An observational study of aetiology of preterm labour in a tertiary health care centre
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20221678Keywords:
Aetiology, Preterm labour, Delivery, GynaecologyAbstract
Background: Preterm labor and delivery are very challenging obstetric complications encountered by obstetrician as preterm births are the major cause of perinatal and neonatal morbidity and mortality.
Methods: An observational study was conducted in the Department of Obstetrics and Gynaecology, Himalayan Institute of Medical Sciences (HIMS), Jollygrant, Dehradun, over a period of one year in which 105 preterm pregnant were observed and risk factors associated with preterm labour were evaluated.
Results: Preterm labour was more common in multigravida as compared to primigravida. Maximum (58.10%) number of preterm birth occurred after 32 weeks of gestation. In previous history of pregnancy most important history was previous history of abortion than previous history of preterm labour. Previous one history of abortion was more commonly associated than previous history of 2 or more than 2 abortions. Preterm prelabour rupture of membranes was most important risk factor associated with preterm labour and delivery followed by UTI, than PIH and anemia being the 4th important reason.
Conclusions: Thus we concluded that various risk factors that lead to preterm labor are identifiable and mostly are modifiable. Therefore, preconceptional counseling has a great role to play in bringing down the incidence of preterm labour.
References
Wagura P, Wasunna A, Laving A, Wamalwa D, Ng'ang'a P. Prevalence and factors associated with preterm birth at kenyatta national hospital. BMC Pregnancy Childbirth. 2018;18(1):107.
Woday A, Muluneh MD, Sherif S. Determinants of preterm birth among mothers who gave birth at public hospitals in the Amhara region, Ethiopia: A case-control study. PLoS One. 2019;14(11):e0225060.
Shetty MB, Krupa BM, Malyala M, Swarup A, Pathadan DS, Pocha S. Preterm birth: associated risk factors and outcome in tertiary care center. Int J Reprod Contracept Obstet Gynecol. 2017;6(8):3271-4.
Philip T, Pramod T. A prospective study on neonatal outcome of preterm births and associated factors in a South Indian tertiary hospital setting. Int J Reprod Contracept Obstet Gynecol. 2018;7(12):4827-32.
Cunninghum FG, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, et al. Williams Obstetrics. 24th ed. New York: McGraw Hill; 2014: 829.
The American Congress of Obstetricians & Gynecologists. Preterm Labour and Birth, 2016. Available at: http://simponline.it/wp-content. Accessed on 10 August 2016.
Prakash SA, Rasquinha S, Rajaratnam A. Analysis of Risk Factors and Outcome of Preterm Labor. Int J Eng Sci. 2016;2602:21-9.
Rao CR, Ruiter LE, Bhat P, Kamath V, Kamath A, Bhat V. A case-control study on risk factors for preterm deliveries in a secondary care hospital, southern India. ISRN Obstet Gynecol. 2014;2014:935982.
Ashfaq M, Mateen A, Mateen H, Hanif A. Frequency of Short Interpregnancy Interval in Females with Preterm Birth. Pakistan J Med Health Sci. 2017;11(2):582-4.
Garg S, Kaur T, Saran AS, Yadav M. A study of etiology and outcome of preterm birth at a tertiary care centre. Int J Reprod Contracept Obstet Gynecol. 2017;6(10):4488-91.
Assadi AF, Haroon DS, Rubaye AH, Rahman BA. Risk Factors and neonatal outcome among preterm birth at Basrah central hospitals. Med J Basrah University. 2018;36(2):88-96.
Umeigbo BC, Modebe IA, Iloghalu IC, Eleje GU, Okoro CC, Umeononihu OS, et al. Outcomes of Preterm Labor and Preterm Births: A Retrospective Cross-Sectional Analytical Study in a Nigerian Single Center Population. Obstetr Gynecol Res. 2020;3(1):17-28.
Brown HK, Speechley KN, Macnab J, Natale R, Campbell MK. Biological determinants of spontaneous late preterm and early term birth: a retrospective cohort study. BJOG. 2015;122(4):491-9.
Abaraya M, Seid SS, Ibro SA. Determinants of preterm birth at Jimma University Medical Center, southwest Ethiopia. Pediatric Health Med Therap. 2018;9:101-7.
Fernandes SF, Chandra S. A study of risk factors for preterm labour. I Int J Reprod Contracept Obstet Gynecol. 2015;4(5):1306-12.
Sunita SP, Mishra S. A prospective study of etiology and outcome of Preterm Labour in a Rural Medical College. Obs Rev. 2016;2(4):44-8.