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Risk factors for pre-term birth in Iraq: a case-control study.
Samim A Al-Dabbagh1, Wafa Y Al-Taee
1Department of Community Medicine, Mosul College of Medicine, Mosul, Iraq. samimaldabbagh@yahoo.com
BMC Pregnancy and Childbirth
|April 19, 2006
Summary
Preterm birth risk factors in Iraq include poor diet, heavy work, infections, and poor obstetric history. Identifying these determinants is crucial for reducing adverse perinatal outcomes.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Epidemiology
Background:
- Preterm birth (PTB) presents a significant clinical challenge, contributing to perinatal mortality and morbidity.
- Understanding PTB risk factors is essential for developing targeted interventions.
Purpose of the Study:
- To identify and analyze risk factors associated with preterm birth (PTB) in Mosul, Iraq.
Main Methods:
- A case-control study design was employed.
- Data were collected from 200 preterm birth cases and 200 full-term birth controls.
- Forward logistic regression analysis was utilized for statistical evaluation.
Main Results:
- Significant PTB risk factors identified include: poor diet (OR=4.33), heavy manual work (OR=1.70), caring for domestic animals (OR=5.06), urinary tract infection (OR=2.85), anxiety (OR=2.16), cervical incompetence (OR=4.74), multiple pregnancies (OR=7.51), abdominal trauma (OR=3.76), and abortion history (OR=6.36).
Conclusions:
- Low socio-economic status and associated factors like heavy manual labor and animal care are key determinants of PTB in Iraq.
- Urinary tract infections and a history of poor obstetric events also significantly contribute to PTB risk.