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Study of Risk Factors for Preterm Births in a Teaching Hospital: A Prospective Study


Affiliations
1 Department of Obstetrics and Gynaecology, Punjab Institute of Medical Sciences, Jalandhar, Punjab, India
 

Background: Preterm birth is a leading cause of perinatal mortality and long term morbidity as well as the long term health consequences and neurodevelopmental outcome.

Objectives: To study the relationship between sociodemographic factors, obstetric, fetal factors, chronic maternal diseases and preterm births and to study the percentage of late preterm, moderately preterm and very preterm births.

Material and Methods: 100 preterm births (cases) and 100 term births (control cases) which took place in Department of Obstetrics and Gynaecology of a teaching hospital were enrolled in the study. A detailed questionnaire was used to record sociodemographic factors, maternal and antenatal characteristics of current and previous pregnancies. Data was analyzed.

Results: Pre-eclampsia (p<0.01), preterm prelabour rupture of membranes (p<0.01), previous history of preterm births (p<0.01), IUD (p<0.05), genitourinary infections (p<0.02) and polyhydramnios or oligohydramnios (p<0.05) were determined as significant risk factors for preterm birth. 53.1% preterm babies were late preterm babies.

Conclusions: Early detection and treatment of diseases or disorders among pregnant women especially hypertension, genitourinary infections, oligohydramnios/ polyhydramnios as well as improving health care quality delivered to pregnant women may reduce the risk of preterm births according to our study.


Keywords

PIH, Preterm Birth, Oligohydramnios, Polyhydramnios, Preterm Prelabour Rupture of Membranes.
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  • Rush RW, Keirse MJ, Howat P, Baum JD, Anderson AB, Turnbull AC. Contribution of preterm delivery to perinatal mortality. British Medical Journal 1976;2:965-8.

  • Goldenberg RJ, Culhane JF, Iams JD, Romero R. Epidemiology and causes of preterm birth.

  • Lancet 2008;371:75-84.

  • Beck S, Woijdyla D, Say l, Betran AP, Menaldi M, Requejo JH, et al. The Worldwide incidence of preterm birth: A systematic review of maternal mortality and morbidity. Bull World Health Organization 2010;88:31-8.

  • Langhoff RJ, Kesmodel U, Jacobsson B, Rusmussen S, Vobel K. Spontaneous Preterm labour in primiparous women. British Medical Journal 2006;332:937-9.

  • Boyle EM, Poulsen G, Field DJ. Effects of gestational age at birth on health outcomes at 3 and 5 years of age: Population based cohort study. British Medical Journal 2012;344:896-8.

  • Shah R, Luke CM, Gary LD, Ishtiaq M, Rahman SM, Talukder RR, et al. Incidence and risk factors of preterm birth in a rural Bangladeshi cohort BMC Pediatrics 2014;14:112-22.

  • Jammeh A, Sundby J, Vangen S. Maternal and obstetric risk factors for low birth weight and preterm birth in rural Gambia: A hospital based study of 1579 deliveries. Open Journal of Obstetrics and Gynaecolog 2011;1:94-103.

  • Mhamdi SE, Ghardallou ME, Salah AB, Bouanene I, Sriha A, Salem KB, et al. Epidemiological and chronological profile of preterm birth in the region of Monastir(Tunisia) between 1994 and 2012. Eastren

  • Mediterranean Health Journal 2015;21(1):13-9.

  • Abdelhady AS, Abdelhady A. Rate and Risk Factors of Preterm Births in a secondary Health Care Facility in Cairo. World Journal of Medical Sciences 2015;12(1):9-16.

  • Kunle O, Peterside OE, Adeyemi OO. Prevalence and Outcome of Preterm Admissions at the Neonatal Unit of a Tertiary Health Center in Southern Nigeria. Open Journal of Pediatrics 2014;4:67-75.

  • Yuan W, Duffner AM, Chen L, Hunt LP, Sellers SM, Bernal AL. Analysis of preterm deliveries below 35 weeks gestation in a tertiary referral hospital in the UK. A case control survey. BMC Research notes 2010;3:119-29.

  • Hakem HE, Abdalla SM, Tanyous EEN. Prevalence and risk factors of preterm births in the National Ribat University Teaching Hospital, North Sudan, January to April 2012. Obstet Gynaecol Int J 2015; 2(1):27-9.

  • Alijahan R, Hazrati S, Mirzarahinti M, Pourfarzi F and Hadi PA. Prevalence and risk factors associated with preterm birth in Ardabil, Iran. Iran J Reprod Med 2014;12(1):47-56.

  • Khalajinia Z, Jandaghi G. Maternal risk factors for preterm birth: A country based population analysis. Eur J Obstet Gynecol Reprod Biol 2012;159:342-6.

  • Pandey K, Bhagoliwal A, Gupta N, Katiyar G. Predictive value of various risk factors for preterm labour. Obstet Gynecol India 2010; 60(2):141-5.

  • Ananth CV, Vintzileos AM. Epidemiology of preterm births and its clinical subtypes. The Journal of Maternal-fetal and neonatal medicine 2006;19(12):773-82.

  • Shrestha S, Dangol SS, Shrestha M, Shrestha RP. Outcome of Preterm Babies and Associated Risk Factors in a hospital. Journal of the Nepal Medical Association 2010;50(180):286-90.

  • Soundarajan P, Muthuramu P, Veerapandi M, Marriapam R. Retrospective study factors related to preterm birth in Government Raja Mirasudar Hospital and obstetric and perinatal outcome. Int J Reprod Contracept Obstet Gynaecol 2016;5:3006-10.

  • Singh U, Singh N, Seth S. A prospective analysis of aetiology and outcome of preterm labour. A J Obstet Gynecol India 2007;57(1):48-52.

  • Rao CR, Lara EE, Bhat P, Kamath V, Kamath A, Bhat V. A Case Control Study on Risk Factors for Preterm Deliveries in a Secondary Care Hospital in Southern India. Obstetrics and Gynaecology 2014, Article ID;935982:5-10.A

  • Chin LO, Hsu JJ, Hseieh CC, Hseih TT, Hung T.Risk factors for spontaneous preterm delivery before 34 weeks of gestation among Taiwanese women. Taiwan J Obstet Gynecol 2007;46:389-93.


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  • Study of Risk Factors for Preterm Births in a Teaching Hospital: A Prospective Study

Abstract Views: 216  |  PDF Views: 115

Authors

Amita Mahajan
Department of Obstetrics and Gynaecology, Punjab Institute of Medical Sciences, Jalandhar, Punjab, India
Shally Magon
Department of Obstetrics and Gynaecology, Punjab Institute of Medical Sciences, Jalandhar, Punjab, India

Abstract


Background: Preterm birth is a leading cause of perinatal mortality and long term morbidity as well as the long term health consequences and neurodevelopmental outcome.

Objectives: To study the relationship between sociodemographic factors, obstetric, fetal factors, chronic maternal diseases and preterm births and to study the percentage of late preterm, moderately preterm and very preterm births.

Material and Methods: 100 preterm births (cases) and 100 term births (control cases) which took place in Department of Obstetrics and Gynaecology of a teaching hospital were enrolled in the study. A detailed questionnaire was used to record sociodemographic factors, maternal and antenatal characteristics of current and previous pregnancies. Data was analyzed.

Results: Pre-eclampsia (p<0.01), preterm prelabour rupture of membranes (p<0.01), previous history of preterm births (p<0.01), IUD (p<0.05), genitourinary infections (p<0.02) and polyhydramnios or oligohydramnios (p<0.05) were determined as significant risk factors for preterm birth. 53.1% preterm babies were late preterm babies.

Conclusions: Early detection and treatment of diseases or disorders among pregnant women especially hypertension, genitourinary infections, oligohydramnios/ polyhydramnios as well as improving health care quality delivered to pregnant women may reduce the risk of preterm births according to our study.


Keywords


PIH, Preterm Birth, Oligohydramnios, Polyhydramnios, Preterm Prelabour Rupture of Membranes.

References





DOI: https://doi.org/10.18311/ijmds%2F2017%2F125563