Risk Factors for Premature Birth in a Hospital

Overview

Journal Rev Lat Am Enfermagem

Specialty Nursing

Date 2016 Jul 28

PMID 27463110

Citations 11

Authors

Margarita E Ahumada-Barrios

German F Alvarado

Affiliations

Soon will be listed here.

Abstract

Objective: to determine the risk factors for premature birth.

Methods: retrospective case-control study of 600 pregnant women assisted in a hospital, with 298 pregnant women in the case group (who gave birth prematurely <37 weeks) and 302 pregnant women who gave birth to a full-term newborn in the control group. Stata software version 12.2 was used. The Chi-square test was used in bivariate analysis and logistic regression was used in multivariate analysis, from which Odds Ratios (OR) and Confidence Intervals (CI) of 95% were derived.

Results: risk factors associated with premature birth were current twin pregnancy (adjusted OR= 2.4; p= 0.02), inadequate prenatal care (< 6 controls) (adjusted OR= 3.2; p <0.001), absent prenatal care (adjusted OR= 3.0; p <0.001), history of premature birth (adjusted OR= 3.7; p <0.001) and preeclampsia (adjusted OR= 1.9; p= 0.005).

Conclusion: history of premature birth, preeclampsia, not receiving prenatal care and receiving inadequate prenatal care were risk factors for premature birth.

Citing Articles

Prevalence of low birth weight and its associated factors: Hospital based cross sectional study in Nepal.

Thapa P, Poudyal A, Poudel R, Upadhyaya D, Timalsina A, Bhandari R PLOS Glob Public Health. 2023; 2(11):e0001220.

PMID: 36962657 PMC: 10021178. DOI: 10.1371/journal.pgph.0001220.

Maternal Risk Factors Associated With Neonatal Outcome in Primiparous, Machala, Ecuador.

Arevalo Cordova T, Agudo Gonzabay B, Garcia Maldonado J, Medina Quizhpe C, Leon Leon N Cureus. 2023; 15(1):e33860.

PMID: 36819456 PMC: 9935238. DOI: 10.7759/cureus.33860.

Difference between Preterm Birth in Adolescent and Adult Patients.

Uzunov A, Secara D, Constantin A, Mehedintu C, Cirstoiu M Maedica (Bucur). 2023; 17(4):789-794.

PMID: 36818249 PMC: 9923062. DOI: 10.26574/maedica.2022.17.4.789.

The association between protein levels in 24-hour urine samples and maternal and neonatal outcomes of pregnant women with preeclampsia.

Yildiz G, Yilmaz E J Turk Ger Gynecol Assoc. 2022; 23(3):190-198.

PMID: 36065980 PMC: 9450919. DOI: 10.4274/jtgga.galenos.2022.2022-4-3.

Trophoblasts Modulate the Ca Oscillation and Contraction of Myometrial Smooth Muscle Cells by Small Extracellular Vesicle- (sEV-) Mediated Exporting of miR-25-3p during Premature Labor.

Wang L, Zhang W, Zou N, Zhang L Oxid Med Cell Longev. 2021; 2021:8140667.

PMID: 34413928 PMC: 8369173. DOI: 10.1155/2021/8140667.

References

McCowan L, Dekker G, Chan E, Stewart A, Chappell L, Hunter M . Spontaneous preterm birth and small for gestational age infants in women who stop smoking early in pregnancy: prospective cohort study. BMJ. 2009; 338:b1081. PMC: 2661373. DOI: 10.1136/bmj.b1081. View

Tronnes H, Wilcox A, Lie R, Markestad T, Moster D . Risk of cerebral palsy in relation to pregnancy disorders and preterm birth: a national cohort study. Dev Med Child Neurol. 2014; 56(8):779-85. PMC: 4107088. DOI: 10.1111/dmcn.12430. View

Morisaki N, Togoobaatar G, Vogel J, Souza J, Rowland Hogue C, Jayaratne K . Risk factors for spontaneous and provider-initiated preterm delivery in high and low Human Development Index countries: a secondary analysis of the World Health Organization Multicountry Survey on Maternal and Newborn Health. BJOG. 2014; 121 Suppl 1:101-9. DOI: 10.1111/1471-0528.12631. View

Wikstrom A, Cnattingius S, Galanti M, Kieler H, Stephansson O . Effect of Swedish snuff (snus) on preterm birth. BJOG. 2010; 117(8):1005-10. DOI: 10.1111/j.1471-0528.2010.02575.x. View

Holzman C, Senagore P, Tian Y, Bullen B, Devos E, Leece C . Maternal catecholamine levels in midpregnancy and risk of preterm delivery. Am J Epidemiol. 2009; 170(8):1014-24. PMC: 2765364. DOI: 10.1093/aje/kwp218. View

Rodriguez-Coutino S, Ramos-Gonzalez R, Hernandez-Herrera R . [Risk factors of prematurity. A case control study]. Ginecol Obstet Mex. 2013; 81(9):499-503. View

Moreau C, Kaminski M, Ancel P, Bouyer J, Escande B, Thiriez G . Previous induced abortions and the risk of very preterm delivery: results of the EPIPAGE study. BJOG. 2005; 112(4):430-7. DOI: 10.1111/j.1471-0528.2004.00478.x. View

Osorno Covarrubias L, Aguirre G, Chapuz J, May A, Davila Velazquez J, Echeverria Eguiluz M . [Maternal factors associated to prematurity]. Ginecol Obstet Mex. 2008; 76(9):526-36. View

Morgan-Ortiz F, Cinco-Sanchez A, Douriet-Marin F, Baez-Barraza J, Munoz-Acosta J, Osuna-Ramirez I . [Sociodemographic and obstetric factors associated with preterm birth]. Ginecol Obstet Mex. 2010; 78(2):103-9. View

10.

Hardy G, Benjamin A, Abenhaim H . Effect of induced abortions on early preterm births and adverse perinatal outcomes. J Obstet Gynaecol Can. 2013; 35(2):138-143. DOI: 10.1016/S1701-2163(15)31018-5. View

11.

Schwab F, Zettler E, Moh A, Schotzau A, Gross U, Gunthert A . Predictive factors for preterm delivery under rural conditions in post-tsunami Banda Aceh. J Perinat Med. 2015; 44(5):511-5. DOI: 10.1515/jpm-2015-0004. View

12.

Ouattara A, Ouedraogo C, Ouedraogo A, Lankoande J . [Factors associated with preterm birth in an urban African environment: A case-control study at the University Teaching Hospital of Ouagadougou and Saint Camille Medical Center]. Med Sante Trop. 2015; 25(3):296-9. DOI: 10.1684/mst.2015.0465. View

13.

Contreras A, Soria Rodriguez C, Prince Velez R, Clark Ordonez I, Medina Ramirez M . [Preeclampsia: main maternal risk factor for low weight in preterm newborn]. Ginecol Obstet Mex. 2008; 76(7):398-403. View

14.

Scholl T, Hediger M, Fischer R, Shearer J . Anemia vs iron deficiency: increased risk of preterm delivery in a prospective study. Am J Clin Nutr. 1992; 55(5):985-8. DOI: 10.1093/ajcn/55.5.985. View

15.

Sanchez-Nuncio H, Perez-Toga G, Perez-Rodriguez P, Vazquez-Nava F . [Impact of the prenatal care in the neonatal morbidity and mortality]. Rev Med Inst Mex Seguro Soc. 2006; 43(5):377-80. View