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Table 1 Distribution of maternal characteristics, maternal conditions and neonatal conditions by site

From: Evaluating the effect of care around labor and delivery practices on early neonatal mortality in the Global Network’s Maternal and Newborn Health Registry

 

Total

Zambia

Kenya

Guatemala

Belagavi

Nagpur

Pakistan

p-Valuec

Live births, N

150,848

16,069

13,989

6351

55,909

35,458

23,072

 

Parity, N (%)

150,138

16,053

13,772

6350

55,503

35,451

23,009

 < .0001

 0

59,938 (39.9)

5052 (31.5)

4623 (33.6)

2496 (39.3)

24468 (44.1)

17202 (48.5)

6097 (26.5)

 1–2

66,095 (44.0)

5972 (37.2)

5222 (37.9)

2268 (35.7)

27,771 (50.0)

17,389 (49.1)

7473 (32.5)

 3+

24,105 (16.1)

5029 (31.3)

3927 (28.5)

1,586 (25.0)

3264 (5.9)

860 (2.4)

9439 (41.0)

Cesarean delivery, N (%)

150,848

16,069

13,989

6351

55,909

35,458

23,072

 < .0001

 Yes

22,810 (15.1)

233 (1.4)

365 (2.6)

2,484 (39.1)

8,183 (14.6)

7,297 (20.6)

4,248 (18.4)

 No

128,038 (84.9)

15,836 (98.6)

13,624 (97.4)

3,867 (60.9)

47,726 (85.4)

28,161 (79.4)

18,824 (81.6)

At least one maternal conditiona, N (%)

150,783

16,060

13,989

6349

55,869

35,445

23,071

 < .0001

 Yes

29,146 (19.3)

1,209 (7.5)

3251 (23.2)

1717 (27.0)

7528 (13.5)

5423 (15.3)

10,018 (43.4)

 No

121,637 (80.7)

14,851 (92.5)

10,738 (76.8)

4632 (73.0)

48,341 (86.5)

30,022 (84.7)

13,053 (56.6)

Gestational age < 34 weeks, N (%)

143,669

15,518

12,830

6015

53,381

34,492

21,433

 < .0001

 Yes

5,345 (3.7)

1,039 (6.7)

384 (3.0)

115 (1.9)

1,551 (2.9)

987 (2.9)

1,269 (5.9)

 No

138,324 (96.3)

14,479 (93.3)

12,446 (97.0)

5,900 (98.1)

51,830 (97.1)

33,505 (97.1)

20,164 (94.1)

Birth weight < 1500 g, N (%)

150,827

16,069

13,987

6349

55,908

35,451

23,063

 < .0001

 Yes

840 (0.6)

51 (0.3)

23 (0.2)

35 (0.6)

295 (0.5)

220 (0.6)

216 (0.9)

 No

149,987 (99.4)

16,018 (99.7)

13,964 (99.8)

6314 (99.4)

55,613 (99.5)

35,231 (99.4)

22,847 (99.1)

At least one neonatal conditionb, N (%)

150,265

15,541

13,986

6332

55,892

35,448

23,066

 < .0001

 Yes

14,005 (9.3)

671 (4.3)

1,012 (7.2)

474 (7.5)

4,041 (7.2)

2,015 (5.7)

5,792 (25.1)

 No

136,260 (90.7)

14,870 (95.7)

12,974 (92.8)

5,858 (92.5)

51,851 (92.8)

33,433 (94.3)

17,274 (74.9)

Early neonatal mortality, rate/1000 (95% CI)

 Days 0–6

19.4 (18.7, 20.1)

12.7 (11.0, 14.4)

11.7 (9.9, 13.4)

16.1 (13.0, 19.2)

16.9 (15.9, 18.0)

15.1 (13.8, 16.4)

42.3 (39.7, 44.9)

 

 Days 0–1

12.2 (11.7, 12.8)

8.0 (6.6, 9.4)

8.7 (7.2, 10.3)

6.8 (4.8, 8.8)

10.7 (9.9, 11.6)

8.0 (7.1, 8.9)

29.0 (26.8, 31.1)

 

 Days 2–6

7.3 (6.8, 7.7)

4.7 (3.6, 5.8)

3.0 (2.1, 3.9)

9.4 (7.0, 11.7)

6.3 (5.6, 6.9)

7.2 (6.3, 8.0)

13.7 (12.2, 15.2)

 
  1. aAt least one of the following maternal conditions: obstructed/prolonged labor/failure to progress, major antepartum hemorrhage, major postpartum hemorrhage, evidence of hypertensive disease/severe pre-eclampsia/eclampsia or breech/transverse or oblique lie
  2. bAt least one of the following neonatal conditions: congenital anomaly, breathing problems, feeding problems, high fever, hypothermia, convulsions or resuscitated
  3. cWald p-values obtained from log-binomial models using generalized estimating equations to account for the correlation of outcomes within cluster
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Reproductive Health

ISSN: 1742-4755