Alansi Badriah Ali, Mukhtar Hytham Bahaeldin, Alazizi Maher Ahmad, Zuiran Amjad Ahmad, Al-Atawi Areej Mohammed, Al-Sabah Badriah Abdulrahman, Al-Yami Shrooq Salem
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tabuk, Tabuk, Kingdom of Saudi Arabia.
Department of Obstetrics and Gynecology, King Salman Armed Force Hospital (KSAFH), Tabuk, Kingdom of Saudi Arabia.
Open Access Maced J Med Sci. 2017 Nov 18;5(7):1016-1020. doi: 10.3889/oamjms.2017.103. eCollection 2017 Dec 15.
To investigate risk factors for early preterm birth.
A retrospective comparative study was conducted at Tabuk, Kingdom of Saudi Arabia during the period from January to December 2010. Five hundred and ninety-five patient's files and delivery registry logbooks were reviewed, the following information was collected; demographic data, current and past obstetric histories. Then the early and late preterm births were compared for various risk factors. The Statistical Package for Social Sciences (SPSS version 22) was used. The Chi-square and t-test were used to test the statistical significance and a P-value<0.05 considered significant.
Prevalence of early preterm birth was found to be 2.5% in our study group. Women at risk for early preterm birth were: primigravidas (33.7% vs. 26.2% for control), P-value 0.039, OR 1.429 and 95% CI 0.982 - 2.079); multiple gestations (87.7% vs. 95.1% for control, P-value 0.002, OR 0.368 and 95% CI 0.196 - 0.688); and patients with a prior history of placental abruption (3.7% vs. 1.0% for control, P-value 0.027, OR3.928 and 95% CI 1.1360 - 13.586).
Current study indicated that early preterm births differed from preterm as a whole; primigravida, multiple gestations and a history of placental abruption are independent risk factors for them.
探讨早期早产的危险因素。
2010年1月至12月期间,在沙特阿拉伯王国塔布克进行了一项回顾性对照研究。查阅了595份患者档案和分娩登记日志,收集了以下信息:人口统计学数据、当前和既往产科病史。然后比较早期和晚期早产的各种危险因素。使用社会科学统计软件包(SPSS 22版)。采用卡方检验和t检验来检验统计学显著性,P值<0.05被认为具有显著性。
在我们的研究组中,早期早产的发生率为2.5%。有早期早产风险的女性包括:初产妇(33.7%对对照组的26.2%),P值0.039,OR 1.429,95%可信区间0.982 - 2.079);多胎妊娠(87.7%对对照组的95.1%,P值0.002,OR 0.368,95%可信区间0.196 - 0.688);以及有胎盘早剥既往史的患者(3.7%对对照组的1.0%,P值0.027,OR3.928,95%可信区间1.1360 - 13.586)。
当前研究表明,早期早产与整体早产有所不同;初产妇、多胎妊娠和胎盘早剥病史是其独立的危险因素。