Table 4: Comparison between newborns with asphyxia and newborns with asphyxia and maternal fever in Bangladesh and India Pooled dataset (n=4,105) Bangladesh (n=3,583) India (n=522) Asphyxia alone Fever and asphyxia Asphyxia alone Fever and asphyxia Asphyxia alone (n = 3,920) (n = 185) (n = 3,451) (n = 132) No 3150 (80.4) 132 (71.3) 2875 (83.3) 104 (78.8) Yes 770 (19.6) 53 (28.7) 576 (16.7) 28 (21.2) No nab na 2526 (73.2) 87 (65.9) Yes na na 833 (24.1) 40 (30.3) 92 (2.7) 5 (3.8) 3365 (97.5) 98 (74.2) 86 (2.5) 34 (25.8) Factors Associated with maternal infection p valuea p valuea (n = 469) Fever and asphyxia p valuea (n = 53) Newborn health Early neonatal death, n (%) 0.00 0.17 275 (58.6) 28 (52.8) 194 (41.4) 25 (47.2) na na na na 443 (94.5) 43 (81.1) 26 (5.5) 10 (18.9) 0.42 Signs of maternal infection Prom, n (%) na Missing 0.095 na Vaginal smell up to three days prior to delivery, n (%) (excludes Bangladesh data collected in 2011) No 3808 (97.1) 141 (76.2) Yes 112 (2.9) 40 (23.8) <0.001 <0.001 <0.001 Pooled dataset (n=4,105) Bangladesh (n=3,583) India (n=522) Asphyxia alone Fever and asphyxia Asphyxia alone Fever and asphyxia Asphyxia alone (n = 3,920) (n = 185) (n = 3,451) (n = 132) No education 1031 (26.3) 71 (38.4) 710 (20.6) 35 (26.5) Primary 1033 (26.4) 61 (33.0) 1002 (29.0) Secondary 1856 (47.3) 53 (28.6) Unable to read 2019 (51.5) 69 (37.3) Reads with difficulty 699 (17.8) Reads with ease Missing Factors Associated with maternal infection p valuea p valuea (n = 469) Fever and asphyxia p valuea (n = 53) Maternal characteristics Maternal education, n (%) <0.001 <0.001 321 (68.4) 36 (67.9) 57 (43.2) 31 (6.6) 4 (7.6) 1739 (50.4) 40 (30.3) 117 (25.0) 13 (24.5) 1908 (55.3) 57 (43.2) 111 (23.7) 12 (22.6) 36 (19.5) 669 (19.4) 33 (25.0) 30 (6.4) 3 (5.7) 1192 (30.4) 80 (43.2) 864 (25.0) 42 (31.8) 32 (69.9) 38 (71.7) 10 (0.3) 0 (0.0) 10 (0.3) 0 (0.0) <20 946 (24.1) 50 (27.0) 857 (24.8) 37 (28.0) 89 (18.9) 13 (24.5) 20–29 2354 (60.1) 96 (51.9) 2078 (60.2) 64 (48.5) 276 (58.9) 32 (60.4) 30–39 560 (14.3) 36 (19.5) 484 (14.0) 29 (22.0) 76 (16.2) 7 (13.2) 0.97 Maternal reading ability, n (%) <0.001 0.04 1.00 Maternal age in years, n (%) 0.10 0.03 0.39 Pooled dataset (n=4,105) Bangladesh (n=3,583) India (n=522) Asphyxia alone Fever and asphyxia Asphyxia alone Fever and asphyxia Asphyxia alone (n = 3,920) (n = 185) (n = 3,451) (n = 132) (n = 469) 40+ 37 (0.9) 3 (1.6) 31 (0.9) 2 (1.5) 6 (1.3) 1 (1.9) Missing 23 (0.6) 0 (0.0) 1 (0.1) 0 (0.0) 22 (4.7) 0 (0.0) All 1468 (37.5) 48 (25.9) 1375 (39.8) 38 (28.8) 93 (19.8) 10 (18.9) Some 1223 (31.2) 54 (29.2) 938 (27.2) 26 (19.7) 285 (60.8) 28 (52.8) None 1229 (31.3) 83 (44.9) 1138 (33.0) 68 (51.5) 91 (19.4) 15 (28.3) 0 952 (24.3) 50 (27.0) 806 (23.4 ) 36 (27.3) 146 (31.1) 14 (26.4) 1 747 (19.1) 42 (22.7) 680 (19.7) 28 (21.2) 67 (14.3) 14 (26.4) 2 706 (18.0) 27 (14.6) 624 (18.1) 19 (14.4) 82 (17.5) 8 (15.1) 3 574 (14.6) 26 (14.1) 498 (14.4) 22 (16.7) 76 (16.2) 4 (7.6) 4 820 (20.9) 39 (21.1) 724 (21.0) 26 (19.7) 96 (20.5) 13 (24.5) Missing 121 (3.1) 1 (0.5) 119 (3.5) 1 (0.8) 2 (0.4) 0 (0.0) 3747 (95.6) 176 (95.1) 3290 (95.3) 123 (93.2) 457 (97.4) 53 Factors Associated with maternal infection p valuea p valuea Fever and asphyxia p valuea (n = 53) Household assets, n (%) <0.001 <0.001 0.30 Antenatal period Number of antenatal care visits, n (%) 0.20 0.38 0.17 Bleeding during pregnancy, n (%) No 0.74 0.27 0.62 Factors Associated with maternal infection Pooled dataset (n=4,105) Bangladesh (n=3,583) India (n=522) Asphyxia alone Fever and asphyxia Asphyxia alone Fever and asphyxia Asphyxia alone (n = 3,920) (n = 185) (n = 3,451) (n = 132) p valuea p valuea (n = 469) Fever and asphyxia p valuea (n = 53) (100.0) Yes 171 (4.4) 9 (4.9) 159 (4.6) 9 (6.8) 12 (2.6) 0 (0.0) Missing 2 (0.1) 0 (0.0) 2 (0.1) 0 (0.0) 0 (0.0) 0 (0.0) Baby born at term 3466 (88.4) 156 (84.3) 3110 (90.1) 118 (89.4) 356 (75.9) 38 (71.7) Baby born less than 9 months gestation 440 (11.2) 28 (15.1) 333 (9.7) 14 (10.6) 107 (22.8) 14 (26.4) Missing 14 (0.4) 1 (0.5) 8 (0.2) 0 (0.0) 6 (1.3) 1(1.9) Yes 1169 (29.8) 66 (35.7) 1027 (29.8) 41 (31.1) 142 (30.3) 25 (47.2) No 2744 (70.0) 119 (64.3) 2417 (70.0) 91 (68.9) 327 (69.7) 28 (52.8) Missing 7 (0.2) 0 (0.0) 7 (0.2) 0 (0.0) 0 (0.0) 0 (0.0) Yes 2797 (71.4) 119 (64.3) 2454 (71.1) 89 (67.4) 343 (73.1) 30 (56.6) No 1058 (27.0) 61 (33.0) 935 (27.1) 38 (28.8) 123 (26.2) 23 (43.4) Delivery period Preterm birthc, n (%) 0.24 0.75 0.52 Baby delivered by skilled delivery attendant, n (%)d 0.21 0.83 0.01 Institutional delivery, n (%) 0.07 0.18 0.05 Pooled dataset (n=4,105) Bangladesh (n=3,583) India (n=522) Asphyxia alone Fever and asphyxia Asphyxia alone Fever and asphyxia Asphyxia alone (n = 3,920) (n = 185) (n = 3,451) (n = 132) (n = 469) 65 (1.7) 5 (2.7) 62 (1.8) 5 (3.8) 3 (0.6) 0 (0.0) No 2586 (66.0) 117 (63.2) 2140 (62.0) 79 (59.9) 446 (95.1) 38 (71.7) Yes 1334 (34.0) 68 (36.8) 1311 (38.0) 53 (40.1) 23 (4.9) 15 (28.3) No 3359 (85.7) 153 (82.7) 2933 (85.0) 112 (85.0) 426 (90.8) 41 (77.4) Yes 298 (7.6) 19 (10.3) 278 (8.1) 14 (10.6) 20 (4.3) 5 (9.4) Missing 263 (6.7) 13 (7.0) 240 (7.0) 6 (4.6) 23 (4.9) 7 (13.2) Normal, vaginal 3566 (91.0) 168 (90.8) 3114 (90.2) 122 (92.4) 452 (96.4) 46 (86.8) Vaginal, assisted 93 (2.4) 3 (1.6) 89 (2.6) 1 (0.8) 4 (0.9) 2 (3.8) Caesarean 261 (6.7) 14 (7.6) 248 (7.2) 9 (6.8) 13 (2.8) 5 (9.4) Factors Associated with maternal infection Missing p valuea p valuea Fever and asphyxia p valuea (n = 53) Excessive bleeding during delivery, n (%) 0.45 0.62 <0.001 Malpresentation at birth 0.40 0.35 0.01 Type of delivery a p value obtain through the use of a Wald test b Not applicable: data were not collected in the study. c Mother reported the duration of her pregnancy 0.77 0.50 0.01 Factors Associated with maternal infection in months d Doctor, nurse, or trained midwife. na, not available. Pooled dataset (n=4,105) Bangladesh (n=3,583) India (n=522) Asphyxia alone Fever and asphyxia Asphyxia alone Fever and asphyxia Asphyxia alone (n = 3,920) (n = 185) (n = 3,451) (n = 132) p valuea p valuea (n = 469) Fever and asphyxia (n = 53) p valuea