Analgesia during Labor and Vaginal Birth among Women with Severe Maternal Morbidity: Secondary Analysis from the WHO Multicountry Survey on Maternal and Newborn Health

Table 6

Perinatal outcomes in women with severe maternal morbidity and vaginal delivery, according to the performance of analgesia.

Perinatal Outcomes	With Analgesia	Without Analgesia	Prevalence Ratio (CI)
	601 (%)	9187 (%)
5-min Apgar Score ≤7	51 (8.6)	1023 (11.9)	0.72 (0.42 – 1.23)
Small for gestational age	115 (18.9)	2647 (29.4)	0.64 (0.49 – 0.85)
Fresh stillbirth	16 (2.6)	670 (7.2)	0.37 (0.19 – 0.71)
Neonatal complications	100 (16.8)	1208 (13.9)	1.21 (0.75 – 1.95)
Admission to neonatal ICU	92 (15.5)	1314 (15.1)	1.02 (0.68 – 1.55)
Early Neonatal death	12 (2.0)	266 (3.1)	0.66 (0.28 – 1.55)
Any adverse perinatal outcome	119 (19.5)	2204 (23.8)	0.82 (0.57 – 1.19)
Neonatal near miss	128 (21.5)	1447 (16.7)	1.29 (0.91 – 1.85)
Perinatal death	27 (4.4)	925 (9.9)	0.45 (0.25 – 0.81)
Preterm Delivery	107 (17.6)	1,767 (19.3)	0.91 (0.99 – 1.01)
Multiple pregnancy	20 (3.3)	422 (4.5)	0.73 (0.43 – 1.24)
Fetal presentation
Cephalic	585 (96.2)	9,015 (96.6)	1
Breech	23 (3.7)	320 (3.4)	1 (0.98 – 1.01)
Low birth weight (<2500g)	115 (18.9)	2,145 (23.2)	0.81 (0.62 – 1.07)
Congenital malformation	16 (2.6)	86 (0.9)	2.86 (1.57 – 5.24)

Missing