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Risk factors associated with preterm labour.

F Begum1, K Buckshe, J N Pande

  • 1Deptt. of Obst. & Gynae., SSMC, Dhaka.

Bangladesh Medical Research Council Bulletin
|December 17, 2003
PubMed
Summary

Maternal factors like low weight, height, body mass index (BMI), and mid-arm circumference (MAC) are significant risk factors for preterm labor. Lower income and education levels also increase the risk of premature birth.

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Maternal-Fetal Medicine

Background:

  • Preterm labor, delivery before 37 weeks of gestation, is a leading cause of neonatal morbidity and mortality.
  • Identifying risk factors for preterm labor is crucial for developing effective prevention strategies.

Purpose of the Study:

  • To investigate the sociodemographic and anthropometric risk factors associated with spontaneous preterm labor in Northern India.

Main Methods:

  • A prospective case-control study was conducted with 94 preterm labor cases and 188 term labor controls.
  • Data collected included maternal demographics, anthropometric measurements, socioeconomic status, and birth outcomes.

Main Results:

  • The incidence of preterm labor was 23.3%.
  • Significant risk factors included maternal age, shorter stature, lower weight, lower body mass index (BMI), smaller mid-arm circumference (MAC), lower income and education, higher pregnancy order, lower parity, and shorter birth intervals.
  • Lower birth weight and Apgar scores were observed in preterm infants.

Conclusions:

  • Maternal anthropometric characteristics (weight <45 kg, height <150 cm, BMI <19 kg/m², MAC <20 cm) are strongly associated with preterm labor.
  • Socioeconomic factors (education <5 years, income <2000 rupees) and short birth intervals (<12 months) are significant risk factors for preterm labor.

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