Etiology of Preterm Birth in Relizane Region (West of Algeria)

Abstract

Introduction: Preterm deliveries are those that occur at less than 37 weeks gestational age. Preterm birth is a major determinant of neonatal mortality and morbidity and has long-term adverse consequences for health. This study was done to estimate the incidence of preterm labor and to investigate it causes in a university hospital center of Relizane (west ALGERIA). Methods: A cross sectional study was conducted in rural area Oued rhioue (Relizane, west Algeria) among all patients who delivered during study period. Data was collected by interview technique and analyzed by appropriate statistical methods. Results: A total of 3000 deliveries occurred during study period from which 278 were premature birth; the incidence of preterm delivery in the study was (9.26%). Considering the total series, the risk of preterm birth was above unity in hypertensive women (33%), (44%) women had preterm premature rupture of the fetal membranes. Parity, gestity and gestational age were associated with preterm delivery. The relationship was statistically significant (P<0.005). However maternal age and pregnancy interval were not associated with preterm delivery. Conclusion: In our study we found that 9.26% of births were preterm. This number is higher compare to developed countries, especially in Algeria; incur the highest burden in terms of absolute numbers. This is why we need a better understanding of the different causes of preterm birth, and better evaluation of it incidence to be able to improve the obstetric and neonatal care and thus reduce the percentage of preterm birth.

Women’s experience of preterm birth in an East African context: A qualitative study

“…Moreover, preterm birth complications account for 30-50% increased mortality in early and mid-adulthood compared to those who are full-term born 4 . Known risk factors associated with preterm birth are extreme maternal age (<20 and >35 years), low social and economic status, anemia, use of herbal medicines, infections such as HIV, and premature rupture of the membranes 5 . Children who survive might experience lifetime disabilities and complications with short-and long-term effects 6,7 .…”

“…Known risk factors associated with preterm birth are extreme maternal age (<20 and >35 years), low social and economic status, anemia, use of herbal medicines, infections such as HIV, and premature rupture of the membranes 5 . Children who survive might experience lifetime disabilities and complications with short- and long-term effects 6 , 7 Respiratory distress, immature brain and neurodevelopmental impairments, social-emotional problems, learning difficulties, and chronic diseases (e.g., heart disease, hypertension, and diabetes) are among the complications 3 , 6 , 8 .…”