Clinical Risk Factors for Preterm Birth

Offiah, Ifeoma; O’Donoghue, Keelin; Kenny, Louise

doi:10.5772/27439

Cited by 29 publications

(40 citation statements)

References 97 publications

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“…Similar to present study preterm rupture of membrane has been reported to be related significantly to preterm birth [3,12,14,16,18].…”

Section: Discussionsupporting

confidence: 81%

“…Of these 80.5% (1729/2149) delivered at term (37-41 weeks), 16.3% (351/2149) delivered preterm (37 weeks), and 3.2% (69/2149) delivered post term (41 weeks gestation), preterm birth rate of 11.1% occurred in Sub-Saharan Africa and Jimma 51% of these babies were born below 37 completed weeks of gestation. The low rate of preterm birth found in present study might reflect success of different programs introduced by federal Ministry of Health to improve health service quality delivered to pregnant women including pre-pregnancy and pregnancy health care in the last decade [1,3,13,16,17,21,22]. …”

Section: Discussionmentioning

confidence: 96%

“…Preterm birth can also be defined by birth weight: low birth weight less than 2500 g, very low birth weight 1500 g, and extremely low birth weight less than 1000 g [3].…”

Section: Introduction Backgroundmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence of Preterm Birth and its Associated Factors among Mothers Delivered in Jimma University Specialized Teaching and Referral Hospital, Jimma Zone, Oromia Regional State, South West Ethiopia

Bekele¹,

Demeke²,

Dugna³

2017

J Women's Health Care

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Background: Being born before 37 weeks gestational age or before 259 days since the first day of a woman's last menstrual period is defined as preterm birth according to the WHO. Being born too early is now the leading cause of death in children around the world. Preterm deliveries were responsible for 1 million out of the 6.3 million deaths of children under 5 in 2013. While the greatest burden is felt in developing countries, it is a problem everywhere. Its negative impacts stretch further when taking into account the health of mothers and the lives of the children who manage to survive.

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“…Similar to present study preterm rupture of membrane has been reported to be related significantly to preterm birth [3,12,14,16,18].…”

Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 96%

See 1 more Smart Citation

Prevalence of Preterm Birth and its Associated Factors among Mothers Delivered in Jimma University Specialized Teaching and Referral Hospital, Jimma Zone, Oromia Regional State, South West Ethiopia

Bekele¹,

Demeke²,

Dugna³

2017

J Women's Health Care

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“…21 Conditions that may predispose an individual to spontaneous preterm premature rupture of membranes include infections during pregnancy, over-distension of the uterus such as in multiple pregnancies and previous premature labour. 21,22 In this study all the aforementioned factors occurred more in the premature group of patients and can therefore be considered as possible risk factors for prematurity.…”

Section: −16mentioning

confidence: 99%

Causes of prematurity in the Bloemfontein Academic Complex

Brits

Adriaanse

Rall

et al. 2015

South African Family Practice

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Background: Prematurity is globally the leading cause of neonatal mortality, morbidity and long-term disability. The Millennium Development Goals (MDG) of the United Nations, and specifically MDG 4, address child mortality. Neonatal mortality rates contribute to 37% of all under-five mortality, with the largest proportion (30%) due to prematurity. The overall purpose of this study was to determine factors associated with prematurity and to identify treatable and preventable causes at the Bloemfontein Academic Complex in order to decrease the morbidity and mortality associated with prematurity in line with MDG. Methods: A case control study design was used including all premature babies referred to the Kangaroo Care Unit of the National District Hospital between December 2010 and March 2011. Each baby was included with his/her mother as a pair. For each premature baby and mother pair a term baby and mother pair was included as a control. Data were collected on a data sheet from the mothers' antenatal records, and from maternal notes as well as the neonatal follow-up and discharge notes. Data gathered included baseline characteristics, habits, diseases and medication of the mother during the antenatal period and delivery as well as baseline demographics of the babies. Results: A total of 194 mothers and 198 babies were included in the study with 109 case mothers and 85 control mothers. Pre-existing medical conditions were more prevalent in the premature group (69%) compared with the control group (27%) with p < 0.0001. These conditions included hypertension, HIV disease and syphilis. Possible causes for prematurity identified in this study included teenage mothers and premature rupture of membranes. Conclusion: Risk factors identified for prematurity were: teenage mothers, pre-existing medical conditions in the mother, and preterm rupture of membranes. Smoking and alcohol consumption during pregnancy could not be identified as risk factors for prematurity. It is recommended that patients with any of the above-mentioned identified risk factors be classified as high risk for the development of prematurity and shorter follow-up intervals and more aggressive management of pre-existing medical conditions should be practised.

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“…More than 1 in 10 of the world's babies born in 2010 were born prematurely, making an estimated 15 million preterm births, of which more than 1 million died as a result of their prematurity [13]. Preterm birth accounts for 3.1% of all Disability Adjusted Life Years (DALYs) in the Global Burden of Disease, more than for HIV and malaria [21,27]. Also, deaths constitute 28% of the 4 million annual new born deaths with 99% of these deaths occurring in developing countries [10].…”

Section: Introductionmentioning

confidence: 99%

Modeling Determinants of Time-To-Death in Premature Infants Admitted to Neonatal Intensive Care Unit in Jimma University Specialized Hospital

2017

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Preterm birth is the term used to define births that occur before 37 completed weeks or 259 days of gestation. The aim of this study is to model survival probability of premature infants who were under follow-up and identify significant risk factors for mortality. Recorded hospital data were obtained for a cohort of 490 infants at Jimma University Specialized Hospital, Ethiopia. The infants have been under followup from January 2013 to December 2015. The non-parametric, semi-parametric and parametric survival models are used to estimate the survival time as well as examine the association between the survival time with different demographic, health and risk behavior variables. The analysis shows that most factors significantly contribute to a shorter survival time of premature infants. These factors include having prenatal Asphyxia, hyaline membrane disease, sepsis, jaundice, low gestational age, respiratory distress syndrome and initial temperature. It is therefore recommended that people ought to be cognizant on the burden of these risk factors and well informed about the prematurity.Keywords Premature infant · Time to death · Cox proportional hazards model · Log-logistic regression model B Million Wesenu

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Clinical Risk Factors for Preterm Birth

Cited by 29 publications

References 97 publications

Prevalence of Preterm Birth and its Associated Factors among Mothers Delivered in Jimma University Specialized Teaching and Referral Hospital, Jimma Zone, Oromia Regional State, South West Ethiopia

Prevalence of Preterm Birth and its Associated Factors among Mothers Delivered in Jimma University Specialized Teaching and Referral Hospital, Jimma Zone, Oromia Regional State, South West Ethiopia

Causes of prematurity in the Bloemfontein Academic Complex

Modeling Determinants of Time-To-Death in Premature Infants Admitted to Neonatal Intensive Care Unit in Jimma University Specialized Hospital

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