Bulletin of the World Health Organization

Stillbirth in rural Bangladesh: arsenic exposure and other etiological factors: a report from Gonoshasthaya Kendra

Nicola Cherry, Kashem Shaikh, Corbett McDonald, Zafrullah Chowdhury

Volume 86, Number 3, March 2008, 172-177

Table 2. Multivariate models of factors associated with stillbirth: logistic regressiona

Factorsb Final model without arsenic
Final model including arsenic
Odds ratio (95% CI) Odds ratio (95% CI)
Sex: Male 1.21 (1.06–1.39) 1.22 (1.06–1.39)
Multiple birth 3.07 (1.65–5.68) 3.07 (1.66–5.69)
Age:
≥ 31 years 1.59 (1.28–1.97) 1.58 (1.28–1.96)
Previous pregnancies:
Nil 1.81 (1.55–2.11) 1.81 (1.55–2.11)
Previous stillbirth:
1 1.88 (1.46–2.41) 1.86 (1.45–2.39)
> 1 2.29 (1.64–3.20) 2.27 (1.63–3.17)
Low socioeconomic status 1.71 (1.38–2.12) 1.70 (1.37–2.10)
Maternal education:
> 4 years 2.76 (2.12–3.59) 2.76 (2.12–3.59)
Paternal education:
No schooling 1.43 (1.19–1.73) 1.44 (1.20–1.74)
Maternal smoking: Yes 0.19 (0.09–0.41) 0.19 (0.09–0.42)
Mother: high blood pressure 4.22 (1.95–9.13) 4.27 (1.97–9.23)
Mother: oedema 1.80 (1.26–2.57) 1.79 (1.25–2.56)
Gestation:
28–32 weeks 6.58 (5.10–8.47) 6.57 (5.10–8.46)
33–36 weeks 1.83 (1.57–2.14) 1.83 (1.57–2.13)
≥ 38 weeks 1.43 (1.04–1.99) 1.42 (1.03–1.97)
Birth weight:
Low 14.70 (10.28–21.02) 14.73 (10.30–21.06)
Very low 65.28 (29.12–146.37) 63.73 (28.42–142.89)
Prolonged labour 6.49 (5.03–8.39) 6.48 (5.02–8.38)
Excess bleeding 1.73 (1.09–2.73) 1.73 (1.09–2.74)
Death of mother 0.03 (0.01–0.09) 0.03 (0.01–0.09)
Home delivery 0.34 (0.28–0.42) 0.34 (0.28–0.42)
Arsenic concentration:
10 µg/l to < 50 µg/l 1.23 (0.87–1.74)
≥ 50 µg/l 1.80 (1.14–2.86)

a N = 30 486 deliveries, 971 stillbirths.b Reference category omitted, but can be inferred.