Research Article
Stillbirths in Rural Hospitals in The Gambia: A Cross-Sectional Retrospective Study
Table 1
Demographic/reproductive and obstetric factors associated with stillbirth.
| Characteristics | Total birth (%) | Stillbirth (%) | Crude OR (95% CI) | Adjustedaa OR (95% CI) |
| | 1519 | 237(15.6) | | | Maternal age (yrs) | | | | |
| 20 | 509(33.5) | 61(12.0) | 1 | 1. | 20–34 | 827(54.4) | 140(16.9) | 1.20(0.80–1.81) | 0.97(0.57–1.65) | 35 | 183(12.0) | 36(19.7) | 1.80(1.14–2.83)* | 1.39(0.64–2.93) |
| Parity | | | | |
| 0 | 703(46.3) | 77(11.0) | 1 | 1. | 1–3 | 380(25.0) | 66(17.4) | 1.31(0.92–1.86) | 0.48(0.28–0.78) | 4 | 436(28.7) | 94(21.6) | 2.24(1.61–3.10)*** | 0.35(0.20–0.63) |
| Residence | | | | |
| PHC Village | 473(31.1) | 108(22.8) | 2.13(1.59–2.80)*** | 1.14(0.78–1.66) | Non-PHC Village | 1046(68.9) | 129(12.3) | 1 | . |
| Admission status | | | | |
| Referred | 303(19.9) | 153(50.5) | 13.75(10.02–18.84)*** | 3.82(2.24–6.51)*** | Booked | 1216(80.1) | 84(6.9) | 1 | 1. |
| Antenatal Care | | | | |
| No | 10(0.7) | 5(50.0) | 5.50(1.58–19.16)** | 4.45(0.84–23.43) | Yes | 1509(99.3) | 232(15.4) | 1 | 1. |
| Mode of delivery | | | | |
| Spontaneous Vaginal | 1340(88.2) | 191(14.3) | 1 | 1 | Assisted breech | 53(3.5) | 17(32.1) | 1.80(1.16–2.80)** | 1.64(0.74–3.60) | Caesarean Section | 126(8.3) | 29(23.0) | 0.63(0.31–1.29) | 4.35(2.46–7.70)*** |
| Used of Patograph | | | | |
| No | 958(63.1) | 187(19.5) | 2.48(1.78–3.45)*** | 1.70(1.13–2.56)** | Yes | 561(36.9) | 50(8.9) | 1 | 1. |
| Obstetric complication | | | | |
| Yes | 370 | 164(44.3) | 11.74(8.58–16.06)*** | 6.68(3.84–11.62)*** | No | 1149 | 73(6.4) | 1 | 1. |
| Type of birth | | | | |
| Multiple | 111(7.3) | 20(18.0) | 1.20(0.73–1.99) | 2.01(1.05–3.86)** | Singleton | 1408(92.7) | 217(15.4) | 1 | 1. |
| Birth weight | | | | |
| 2500 g | 278(18.3) | 114(41.0) | 6.32(4.67–8.55)*** | 4.48(3.04–6.59)*** | 2500 g | 1241(81.7) | 123(9.9) | 1 |
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aaAdjusted for all variables listed in the table. -value .01, -value .05, -value .001.
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