Department of Integrated Emergency Surgery and Obstetrics, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Department of Statistics, Debre Tabor University, Debre Tabor, Ethiopia.
BMC Pregnancy Childbirth. 2023 Mar 24;23(1):204. doi: 10.1186/s12884-023-05517-5.
Preterm birth is defined as babies born alive before 37 weeks of pregnancy or fewer than 259 days since the first day of a woman's last menstrual period. Globally, 14.84 million babies were preterm births. Preterm infants are at risk for specific diseases related to the immaturity of various organ systems. This study aimed to assess the prevalence of preterm birth and associated factors among mothers who gave birth in public hospitals of east Gojjam zone, Ethiopia.
An institutional-based cross-sectional study was conducted from April 1 up to June 30, 2021, in public hospitals in the east Gojjam zone. Systematic random sampling was used. Data were collected through structured questionnaires, patient interviews and patient card reviews. We used binary logistic regression analysis with 95% CI and P-value < 0.05 to identify the significant factors with preterm birth.
Out of 615 mothers, 13.2% gave a preterm birth. Antenatal care (AOR = 2.87; 95% CI = (1.67, 5.09)), educational status of mother (AOR = 2.79; 95% CI = (1.27, 6.67)), husband educational status(AOR = 2.11; 95% CI = (1.10, 4.18)), Average monthly family income(AOR = 1.95; 95% CI = (1.05, 3.75)),family size(AOR = 0.15; 95% CI = (0.03, 0.67)), multifetal gestation (AOR = 3.30; 95% CI = (1.29, 8.69), having Premature Rupture Of Membrane (AOR = 6.46; 95% CI= (2.52, 18.24)), history of chronic illness (AOR = 3.94; 95% CI = (1.67, 9.45)), being HIV positive(AOR = 6.99; 95% CI= (1.13, 44.65)), Ante-Partum Hemorrhage (AOR = 3.62; 95% CI= (1.12, 12.59)), pregnancy Induced Hypertension (AOR = 3.61; 95% CI= (1.19, 11.84)), mode of delivery (AOR = 7.16; 95% CI = (2.09, 29.29)), and onset of labor (AOR = 0.10; 95% CI = (0.03, 0.29)) were found to be significantly associated with preterm birth.
antenatal care, educational status of the mother, husband's educational status, family income, family size, multifetal gestation, Premature Rupture of the membrane, history of chronic illness, being HIV positive, Ante-Partum Hemorrhage, pregnancy Induced Hypertension, mode of delivery, and the onset of labor were found to be significantly associated with preterm birth. To minimize the proportion of preterm birth focusing on this important variables, timely identification of obstetric complications, strengthening early screening of HIV and high-risk pregnancies like multiple gestations, PIH and APH were important.
早产是指在怀孕 37 周之前或距女性上次月经第一天不足 259 天时出生的活产婴儿。全球有 1484 万婴儿早产。早产儿存在与各种器官系统不成熟相关的特定疾病风险。本研究旨在评估东戈贾姆地区埃塞俄比亚公立医院产妇早产的发生率及其相关因素。
这是一项 2021 年 4 月 1 日至 6 月 30 日在东戈贾姆地区公立医院进行的基于机构的横断面研究。采用系统随机抽样。通过结构化问卷、患者访谈和患者病历回顾收集数据。我们使用二元逻辑回归分析，95%置信区间和 P 值<0.05，以确定与早产相关的显著因素。
在 615 名母亲中，有 13.2%的人早产。产前保健（AOR=2.87；95%CI=（1.67，5.09））、母亲的教育程度（AOR=2.79；95%CI=（1.27，6.67））、丈夫的教育程度（AOR=2.11；95%CI=（1.10，4.18））、平均月家庭收入（AOR=1.95；95%CI=（1.05，3.75））、家庭规模（AOR=0.15；95%CI=（0.03，0.67））、多胎妊娠（AOR=3.30；95%CI=（1.29，8.69））、胎膜早破（AOR=6.46；95%CI=（2.52，18.24））、慢性病史（AOR=3.94；95%CI=（1.67，9.45））、HIV 阳性（AOR=6.99；95%CI=（1.13，44.65））、产前出血（AOR=3.62；95%CI=（1.12，12.59））、妊娠高血压（AOR=3.61；95%CI=（1.19，11.84））、分娩方式（AOR=7.16；95%CI=（2.09，29.29））和分娩开始时间（AOR=0.10；95%CI=（0.03，0.29））与早产显著相关。
产前保健、母亲的教育程度、丈夫的教育程度、家庭收入、家庭规模、多胎妊娠、胎膜早破、慢性病史、HIV 阳性、产前出血、妊娠高血压、分娩方式和分娩开始时间与早产显著相关。为了降低早产的比例，应重点关注这些重要变量，及时识别产科并发症，加强对 HIV 及多胎妊娠、子痫前期和 APH 等高危妊娠的早期筛查。
