Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
Int J Gen Med. 2012;5:1013-7. doi: 10.2147/IJGM.S33385. Epub 2012 Dec 12.
Premature labor is a serious worldwide problem that can cause neonatal death and other serious disorders. This study aimed to determine the most important factors related to preterm labor in Yasuj, Iran.
This case-control study was conducted in the maternity ward of Imam Sajjad Hospital, the obstetrics and gynecology center of Yasuj, in 2010. Among eligible samples, mothers with preterm labor were selected as the case group, and for each sample in the case group, one mother with full-term labor was selected by using clipper-matched sampling to make up the control group. Data were collected by a researcher-made questionnaire and the 28-item General Health Questionnaire. Finally, after deleting imperfect questionnaires, collected data of 52 subjects of case group and the same amount in control group were analyzed.
Among the 5400 live birth infants in Yasuj in 2010, 130 infants were premature (2.4%). The preterm labor risk in women with two or more pregnancies was 5.5 times more than women with less than two pregnancies, its risk in women with low general health status was 2.9 times more than in women with normal general health status, and the preterm labor risk in women with a history of diabetes mellitus/thyroid dysfunction/cardiac disease was 2.3 times more than healthy mothers (P < 0.01).
With respect to the above and due to the role and importance of mother-infant health in community health, it is necessary that the health-care system improve health education with regard to the appropriate number of pregnancies, diagnose and cure disease during pregnancy, especially diabetes and cardiovascular disease (hypertension and/or eclampsia), and recognize pregnant mothers with mental pressure or lack of sufficient support and help them.
早产是一个严重的全球性问题，可导致新生儿死亡和其他严重疾病。本研究旨在确定伊朗亚苏季与早产相关的最重要因素。
这是 2010 年在亚苏季伊玛目萨贾德医院（妇产科中心）的产科病房进行的病例对照研究。在合格的样本中，选择有早产的母亲作为病例组，并且对于每个病例组的样本，通过使用剪刀匹配抽样选择一位足月分娩的母亲来组成对照组。数据由研究者制定的问卷和 28 项一般健康问卷收集。最后，在删除不完整的问卷后，分析了 52 名病例组和对照组相同数量的受试者的收集数据。
2010 年，在亚苏季的 5400 例活产婴儿中，有 130 例是早产儿（2.4%）。有两次或两次以上妊娠的妇女早产的风险是妊娠次数少于两次的妇女的 5.5 倍，一般健康状况不佳的妇女的风险是一般健康状况正常的妇女的 2.9 倍，有糖尿病/甲状腺功能障碍/心脏病史的妇女的早产风险是健康母亲的 2.3 倍（P<0.01）。
鉴于上述情况，由于母婴健康在社区健康中的作用和重要性，医疗保健系统有必要改善有关适当妊娠次数、妊娠期间诊断和治疗疾病的健康教育，特别是糖尿病和心血管疾病（高血压和/或子痫），并认识到有精神压力或缺乏足够支持的孕妇并为她们提供帮助。
