Background
Methods
Study design and population
Inclusion and exclusion criteria
Checks and management of the data
Statistical analysis
Ethical approval
Results
Descriptive analysis
Distribution of perinatal mortality of non-hospital deaths according to socio-demographic factors
Demographic characteristics | Number2
| PNMR3(95% CI4) | P value |
---|---|---|---|
Region
| |||
North central
| 109 | 30 (26.7-38.0) | 0.0257 |
North east
| 269 | 39 (35.3-46.6) | |
North west
| 301 | 36 (33.6-43.3) | |
South east
| 72 | 47 (39.1-59.7) | |
South south
| 111 | 42 (35.2-52.4) | |
South west
| 55 | 29 (25.9-43.3) | |
Residence
| |||
Urban
| 169 | 35 (28.9-42.0 | |
Rural
| 748 | 37 (33.5-40.1) | 0.6406 |
Wealth index
| |||
poorest
| 328 | 41 (35.7-46.8) | 0.0117 |
Poorer
| 259 | 36 (31.2-42.5) | |
Middle
| 157 | 31 (25.7-37.2) | |
Richer
| 102 | 28 (22.3-36) | |
Richest
| 71 | 47 (35.2-62.1) | |
Age group
| |||
15-19
| 71 | 50 (38.8-65.2) | 0.1605 |
20-24
| 190 | 38 (32.2-45) | |
25-29
| 225 | 33 (28.2-38.2) | |
30-34
| 182 | 34 (28.6-40.8) | |
35-39
| 127 | 34 (27.2-41.7) | |
40-44
| 83 | 41 (30.9-54.3) | |
45-49
| 39 | 42 (28.6-61.7) | |
Mother education
| |||
No education
| 541 | 35 (31.9-39.3) | 0.7301 |
Primary
| 205 | 36 (29.9-42.1) | |
Secondary
| 153 | 39 (32.5-47.5) | |
Higher
| 18 | 43 (24.6-72.5) |
Distribution of perinatal mortality of non-hospital births according to reproductive factors
Reproductive factors | Number2
| (95% CI3) | P value |
---|---|---|---|
Parity group
| |||
Para 1
| 80 | 39 (31.2-49.2) | 0.1227 |
Para 2-4
| 385 | 33 (29.4-37.5) | |
Para ≥5
| 452 | 39 (34.5-43.4) | |
Previous mortality experience
| |||
Yes
| 330 | 79 (70.0-89.5) | |
No
| 587 | 28 (25.4-30.5) | <0.001 |
Place of delivery
| |||
Hospitals
4
| 306 | 46 (40–53.3) | |
Woman's home
| 591 | 35 (31.5-38.3) | 0.0465
|
Other home
| 63 | 37 (27.4-49.2) | |
Govt health centre
| 69 | 35 (26.5-47.3) | |
Govt health post
| 6 | 42 (17.5-99.4) | |
Other public
| 5 | 78 (29.3-191.7) | |
Other private
| 3 | 24 (7.4-74.4) | |
Others
| 14 | 31 (14.9-65.3) | |
Multiple birth
| |||
Multiple
| 96 | 121 (93.1-155) | <0.001 |
Singleton
| 821 | 34 (30.9-36.6) | |
Birth interval
| |||
<18 months
| 170 | 73 (61.8-86.9) | <0.001 |
18-24 months
| 139 | 33 (27.7-39.2) | |
≥ 25 months
| 406 | 28 (25.2-31.5) | |
First birth
| 202 | 48 (40.8-55.5) | |
Birth assistant
| |||
Nurse
| 99 | 41 (32.2-51.5) | 0.7932 |
CHEW
| 23 | 31 (17.0-54.6) | |
TBA
| 231 | 35 (30.3-41.0) | |
Family & friends
| 192 | 33 (28.2-39.0) | |
Others
| 18 | 35 (20.6-59.4) | |
No one
| 178 | 34 (28.4-40.0) | |
Size at birth
| |||
Big
| 124 | 33 (27.1-40.4) | <0.001 |
Above average
| 173 | 31 (27.2-37.3) | |
Average
| 259 | 28 (28.7-37.2) | |
Below average
| 91 | 41 (38.0-58.7) | |
Small
| 86 | 75 (58.7-94.4) |
Regression analysis and estimates of crude odds ratio (OR) and adjusted odds ratio (AOR) of perinatal death of non-hospital births according to socio-demographic and reproductive factors
Demographic and reproductive characteristics | Crude OR | AOR2(95% CI3) | P value |
---|---|---|---|
Birth attendant
| |||
CHEW
| 1(base) | 1(base) | |
Nurse
| 1.34 | 1.42 (0.75-2.67) | 0.278 |
TBA
| 1.16 | 0.98 (0.53-1.80) | 0.943 |
Family/friends
| 1.08 | 0.93 (0.49-1.75) | 0.817 |
Others
| 1.15 | 0.93 (0.43-1.04) | 0.865 |
No assistance
| 1.10 | 0.90 (0.47-1.72) | 0.752 |
Region
| |||
North central
| 1(base) | 1(base) | |
North east
| 1.47 | `1.29 (0.96-1.72) | 0.087 |
North west
| 1.35 | 1.29 (0.967-1.73) | 0.083 |
South east
| 1.78 | 1.59 (1.03-2.45) | 0.037 |
South south
| 1.57 | 1.49 (0.972.27) | 0.066 |
South west
| 1.06 | 1.07 (0.66-1.75) | 0.782 |
Residence
| |||
Urban
| 1(base) | 1(base) | |
Rural
| 1.05 | 1.05 (0.82-1.35) | 0.676 |
Wealth index
| |||
Richer
| 1 | 1(base) | |
poorest
| 1.46 | 1.87 (1.30-2.70) | 0.001 |
Poorer
| 1.30 | 1.69 (1.19-2.41) | 0.004 |
Middle
| 1.09 | 1.30 (0.92-1.84) | 0.144 |
Richest
| 1.69 | 1.54 (0.99-2.37) | 0.053 |
Mother’s age
| |||
25-29
| 1(base) | 1(base) | |
15-19
| 1.56 | 1,52 (1.05-2.22) | 0.028 |
20-24
| 1.16 | 1.24 (0.95-1.62) | 0.107 |
30-34
| 1.04 | 1.08 (0.821.41) | 0.589 |
35-39
| 1.03 | 0.90 (0.66-1.24) | 0.523 |
40-44
| 1.26 | 1.19 (0.79-1.80) | 0.407 |
45-49
| 1.29 | 1.15 (0.67-1.96) | 0.615 |
Mother’s education
| |||
No education
| 1(base) | 1(base) | |
Primary
| 1 | 1.05 (0.82-1.34) | 0.692 |
Secondary
| 1.11 | 0.99 (0.71-1.38) | 0.949 |
Higher
| 1.21 | 0.87 (0.39-1.94) | 0.727 |
Parity
| |||
Para2-4
| 1(base) | 1(base) | |
Para1
| 1.90 | 0.69 (0.47-1.01) | 0.058 |
Para ≥5
| 1.17 | 1.06 (0.81-1.37) | 0.678 |
Previous mortality experience
| |||
No
| 1(base) | 1(base) | |
Yes
| 3.01 | 3.31 (2.73-4.02) | <0.001 |
Place of birth
| |||
Other private
| 1(base) | 1(base) | |
Respondent home
| 1.47 | 2.63 (0.59-11.79) | 0.206 |
Other home
| 1.56 | 2.28 (0.50-10.36) | 0.288 |
Govt PHC centre
| 1.50 | 2.25 (0.50-10.02) | 0.286 |
Govt health post
| 1.81 | 5.27 (0.94-29.44) | 0.058 |
Multiple birth
| |||
No
| 1(base) | 1(base) | |
Yes
| 3.95 | 3.12 (2.11-4.59) | <0.001 |
Birth interval
| |||
≥25 months
| 1(base) | 1(base) | |
<18 months
| 2.73 | 1.65 (1.26-2.17) | <0.001 |
18-24 months
| 1.18 | 1.20 (0.96-1.52) | 0.113 |
First births
| 1.73 | 2.22 (1.64-3.01) | <0.001 |
Birth size
| |||
Average
| 1(base) | 1(base) | |
Above average
| 1.04 | 1.03 (0.79-1.33) | 0.854 |
Big
| 1.10 | 1.16 (0.87-1.56) | 0.317 |
Below average
| 1.37 | 1.26 (0.92-1.72) | 0.150 |
Small
| 2.61 | 2.55 (1.79-3.69) | <0.001 |