Clinical and sociodemographic correlates of preterm deliveries in two tertiary hospitals in southern Nigeria
Background: To determine the prevalence of preterm delivery and identify the associated risk factors. Design: This was a five – month prospective case control study of two cohorts of women who had preterm and term deliveries. Setting: Central Hospital (CH), Warri, and Delta State University Teachi...
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| Format: | Article |
| Language: | English |
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Ghana Medical Association
2019-03-01
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| Series: | Ghana Medical Journal |
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| Online Access: | http://ghanamedj.org/articles/March2019/4%20Pattern%20pre-term%20deliveries.pdf |
| _version_ | 1818055021072220160 |
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| author | Mudiaga E. Zini Lawrence O. Omo-Aghoja |
| author_facet | Mudiaga E. Zini Lawrence O. Omo-Aghoja |
| author_sort | Mudiaga E. Zini |
| collection | DOAJ |
| description | Background: To determine the prevalence of preterm delivery and identify the associated risk factors.
Design: This was a five – month prospective case control study of two cohorts of women who had preterm and term deliveries.
Setting: Central Hospital (CH), Warri, and Delta State University Teaching Hospital (DELSUTH), Oghara, respectively in southern Nigeria.
Participants: 522 women which consisted of 174 who presented in preterm labour or with preterm prelabour rupture of membranes as cases and 348 parturient with term deliveries served as controls.
Interventions: The study was conducted from May 1st 2015 to September 30th 2015. Socio – demographic characteristics, past gynaecological/obstetric factors, maternal/obstetric factors, and fetal outcomes were compared, and associations between these variables and gestational age at delivery were determined.
Main outcome measures: Prevalence of preterm delivery associated clinical and socio-demographic correlates and the fetal salvage rates.
Results: The incidence of preterm birth was 16%. Maternal age (p < 0.002), parity (p < 0.000), booking status (p < 0.000), and socio – economic class (p < 0.000) were significantly associated with preterm births. Others were multiple pregnancy (p < 0.000), pre – eclampsia/eclampsia (p < 0.000), anaemia (p < 0.000), malaria (p < 0.000), UTI (p < 0.012), premature rupture of membrane (p < 0.000) and antepartum haemorrhage (p < 0.000). Fetal salvage rate was zero for extreme preterm neonates and 100% at late preterm.
Conclusion: Preterm birth was common, with well-defined correlates and predictors. The fetal salvage rates were significantly different across the categories of preterm neonates.
Funding: The study was self-funded by the authors
Keywords: preterm, gestational age, parity, Nigeria, risk factors, pregnancy, prevalence |
| first_indexed | 2024-12-10T12:06:19Z |
| format | Article |
| id | doaj.art-e42f0a513eec41bf9faa4e28c42d7feb |
| institution | Directory Open Access Journal |
| issn | 0016-9560 2616-163X |
| language | English |
| last_indexed | 2024-12-10T12:06:19Z |
| publishDate | 2019-03-01 |
| publisher | Ghana Medical Association |
| record_format | Article |
| series | Ghana Medical Journal |
| spelling | doaj.art-e42f0a513eec41bf9faa4e28c42d7feb2022-12-22T01:49:28ZengGhana Medical AssociationGhana Medical Journal0016-95602616-163X2019-03-015312028http://dx.doi.org/10.4314/gmj.v53i1.4Clinical and sociodemographic correlates of preterm deliveries in two tertiary hospitals in southern NigeriaMudiaga E. Zini0Lawrence O. Omo-Aghoja1Department of Obstetrics and Gynaecology, Epsom General Hospital, Epsom, Surrey, United KingdomDepartment of Obstetrics and Gynecology, Faculty of Clinical Medicine, College of Health Sciences, Delta State University, Abraka, NigeriaBackground: To determine the prevalence of preterm delivery and identify the associated risk factors. Design: This was a five – month prospective case control study of two cohorts of women who had preterm and term deliveries. Setting: Central Hospital (CH), Warri, and Delta State University Teaching Hospital (DELSUTH), Oghara, respectively in southern Nigeria. Participants: 522 women which consisted of 174 who presented in preterm labour or with preterm prelabour rupture of membranes as cases and 348 parturient with term deliveries served as controls. Interventions: The study was conducted from May 1st 2015 to September 30th 2015. Socio – demographic characteristics, past gynaecological/obstetric factors, maternal/obstetric factors, and fetal outcomes were compared, and associations between these variables and gestational age at delivery were determined. Main outcome measures: Prevalence of preterm delivery associated clinical and socio-demographic correlates and the fetal salvage rates. Results: The incidence of preterm birth was 16%. Maternal age (p < 0.002), parity (p < 0.000), booking status (p < 0.000), and socio – economic class (p < 0.000) were significantly associated with preterm births. Others were multiple pregnancy (p < 0.000), pre – eclampsia/eclampsia (p < 0.000), anaemia (p < 0.000), malaria (p < 0.000), UTI (p < 0.012), premature rupture of membrane (p < 0.000) and antepartum haemorrhage (p < 0.000). Fetal salvage rate was zero for extreme preterm neonates and 100% at late preterm. Conclusion: Preterm birth was common, with well-defined correlates and predictors. The fetal salvage rates were significantly different across the categories of preterm neonates. Funding: The study was self-funded by the authors Keywords: preterm, gestational age, parity, Nigeria, risk factors, pregnancy, prevalencehttp://ghanamedj.org/articles/March2019/4%20Pattern%20pre-term%20deliveries.pdfpretermgestational ageparityNigeriarisk factorspregnancyprevalence |
| spellingShingle | Mudiaga E. Zini Lawrence O. Omo-Aghoja Clinical and sociodemographic correlates of preterm deliveries in two tertiary hospitals in southern Nigeria Ghana Medical Journal preterm gestational age parity Nigeria risk factors pregnancy prevalence |
| title | Clinical and sociodemographic correlates of preterm deliveries in two tertiary hospitals in southern Nigeria |
| title_full | Clinical and sociodemographic correlates of preterm deliveries in two tertiary hospitals in southern Nigeria |
| title_fullStr | Clinical and sociodemographic correlates of preterm deliveries in two tertiary hospitals in southern Nigeria |
| title_full_unstemmed | Clinical and sociodemographic correlates of preterm deliveries in two tertiary hospitals in southern Nigeria |
| title_short | Clinical and sociodemographic correlates of preterm deliveries in two tertiary hospitals in southern Nigeria |
| title_sort | clinical and sociodemographic correlates of preterm deliveries in two tertiary hospitals in southern nigeria |
| topic | preterm gestational age parity Nigeria risk factors pregnancy prevalence |
| url | http://ghanamedj.org/articles/March2019/4%20Pattern%20pre-term%20deliveries.pdf |
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