Table 1

Description of the variables used to examine the risk factors for stillbirth

Risk factorsDescription of the variables
Proximal or biodemographic factors
Fetal factors
 SexSex of the fetus was coded as either female or male.
 Multiple pregnancyNumber of fetuses: Women were categorised as singleton (one fetus) or multiple pregnancy (twins or higher-order multiple gestations).
Maternal factors
 Maternal ageMaternal age at the time of the survey was divided into 5-year age bands: <20, 20–24, 25–29, 30–34, 35–39, 40–44, 45 and above.
 GravidityGravidity (number of pregnancies) was used as a proxy for parity (number of deliveries) for which information was not available. Gravidity was categorised as ‘first’ if the index pregnancy was the first pregnancy, ‘second - fourth’ and ‘five or more’.
 Any complication during pregnancyWomen who reported to have any of the following complications during their index pregnancy were coded as ‘yes’, otherwise ‘no’: anaemia, eclampsia, other hypertensive disorders, antepartum haemorrhage, intrapartum haemorrhage, abnormal fetal position, breech presentation and obstructed labour.
 Mode of deliveryThis was categorised into vaginal delivery, assisted vaginal delivery and caesarean section.
Intermediate factors or behavioural factors
Lifestyle factors
 Smoking tobaccoWomen were asked about smoking and chewing tobacco during the interview; current practice was coded as ‘yes’, while women who never practised or no longer practised were coded as ‘no’.
 Chewing tobacco
Health seeking behaviour
 Antenatal care visitsNumber of antenatal care (ANC) visits was categorised as ‘≥4 visits’ (which is recommended as adequate by the WHO), and ‘<4 visits’.
 Timing of first ANC visitTiming of the first ANC visit was categorised as ‘visit in the first trimester (or first 3 months), which is recommended as adequate by the WHO, and ‘after first 3 months’.
 Place of deliveryPlace of delivery was grouped as ‘medical facility’ or ‘home’.
Distal or socioeconomic factors
Social factors
 ReligionWomen were categorised into the following religious groups: ‘Hindu’, ‘Muslim’, ‘Christian’ and ‘Others’ which included several groups with small numbers such as Sikh, Buddhists, etc.
 Place of residencePlace of residence was grouped into urban and rural.
 Social groupWomen were categorised into the following social groups: ‘Schedule caste (SC)’, ‘Schedule tribe (ST)’ and ‘Others’
  • SC and ST are officially designated groups of historically disadvantaged populations in India

  • ‘Others’ included the general social class and other backward classes

Economic factors
 EducationMaternal education at the time of the survey was categorised into: illiterate, primary school or below, secondary school, tertiary and above.
 OccupationBased on occupational status, women were grouped as ‘being in paid employment’ or ‘not in paid employment’.
 Economic statusAsset index was used to measure the economic status of the participants. Asset index scores were calculated and the study sample was divided into quintiles ranging from the lowest (quintile 1) to highest (quintile 5) socioeconomic status.
Pregnancy complication
 Anaemia during pregnancyThis is a derived variable based on questions related to the following signs and symptoms: paleness, giddiness, weakness, excessive fatigue.