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Preterm birth--its etiology and outcome
G Tabussum1, S A Karim, S Khan
1Department of Community Health Services, Aga Khan University Medical Centre, Karachi.
JPMA. the Journal of the Pakistan Medical Association
|March 1, 1994
Summary
Preterm birth, occurring in 9.4% of births, is linked to maternal factors like age and infections. Preterm infants face higher risks of neonatal complications and death.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Medicine
- Public Health
Background:
- Preterm birth is a significant global health concern.
- Identifying associated risk factors is crucial for prevention and management.
Purpose of the Study:
- To investigate the incidence of preterm birth.
- To identify maternal and fetal factors associated with preterm labor.
- To assess the neonatal outcomes of preterm infants.
Main Methods:
- Retrospective case-control study design.
- Analysis of 1238 births over an 8-month period.
- Statistical analysis to determine factors associated with preterm labor.
Main Results:
- Preterm birth incidence was 9.4%.
- Associated factors included advanced maternal age (>35), short maternal height (<156 cm), anemia, urinary tract infection, abruptio placentae, polyhydramnios, preterm rupture of membranes, intrauterine growth retardation, fetal distress, and intrauterine death.
- Previous adverse obstetric history was also a relevant factor.
Conclusions:
- Preterm birth is associated with multiple maternal and fetal complications.
- Preterm infants have a significantly higher risk of postnatal complications, including neonatal death and NICU admission.