PRETERM DELIVERY: ASSOCIATED RISK FACTORS AND NEONATAL OUTCOMES IN DUHOK HOSPITAL FOR OBSTETRICS AND GYNECOLOGY

  • AWAN HAJI SHEKHO College of Medicine, University of Duhok, Kurdistan Region-Iraq
  • MELAD ALIAS YALDA College of Medicine, University of Duhok, Kurdistan Region-Iraq
Keywords: Kurdistan Region - Iraq; Neonatal outcomes; Preterm delivery; Risk factors

Abstract

 

Objectives: To identify the risk factors and evaluate the early neonatal outcomes of premature infants in Duhok Hospital for Obstetrics and Gynecology, a tertiary center in Kurdistan Region - Iraq.

Methods: This cross sectional study was carried out from September 1/2021 to December 31/2021. Four hundred participants were recruited, 200 were preterm and 200 were term. The participants were examined and followed till delivery. Multivariable logistic regression analysis was used to identify the risk factors for preterm delivery.

Results: The risks factors for preterm delivery were maternal age ≥ 35 years (AOR 3.32; 95 % CI 1.12-9.86), nulliparity (AOR 2.14; 95 % CI 1.25-3.67), history of preterm birth (AOR 6.51; 95 % CI 1.99-21.28,), no ANC (AOR 3.01; 95 % CI 1.32-6.87), < 4 ANC visits (AOR 1.92; 95 % CI 1.12-3.30), PROM (AOR 4.71; 95 % CI 2.71-8.16), antepartum hemorrhage (AOR 9.25; 95 % CI 1.81-47.39), hypertensive disorders in pregnancy (AOR 2.30; 95 % CI 1.12-4.71) and anemia (AOR 3.51; 95 % CI 1.86-6.63). Preterm delivery is linked to poor early neonatal outcomes.

Conclusions: Early identification of women at risk for preterm delivery by health care providers is essential to prevent preterm delivery

Downloads

Download data is not yet available.

References

Abadiga, M, Wakuma, B, Oluma, A, Fekadu, G, Hiko, N & Mosisa, G (2021). Determinants of preterm birth among women delivered in public hospitals of Western Ethiopia, 2020: Unmatched case-control study. PloS one, 16(1): e0245825.
Adu-Bonsaffoh, K, Gyamfi-Bannerman, C, Oppong, S & Seffah, J (2019). Determinants and outcomes of preterm births at a tertiary hospital in Ghana. Placenta, 79(62-67.
Akintayo, A, Awoleke, J, Ogundare, E, Olatunya, O & Aduloju, O (2015). Preterm births in a resource constrained setting: Sociobiologic risk factors and perinatal outcomes. Ghana Medical Journal, 49(4): 251-257.
Altman, M, Vanpée, M, Cnattingius, S & Norman, M (2013). Risk factors for acute respiratory morbidity in moderately preterm infants. Paediatric and perinatal epidemiology, 27(2): 172-181.
Campbell, EE, Gilliland, J, Dworatzek, PD, De Vrijer, B, Penava, D & Seabrook, JA (2018). Socioeconomic status and adverse birth outcomes: a population-based Canadian sample. Journal of biosocial science, 50(1): 102-113.
Chawanpaiboon, S, Vogel, JP, Moller, A-B, Lumbiganon, P, Petzold, M, Hogan, D, et al. (2019). Global, regional, and national estimates of levels of preterm birth in 2014: a systematic review and modelling analysis. The Lancet Global Health, 7(1): e37-e46.
Cnattingius, S, Johansson, S & Razaz, N (2020). Apgar score and risk of neonatal death among preterm infants. New England Journal of Medicine, 383(1): 49-57.
Correia, C, Rocha, G, Flor-de-Lima, F & Guimaraes, H (2016). Respiratory morbidity in late preterm infants. Minerva pediatrica, 70(4): 345-354.
Dahman, HAB (2020). Risk factors associated with preterm birth: a retrospective study in Mukalla Maternity and Childhood Hospital, Hadhramout Coast/Yemen. Sudanese Journal of Paediatrics, 20(2): 99.
Díaz-Rodríguez, A, Feliz-Matos, L & Matuk, CBR (2021). Risk factors associated with preterm birth in the Dominican Republic: a case-control study. BMJ open, 11(12): e045399.
El Beltagy, NS, Rocca, MM, TahaEL-Weshahi, HM & Ali, MSAH (2016). Risk Factors for Preterm Labor among Women Attending El Shatby Maternity University Hospital, Alexandria, Egypt. Archives of Nursing Practice and Care, 2(1): 045-049.
Fuchs, F, Monet, B, Ducruet, T, Chaillet, N & Audibert, F (2018). Effect of maternal age on the risk of preterm birth: A large cohort study. PloS one, 13(1): e0191002.
Ghelichkhani, S, Masoumi, SZ, Shirzadeh, AA, Khazaei, S & Shahbazi, F (2021). Evaluation of maternal risk factors for preterm delivery in Fatemieh Hospital of Hamadan, Iran, 2019: A case-control study. Journal of Family Medicine and Primary Care, 10(10): 3832.
Gurung, A, Wrammert, J, Sunny, AK, Gurung, R, Rana, N, Basaula, YN, et al. (2020). Incidence, risk factors and consequences of preterm birth–findings from a multi-centric observational study for 14 months in Nepal. Archives of Public Health, 78(1): 1-9.
Harrison, MS & Goldenberg, RL. Global burden of prematurity. Seminars in fetal and neonatal medicine, 2016. Elsevier, 74-79.
Jiang, M, Mishu, MM, Lu, D & Yin, X (2018). A case control study of risk factors and neonatal outcomes of preterm birth. Taiwanese Journal of Obstetrics and Gynecology, 57(6): 814-818.
Luu, TM, Katz, SL, Leeson, P, Thébaud, B & Nuyt, A-M (2016). Preterm birth: risk factor for early-onset chronic diseases. Cmaj, 188(10): 736-746.
Mapp, S & Gabel, SG (2019). It is easier to build strong children than to repair broken men. Journal of Human Rights and Social Work, 4(3): 145-146.
Mayo, JA, Shachar, BZ, Stevenson, DK & Shaw, GM (2017). Nulliparous teenagers and preterm birth in California. Journal of Perinatal Medicine, 45(8): 959-967.
Omole-Ohonsi, A & Attah, R (2012). Risk factors of preterm deliveries at Aminu Kano teaching hospital, Kano, Nigeria. South Asian J Med Sci, 1(1): 3-10.
Parks, S, Hoffman, M, Goudar, S, Patel, A, Saleem, S, Ali, SA, et al. (2019). Maternal anaemia and maternal, fetal, and neonatal outcomes in a prospective cohort study in India and Pakistan. BJOG: An International Journal of Obstetrics & Gynaecology, 126(6): 737-743.
Patil, S & Patil, KP (2017). Analysis of risk factors of late preterm birth: A case-control study. Indian Journal of Health Sciences and Biomedical Research (KLEU), 10(3): 283.
Ramenghi, LA (2015). Late preterm babies and the risk of neurological damage. Acta bio-medica: Atenei Parmensis, 86(36-40.
Regasa, MT, Hinkosa, L, Besho, M, Bekele, T, Bekuma, TT, Tsegaye, R, et al. (2021). Predictors of preterm birth in Western Ethiopia: A case control study. PloS one, 16(4): e0247927.
Rohlfing, AB, Nah, G, Ryckman, KK, Snyder, BD, Kasarek, D, Paynter, RA, et al. (2020). Maternal cardiovascular disease risk factors as predictors of preterm birth in California: a case–control study. BMJ open, 10(6): e034145.
Rubens, CE, Sadovsky, Y, Muglia, L, Gravett, MG, Lackritz, E & Gravett, C (2014). Prevention of preterm birth: harnessing science to address the global epidemic. Science translational medicine, 6(262): 262sr265-262sr265.
Salama, EIA, Salama, H & Al-Obaidly, SH (2021). Socioeconomic Risk Factors for Preterm Birth in the state of Qatar: A Population-based Study. Acta Bio Medica: Atenei Parmensis, 92(3).
Siswanto, JE, Widodo, NH & Sauer, PJ (2018). Eleven years of retinopathy of prematurity in one neonatal intensive care unit in Jakarta, Indonesia. Archives of disease in childhood, 103(6): 619-621.
Sureshbabu, RP, Aramthottil, P, Anil, N, Sumathy, S, Varughese, SA, Sreedevi, A, et al. (2021). Risk Factors Associated with Preterm Delivery in Singleton Pregnancy in a Tertiary Care Hospital in South India: A Case Control Study. International Journal of Women's Health, 13(369.
Svenvik, M, Brudin, L & Blomberg, M (2015). Preterm birth: a prominent risk factor for low Apgar scores. BioMed research international, 2015(
Taha, Z, Ali Hassan, A, Wikkeling-Scott, L & Papandreou, D (2020). Factors associated with preterm birth and low birth weight in Abu Dhabi, the United Arab Emirates. International Journal of Environmental Research and Public Health, 17(4): 1382.
Tingleff, T, Vikanes, Å, Räisänen, S, Sandvik, L, Murzakanova, G & Laine, K (2022). Risk of preterm birth in relation to history of preterm birth: a population‐based registry study of 213 335 women in Norway. BJOG: An International Journal of Obstetrics & Gynaecology, 129(6): 900-907.
Vogel, JP, Chawanpaiboon, S, Moller, A-B, Watananirun, K, Bonet, M & Lumbiganon, P (2018). The global epidemiology of preterm birth. Best Practice & Research Clinical Obstetrics & Gynaecology, 52(3-12.
Weissmann-Brenner, A, O'Reilly-Green, C, Ferber, A & Divon, MY (2009). Values of amniotic fluid index in cases of preterm premature rupture of membranes. Journal of perinatal medicine, 37(3): 232-235.
Zainal, H, Dahlui, M, Soelar, SA & Su, TT (2019). Cost of preterm birth during initial hospitalization: a care provider’s perspective. PLoS One, 14(6): e0211997.
Zhu, X, Lei, X & Dong, W (2020). Change to Hearing Loss–Related Risks and Screening in Preterm Infants. American Journal of Perinatology.
Published
2022-11-10
How to Cite
SHEKHO, A. H., & YALDA, M. A. (2022). PRETERM DELIVERY: ASSOCIATED RISK FACTORS AND NEONATAL OUTCOMES IN DUHOK HOSPITAL FOR OBSTETRICS AND GYNECOLOGY. Journal of Duhok University, 25(2), 97-104. https://doi.org/10.26682/sjuod.2022.25.2.9
Section
Pure and Engineering Sciences