Publication: Spontaneous preterm delivery and risk factors at Tribhuvan University Teaching Hospital
Files
Date
2006
Authors
Article Type
Original Article
Journal Title
Journal ISSN
ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987
Volume Title
Pages
Pages: 19 - 23
Publisher
Institute of Medicine
Abstract
Abstract
Background: Preterm delivery is one of the major health problems in both, developing and developed countries because it is associated with increased perinatal morbidity and mortality.
Methods: This was an unmatched hospital based case control study. The cases were the postpartum women, who delivered after 22 weeks and before 37 completed weeks of gestation and the controls were those postpartum women, who delivered after 37 completed weeks of gestation. The estimated sample size for preterm delivery (case) were 64 and for term delivery (control) were 128, with case to control ratio being 1:2.
Results: There total number of deliveries during the study period was 1192. Of the total deliveries, 64 spontaneous preterm deliveries and 128 term deliveries were enrolled for the study, giving the prevalence of spontaneous preterm delivery = 5.5%. The previous preterm delivery, urinary tract infections in the index pregnancy and heavy physical activity during pregnancy showed strong independent risk for preterm delivery. The adjusted odds ratio for previous preterm delivery was 13.13, 95% CI 2.48-69.8 and P-value = .003. Similarly, adjusted odds ratio for urinary tract infection was 7.6, 95% CI 1.2-47.3 and p = .028. The farmers carried highest adjusted odds ratio of 14.8, 95% CI 2.8 – 78.2 and p = .001 and the adjusted odd ratio for small- scale business- women was 8.0, 95% CI 2.18 – 29.4 and p = .002.
Conclusion: The study concluded that previous preterm delivery, urinary tract infection and heavy physical activity during pregnancy were independent risk factors for preterm delivery.
Keywords: Preterm delivery, urinary tract infection, physical activity, pregnancy
Description
B.L. Manandhar
Department of Obstetrics and Gynecology, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu
J. Sharma
Department of Obstetrics and Gynecology, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu
C.K. Gurung
Department of Obstetrics and Gynecology, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu
Keywords
Preterm delivery, urinary tract infection, physical activity, pregnancy
Identifier
https://doi.org/10.59779/jiomnepal.238