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Table 4 Delivery methods and outcomes by site and infant gender

From: Gender variations in neonatal and early infant mortality in India and Pakistan: a secondary analysis from the Global Network Maternal Newborn Health Registry

 

India

Pakistan

India p-value

Pakistan p-value

Characteristic

Male

Female

Male

Female

Infants1

107,148

99,006

47,642

43,713

  

Birth attendant, N (%)2

107,145

99,001

47,621

43,695

< .0001

 < .0001

 Physician

65,439 (61.1)

59,167 (59.8)

13,396 (28.1)

11,594 (26.5)

 Nurse/nurse midwife/LHW/HW

38,210 (35.7)

36,170 (36.5)

10,357 (21.7)

9314 (21.3)

 TBA

1616 (1.5)

1626 (1.6)

20,450 (42.9)

19,604 (44.9)

 Family/self/other

1880 (1.8)

2038 (2.1)

3418 (7.2)

3183 (7.3)

Delivery location, N (%)2

107,127

98,983

47,627

43,702

< .0001

< .0001

 Hospital

73,481 (68.6)

66,401 (67.1)

16,125 (33.9)

14,202 (32.5)

 Clinic/health center

29,562 (27.6)

28,352 (28.6)

13,030 (27.4)

11,633 (26.6)

 Home/other

4084 (3.8)

4230 (4.3)

18,472 (38.8)

17,867 (40.9)

Delivery mode, N (%)2

107,147

99,003

47,641

43,712

< .0001

 < .0001

 Vaginal

84,142 (78.5)

78,743 (79.5)

40,351 (84.7)

37,485 (85.8)

 Vaginal, assisted

760 (0.7)

666 (0.7)

1629 (3.4)

1405 (3.2)

 C-section

22,245 (20.8)

19,594 (19.8)

5661 (11.9)

4822 (11.0)

Bag and mask resuscitation, N (%)2

106,283

98,185

47,466

43,574

< .0001

< .0001

 Yes

4952 (4.7)

3,888 (4.0)

5401 (11.4)

3936 (9.0)

 No

101,331 (95.3)

94,297 (96.0)

42,065 (88.6)

39,638 (91.0)

Birth weight (measured and estimated), N (%)2

107,003

98,898

47,511

43,610

< .0001

< .0001

 < 1000 g

639 (0.6)

585 (0.6)

337 (0.7)

283 (0.6)

 1000—1499 g

1258 (1.2)

1159 (1.2)

914 (1.9)

812 (1.9)

 1500—2499 g

15,629 (14.6)

16,931 (17.1)

7990 (16.8)

8567 (19.6)

 ≥ 2500 g

89,477 (83.6)

80,223 (81.1)

38,270 (80.5)

33,948 (77.8)

Birth weight (measured), N (%)2

106,429 (99.3)

98,370 (99.4)

45,369 (95.2)

41,914 (95.9)

< .0001

< .0001

 Mean (std)

2747.3 (453.8)

2687.4 (431.5)

2856.0 (547.4)

2786.2 (531.3)

 Median (25p-75p)

2750.0 (2500.0, 3000.0)

2700.0 (2500.0, 3000.0)

2900.0 (2,510.0, 3150.0)

2800.0 (2500.0, 3050.0)

Gestational age, N (%)2

104,865

96,750

45,609

41,794

0.0056

0.0799

 Preterm

11,559 (11.0)

10,297 (10.6)

8988 (19.7)

8458 (20.2)

 Term

93,306 (89.0)

86,453 (89.4)

36,621 (80.3)

33,336 (79.8)

Gestational age at delivery, N (%)2

102,366 (95.5)

94,763 (95.7)

43,267 (90.8)

39,891 (91.3)

< .0001

< .0001

 Mean (std)

38.6 (3.1)

38.8 (3.0)

37.7 (4.1)

37.8 (4.0)

 Median (25p-75p)

39.0 (38.0, 40.0)

39.0 (38.0, 40.0)

38.0 (36.0, 40.0)

38.0 (36.0, 40.0)

  1. 1All MNH Registry 2010–2018 infants born in 08 Belagavi, 11 Nagpur, and 09 Pakistan with exclusions miscarriage, MTP, and maternal deaths prior to delivery
  2. 2Categorical variable p-values are computed with a cluster-stratified CMH test, while continuous variable p-values are computed with a Wilcoxon rank-sum test