Research Article

Incidence and Predictors of Maternal and Perinatal Mortality among Women with Severe Maternal Outcomes: A Tanzanian Facility-Based Survey for Improving Maternal and Newborn Care

Table 4

Factor associated with maternal and perinatal mortality and neonatal complications, DRRH, Tanzania, January 2016.

VariableMaternal mortality (model 1)Perinatal mortality (model 2)Neonatal complications (model 3)
a) Unadjusted
β (SE)
b) Adjusted
β (SE)
a) Unadjusted
β (SE)
b) Adjusted
β (SE)
a) Unadjusted
β (SE)
b) Adjusted
β (SE)

Age in years (ref: <20)
 20–341.480 (1.066)0.1650.154 (1.291)0.9051.684 (0.773)0.0291.864 (0.873)0.0330.693 (0.620)0.263
 ≥351.061 (1.187)0.371−1.302 (1.529)0.3942.120 (0.824)0.0102.724 (1.049)0.0090.406 (0.787)0.606

Residence (ref: rural)
 Urban0.251 (0.535)0.6390.174 (0.378)0.6450.026 (0.468)0.956

Parity (ref: nulliparous)
 Para 1–32.221 (1.068)0.0382.093 (1.246)0.0930.464 (0.453)0.305−0.376 (0.569)0.508−0.446 (0.538)0.407
 Para 4 or more2.201 (1.122)0.0492.244 (1.399)0.1090.737 (0.517)0.154−1.153 (0.803)0.1510.182 (0.611)0.766

Antenatal care (ref: attended)
 Not attended−0.563 (1.074)0.6001.751 (0.596)0.0031.314 (0.670)0.060

Mode of referral (ref: facility referral
 Self-referral0.017 (0.548)0.975−0.627 (0.383)0.102−0.563 (0.456)0.217

Mode of birth (ref: surgical)
 Spontaneous vaginal birth−0.284 (0.547)0.604−0.441 (0.389)0.2571.088 (0.491)0.0271.225 (0.543)0.024

Time to receive care (ref: <30 minutes
 30 minutes or more0.707 (0.607)0.2430.635 (0.409)0.1200.402 (0.578)0.487−0.395 (0.470)0.401

Elevated BP (ref: no)
 Yes0.297 (0.794))0.708−1.168 (0.478)0.015−1.022 (0.551)0.0640.376 (0.819)0.647

Eclampsia/ preeclampsia (ref: no)
 Yes0.550 (0.627)0.380−1.147 (0.649)0.0770.617 (0.538)0.251

Hemorrhagic shock (ref: no)
 Moderate0.499 (0.658)0.448−0.454 (0.458)0.3220.021 (0.534)0.9680.579 (0.598)0.3330.885 (0.658)0.179
 Severe0.875 (0.715)0.2210..865 (0.481)0.0720.640 (0.548)0.2432.138 (0.696)0.0021.911 (0.739)0.010

ICU admission (ref: no)
 Yes1.534 (0.553)0.0051.313 (0.616)0.0330.134 (0.452)0.768−0.348 (0.613)0.570

Per-protocol management (ref: no)
 Yes−1.914 (0.777)0.014−1.920 (0.813)0.018−0.520 (0.389)0.1810.191 (0.568)0.736−0.823 (0.490)0.093−0.931 (0.616)0.131

β = estimated beta coefficient; SE = standard errors of the estimated beta coefficient; ref = reference category;  =  value.