Exploring the Concept of Degrees of Maternal Morbidity as a Tool for Surveillance of Maternal Health in Latin American and Caribbean Settings

Table 5

Neonatal outcomes according to the adverse maternal outcomes. CLAP 2009–2012.

Neonatal outcome	MD	MNM	PLTC	LSMM	Any (AMM)	No morbidity
Gestational age at birth							0.007
<32 weeks	68 (6.9)	1438 (7.0)	3,125 (3.0)	5,116 (3.9)	9,747 (3.8)	10,620 (2.6)
32–36	141 (14.2)	4,114 (20.0)	8,978 (8.5)	13,049 (9.9)	26,282 (10.1)	28,853 (7.0)
≥37 weeks	783 (78.9)	14,985 (73.0)	93,534 (88.5)	113,707 (86.2)	223,009 (86.1)	369,957 (90.4)
Birth weight							<0.001
<2500 g	181 (18.0)	5,364 (24.8)	9,135 (8.4)	14,786 (10.9)	29,466 (11.1)	35,103 (8.1)
2500–3999 g	755 (75.0)	15,451 (71.4)	93,650 (86.4)	113,928 (84.3)	223,784 (84.1)	378,050 (87.6)
≥4000 g	71 (7.1)	822 (3.8)	5,571 (5.1)	6,495 (4.8)	12,959 (4.8)	18,218 (4.2)
Apgar 5th min <7	49 (5.0)	789 (3.7)	2,105 (2.0)	2,319 (1.7)	5,262 (2.0)	7,363 (1.7)	0.088
Vital status at birth							0.726
Alive	986 (95.1)	21,431 (97.5)	107,788 (98.0)	134,556 (97.8)	264,761 (97.8)	433,059 (98.1)
Fetal death	42 (4.9)	554 (2.5)	2,250 (2.0)	3,033 (2.2)	5,879 (2.2)	8,382 (1.9)
Child condition at maternal discharge
Alive	736 (95.9)	16,906 (96.7)	97,206 (98.4)	112,886 (98.2)	227,734 (98.1)	365,715 (99.0)	0.027
Neonatal death	28 (3.6)	358 (2.0)	804 (0.8)	915 (0.8)	2,105 (0.9)	2,066 (0.6)
Referred	4 (0.5)	227 (1.3)	824 (0.8)	1,144 (1.0)	2,199 (1.0)	1,792 (0.5)
Neonatal near miss	128 (13.1)	2,964 (14.5)	5,516 (5.2)	8,440 (6.4)	17,048 (6.6)	19,757 (4.9)	0.008

Pearson Chi-square test corrected by the cluster design effect. Neonatal near miss: birthweight < 1750 g or Apgar 5th min <7 or GA <33 weeks; missing information for a: 6.1%; b: 2.0%; c: 3.0%; d: 15.5%; e: 6.5% of cases; AMM: any maternal morbidity; LSMM: less severe maternal morbidity; MD: maternal death; MNM: maternal near miss; PLTC: potentially life-threatening condition.