Prevalence and Probable Risk Factors for Preterm Birth: A Hospital Based Study
DOI:
https://doi.org/10.56056/amj.2025.376Keywords:
Cesarean section, Preeclampsia, Preterm birth, Term birthAbstract
Background and objectives: The preterm birth rates are still high commonly in poor communities which contributed to high infantile co-morbidities and mortalities. The aim of this study was to measure prevalence of preterm birth in a singletertiary center and to identify associated factors related to preterm birth.
Methods: A hospital-based cross-sectional study was carried out to evaluate the preterm rate and a case-control study was conducted to examine risk factors for preterm birth in Labor ward Maternity Teaching Hospital in Erbil city-KurdistanRegion/Iraq through the period of one year from 1st of May, 2022 to 30th of April, 2023 on 13841 pregnant women withlive birth; 1512 women with preterm birth and 12329 women with term birth.
Results: Preterm labor prevalence in the hospital was (10.9%). Main detected risk factors of preterm birth were increased age (2.8%, p<0.001), shorter interpregnancy interval (22,5%, p<0.001), history of preterm labor (29.7%, p<0.001), history of miscarriage(21.6%, p<0.001), history of stillbirth (7.5%, p<0.001), history of previous caesarean section (36%,p<0.001), preeclampsia (11.2%, P<0,001), bleeding (p<0.001), premature rupture of membranes (34.7%, p<0.001) andoligohydramnios (26.4% , p<0.001) The cesarean section was related to high incidence of preterm birth (41.6%, p<0.001).
Conclusions: The prevalence of preterm birth in Maternity Teaching hospital located in Erbil, Kurdistan Region of Iraq is within acceptable range.
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