Mount Kenya University, School of Health Sciences, Department of Public Health, Kigali Campus, Rwanda.
School of Public Health, University of Rwanda, Kigali, Rwanda.
Pan Afr Med J. 2022 Dec 5;43:173. doi: 10.11604/pamj.2022.43.173.34113. eCollection 2022.
globally, the leading cause of neonatal mortality is preterm birth which may hinder the achievement of Sustainable Development Goal 3.2 target. We aimed to determine the prevalence and factors associated with preterm delivery at Kabutare hospital, Rwanda.
a cross-sectional study was conducted between August and September 2020. Mothers were interviewed using a standard pretested semi-structured questionnaire and additional data were extracted from medical records of obstetric files. Gestational age was assessed using the Ballard score. Adjusted Odds Ratios and their 95% confidence intervals were calculated for multivariable logistic regression analysis to take care of all potential confounders.
the prevalence of preterm birth was 17.5% (95% CI: 12.9% - 22.9%). The independent factors associated with preterm birth after considering multiple logistic regression were husband being a smoker (adjusted Odds Ratio (aOR) = 5.9; 95% CI; 1.9-18; p= 0.002), antenatal care (ANC) attendance ≤ 3 visits (aOR=3.9; 95% CI; 1.1-13.8; p=0.04) and low mother's Mid Upper Arm Circumference (MUAC) < 23cm (aOR=5.6, 95% CI; 1.8-18.9; p=0.004). preterm delivery was high in Huye district. Thus, we recommend ANC sessions to emphasize on maternal nutritional education which is of good quality and quantity, discourage maternal alcohol consumption as well as passive smoking.
在全球范围内，导致新生儿死亡的主要原因是早产，这可能会阻碍实现可持续发展目标 3.2 目标。我们旨在确定卢旺达卡布塔雷医院早产的流行率和相关因素。
这是一项横断面研究，于 2020 年 8 月至 9 月进行。使用标准的预测试半结构化问卷对母亲进行访谈，并从产科档案的病历中提取其他数据。使用 Ballard 评分评估胎龄。使用多变量逻辑回归分析计算调整后的优势比及其 95%置信区间，以考虑所有潜在的混杂因素。
早产的患病率为 17.5%（95%CI：12.9%-22.9%）。在考虑多变量逻辑回归后，与早产相关的独立因素是丈夫吸烟（调整后的优势比（aOR）=5.9；95%CI；1.9-18；p=0.002）、产前护理（ANC）就诊次数≤3 次（aOR=3.9；95%CI；1.1-13.8；p=0.04）和母亲的中上臂围（MUAC）<23cm（aOR=5.6，95%CI；1.8-18.9；p=0.004）。Huye 区早产率较高。因此，我们建议 ANC 课程强调产妇营养教育，要保证质量和数量，劝阻产妇饮酒和被动吸烟。
