 (0.60–1.55) 0.931
Ω Education level       
None or primary l 283 (45.7) 589 (38.9) Ref   Ref  
Secondary level   732 (48.3) 0.82 (0.68–1.02) 0.054 0.92 (0.71–1.18) 0.548
Post-secondary 290 (46.3) 183 (12.1) 0.48 (0.41–0.55) <0.001 0.56 (0.34–0.90) 0.021
50 (8.0)
Referral status     0.002   
Referred 446 (71.2) 972 (64.1) 0.72 (0.59–0.88)   0.51–0.85 0.002
Not Referred 180 (28.8) 544 (35.9) Ref   Ref  
Timing of complications       
Occurred before admission 296 (47.3) 863 (56.9) Ref   Ref  
£New complications developed 210 (33.5) 330 (21.8) 1.12 (1.00–1.26) <0.001 0. 95 (0.72–1.25) 0.719
Complications occurred during hospitalization       
120 (19.2) 323 (21.3) 0.80 (0.45–1.07) 0.074 0.76 (0.56–1.02) 0.070
  1. ∞Severe maternal outcomes include maternal deaths and maternal near miss cases.
  2. ΩNeonatal near miss cases and newborns with minimal or no neonatal complications.
  3. CI Confidence intervals; £New complications occurred after admission.