Skin Color and Severe Maternal Outcomes: Evidence from the Brazilian Network for Surveillance of Severe Maternal Morbidity

Table 7

Conditions associated with SMO (MNM or MD) as outcome of pregnancy with severe maternal morbidity (multiple analysis by Poisson regression).

Model/ Condition		95% CI	p
Model [n = 4,981] for Severe Maternal Outcome
Other conditions	2.53	2.09–3.05	<0.001
Any delay	1.72	1.44–2.05	<0.001
Gestational age at admission (<37 weeks or postpartum)	2.83	1.99–4.01	<0.001
Obesity	0.48	0.37–0.62	<0.001
Number of previous deliveries (≥1)	1.33	1.10–1.62	0.005
Skin color/ethnicity (non-white)	0.61	0.44–0.85	0.005
Marital status (Without partner)	0.56	0.38–0.83	0.005
Renal diseases	1.89	1.16–3.05	0.012
Neoplasms	1.79	1.09–2.96	0.024
Sickle cell diseases	2.01	1.09–3.69	0.026
Schooling (up to primary)	1.22	1.02–1.47	0.033
Chronic hypertension	0.71	0.51–0.99	0.049

Analysis considering cluster design (center)
Predictors entering the models: age (years); marital status (with partner: 0/ without: 1); schooling (up to primary: 1/ high school or higher: 0); skin color/ethnicity (White: 0/ non-white: 1); financial support for prenatal care (public: 0/ other: 1); number of previous deliveries (0/ ≥1: 1); number of prenatal visits (< 6: 1/ ≥6: 0); gestational age at admission (< 37 weeks or postpartum: 1/ ≥37 sem.: 0); any delay (Yes: 1/ No: 0); previous pathological conditions (Yes: 1/No: 0); chronic hypertension (Yes: 1/No: 0); obesity (Yes: 1/No: 0); low weight (Yes: 1/No: 0); diabetes (Yes: 1/No: 0); smoking (Yes: 1/No: 0); cardiac diseases (Yes: 1/No: 0); respiratory diseases (Yes: 1/No: 0); renal diseases (Yes: 1/No: 0); sickle cell diseases (Yes: 1/No: 0); HIV/Aids (Yes: 1/No: 0); thyroid diseases (Yes: 1/No: 0); neurological diseases/epilepsy (Yes: 1/No: 0); collagenoses (Yes: 1/No: 0); neoplasms (Yes: 1/No: 0); drug addiction (Yes: 1/No: 0); other conditions (Yes: 1/No: 0).
BMI was not included in the models due to the high number of missing values