Kamel Remah M
Department of Obstetrics and Gynecology, Faculty of Medicine, King Abdul-Aziz University, Jazan, Saudi Arabia.
J Reprod Med. 2010 Sep-Oct;55(9-10):395-403.
To determine the prevalence of spontaneous preterm birth (SPTB) in Jazan, Saudi Arabia, and identify related risk factors.
A case-controlled study was carried out at King Fahd Central Hospital in Jazan consisting of 420 Saudi married pregnant women who were referred with a diagnosis of spontaneous (not induced) preterm birth with or without a preceding preterm premature rupture of membranes and 420 randomly matched controls who were admitted with a diagnosis of full-term birth over a 1-year period. Data were collected by structured interviews with women and review of their medical records using a risk factor checklist.
The prevalence of SPTB in Jazan is high (8.24%) compared to that in other cities in Saudi Arabia and other developing countries. Multiple logistic regression analyses identified 22 significant risk factors.
There is a high prevalence of SPTB in Jazan, Saudi Arabia. The risk factor checklist created in this study could be used by health care providers to reduce the rate of SPTB by early identification of women at risk who require further management. This may create a corresponding fall in subsequent neonatal complications and health care expenditure.
确定沙特阿拉伯吉赞地区自发性早产(SPTB)的患病率,并识别相关危险因素。
在吉赞的法赫德国王中央医院开展了一项病例对照研究,研究对象包括420名沙特已婚孕妇,她们被诊断为自发性(非诱导性)早产,伴有或不伴有胎膜早破,以及420名随机匹配的对照组孕妇,她们在1年期间被诊断为足月分娩并入院。通过对女性进行结构化访谈并使用危险因素清单审查她们的病历来收集数据。
与沙特阿拉伯其他城市和其他发展中国家相比,吉赞地区的SPTB患病率较高(8.24%)。多项逻辑回归分析确定了22个显著危险因素。
沙特阿拉伯吉赞地区的SPTB患病率较高。本研究创建的危险因素清单可供医疗保健提供者使用,通过早期识别需要进一步管理的高危女性来降低SPTB发生率。这可能会相应降低随后的新生儿并发症和医疗保健支出。