Premature Birth, Management, Complications

Tsikouras, Panagiotis; Bothou, Anastasia; Gerede, Aggeliki; Apostolou, Ifigenia; Gaitatzi, Fotini; Deuteraiou, Dorelia; Chalkidou, Anna; Anthoulaki, Xanthoula; Michalopoulos, Spyridon; Dragoutsos, Georgios; Tsirkas, Ioannis; Babageorgaka, Irini; Nalbanti, Theopi; Sachnova, Natalia; Alexiou, Alexios; Nikolettos, Constantinos; Lazarou, Apostolos; Zervoudis, Stefanos; Peitsidis, Panagiotis; Nikolettos, Nikolaos

doi:10.5772/intechopen.98324

Cited by 2 publications

(1 citation statement)

References 82 publications

(307 reference statements)

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“…Maternal causes and conditions in pregnancy related to pre-term birth like socio-economic and racial factors, maternal age, burdened obstetric history, previous abortions, history of infertility, smoking, alcohol and illegal drug use. Pre-term neonates and prematurity complications are newborn respiratory distress syndrome, cardiovascular disorders, neurological disorders, neonatal brain hemorrhage, metabolic disorders and hematological disorders [31]. In the present study, maternal variables are social status and educational status determines the number of pre-term birth divided into two variables social status and educational status.…”

Section: Discussionmentioning

confidence: 85%

Preterm birth: causes and complications observed in tertiary care hospitals

Koteswari¹,

Lakshmi²,

Yaseen³

et al. 2022

Cell. Mol. Biomed. Rep.

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and it eventually selected 80 pregnant women for the final experiment. Those pregnant women who had preeclampsia, intrahepatic cholestasis during pregnancy, placenta previa or chorioamnionitis were more likely to experience pre-term birth. A patient interview was conducted in a detailed manner and all the necessary information regarding the mother and the infant were collected to carry out the study. Among 80 patients, collected the highest number of 39 cases i.e. 49% in between the age group of 17-23 years and the least number of cases therefore 19 i.e. 24% in between the age group of 35-45 years. We studied that maternal variable such as social status and educational status also impacts deliveries. Alcoholics had the highest number of very pre-term deliveries i.e., 36.25%. And among undergraduates, moderate preterm deliveries were a predominant number, i.e. 38.75%. Among the cases collected, 22.5% of women who have previous abortions had the highest number of preterm births with 31 cases and 5% of women with thyroid had the least number of pre-term births. 41% of preemie births were observed in the gestational gap of < 18 months, while 24% were recorded in > 30 months. In between two types of deliveries, 69% of preemie births were observed in the cesarean section and normal delivery includes 31%. The results of our study reveal that there is a need to assess the causes and complications among pregnant women who are at risk of delivering a premature baby. We have concluded that counseling the patients about their risk factors is necessary, and the patients should be told that harmful social habits will have a huge impact on their baby, before or after the delivery.

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Section: Discussionmentioning

confidence: 85%

Preterm birth: causes and complications observed in tertiary care hospitals

Koteswari¹,

Lakshmi²,

Yaseen³

et al. 2022

Cell. Mol. Biomed. Rep.

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Epidemiology and factors associated with preterm births in multiple pregnancy: a retrospective cohort study

Seetho,

Kongwattanakul,

Saksiriwuttho

et al. 2023

BMC Pregnancy Childbirth

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Objective Multiple pregnancies carry an increased risk of maternal and perinatal complications, notably prematurity. Few studies have evaluated the risk factors for preterm births in multiple pregnancies within the Thai population. This study aims to ascertain maternal and perinatal outcomes and identify factors linked to preterm births in multiple pregnancies. Methods This study was carried out at Khon Kaen University, Faculty of Medicine, Department of Obstetrics and Gynecology in Thailand. We reviewed the medical records of women with multiple pregnancies who delivered at a gestational age of more than 20 weeks between January 1, 2012 and December 31, 2021. We excluded patients with incomplete data or those for whom data were missing. Results Out of 21,400 pregnancies, 427 were multiple pregnancies, constituting approximately 1.99%. Over the ten-year period, 269 multiple pregnancies (65.1%) resulted in preterm births. Of these, 173 (64.3%) were monochorionic twins, and 96 (35.7%) were dichorionic twins. Monochorionic twins had a notably higher rate of preterm delivery (AOR, 2.06; 95%CI 1.29—3.30). Vaginal delivery was observed in 7.9% of the cases, while cesarean sections were performed for both twins in 91.5% of cases. In 0.5% of the cases, only the second twin was delivered by cesarean section. In terms of neonatal outcomes, 160 infants (19.4%) weighed less than 1,500 g at birth, and there were 78 perinatal deaths (9.4%). Birth asphyxia was noted in 97 cases (20.2%) among monochorionic twins and in 28 cases (8.1%) for dichorionic twins. Conclusion The prevalence of multiple pregnancies was 1.99%, with 65.1% resulting in preterm births. Neonatal complications were notably more frequent in monochorionic twins. Monochorionic placenta and antepartum complications emerged as significant risk factors for preterm birth.

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Premature Birth, Management, Complications

Cited by 2 publications

References 82 publications

Preterm birth: causes and complications observed in tertiary care hospitals

Preterm birth: causes and complications observed in tertiary care hospitals

Epidemiology and factors associated with preterm births in multiple pregnancy: a retrospective cohort study

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