Al-Dabbagh Samim A, Al-Taee Wafa Y
Department of Community Medicine, Mosul College of Medicine, Mosul, Iraq.
BMC Pregnancy Childbirth. 2006 Apr 18;6:13. doi: 10.1186/1471-2393-6-13.
Preterm birth (PTB)is a major clinical problem associated with perinatal mortality and morbidity. The aim of the present study is to identify risk factors associated with PTB in Mosul, Iraq.
A case-control study was conducted in Mosul, Iraq, from 1st September, 2003 to 28th February, 2004.
A total of 200 cases of PTB and 200 controls of full-term births were screened and enrolled in the study. Forward logistic regression analysis was used in the analysis. Several significant risk associations between PTB and the following risk factors were identified: poor diet (OR = 4.33), heavy manual work (OR = 1.70), caring for domestic animals (OR = 5.06), urinary tract infection (OR = 2.85), anxiety (OR = 2.16), cervical incompetence (OR = 4.74), multiple pregnancies (OR = 7.51), direct trauma to abdomen (OR = 3.76) and abortion (OR = 6.36).
The main determinants of PTB in Iraq were low socio-economic status and factors associated with it, such as heavy manual work and caring for domestic animals, in addition to urinary tract infections and poor obstetric history.
早产是一个与围产期死亡率和发病率相关的主要临床问题。本研究的目的是确定伊拉克摩苏尔与早产相关的风险因素。
2003年9月1日至2004年2月28日在伊拉克摩苏尔进行了一项病例对照研究。
共筛选出200例早产病例和200例足月分娩对照并纳入研究。分析采用向前逻辑回归分析。确定了早产与以下风险因素之间的几个显著风险关联：饮食不良（比值比=4.33）、重体力劳动（比值比=1.70）、照料家畜（比值比=5.06）、尿路感染（比值比=2.85）、焦虑（比值比=2.16）、宫颈机能不全（比值比=4.74）、多胎妊娠（比值比=7.51）、腹部直接创伤（比值比=3.76）和流产（比值比=6.36）。
伊拉克早产的主要决定因素是社会经济地位低下及其相关因素，如重体力劳动和照料家畜，此外还有尿路感染和不良产科史。
