Preterm Delivery: Associated Risk Factors And Neonatal Outcomes in Duhok Hospital for Obstetrics And Gynecology

Abstract

Objectives: To identify the risk factors and evaluate the early neonatal outcomes of premature infants in Duhok Hospital for Obstetrics and Gynecology, a tertiary center in Kurdistan Region - Iraq. Methods: This cross sectional study was carried out from September 1/2021 to December 31/2021. Four hundred participants were recruited, 200 were preterm and 200 were term. The participants were examined and followed till delivery. Multivariable logistic regression analysis was used to identify the risk factors for preterm delivery. Results: The risks factors for preterm delivery were maternal age ≥ 35 years (AOR 3.32; 95 % CI 1.12-9.86), nulliparity (AOR 2.14; 95 % CI 1.25-3.67), history of preterm birth (AOR 6.51; 95 % CI 1.99-21.28,), no ANC (AOR 3.01; 95 % CI 1.32-6.87), < 4 ANC visits (AOR 1.92; 95 % CI 1.12-3.30), PROM (AOR 4.71; 95 % CI 2.71-8.16), antepartum hemorrhage (AOR 9.25; 95 % CI 1.81-47.39), hypertensive disorders in pregnancy (AOR 2.30; 95 % CI 1.12-4.71) and anemia (AOR 3.51; 95 % CI 1.86-6.63). Preterm delivery is linked to poor early neonatal outcomes. Conclusions: Early identification of women at risk for preterm delivery by health care providers is essential to prevent preterm delivery

Nursing care for pregnant women at risk of preterm labor and its impact on their knowledge and lifestyle pattern

“…Regarding educational level, the current study found that over one-third of pregnant women in both groups had completed secondary school. This result is in line with a study by Shekho & Yalda [19] titled Preterm delivery: associated risk factors and neonatal outcomes in Duhok Hospital for Obstetrics and Gynecology which found that nearly one-third (30%) of the women in the study had completed secondary school. In addition, Hassan et al [20] study, "Risk Factors and Outcome of Preterm Labor in Pregnant Women Attending Zagazig Maternity University Hospital," found that 39.6% of the pregnant women in their study had completed secondary education.…”