Maternal risk factors for preterm birth: a country-based population analysis

Introduction: Low birth weight and preterm birth are the major community health problems in developing countries. They are the major determinants of perinatal survival and infant morbidity and mortality. The aim of this study was to determine the proportion and the maternal risk factors for low birth weight and preterm birth among hospital deliveries in Tribhuvan University Teaching Hospital. Methods: A cross sectional retrospective study was carried out in the Department of Obstetrics and Gynecology of TUTH. Maternal risk factors like age, parity, ethnicity, history of previous abortion, history of previous cesarean section, antepartum hemorrhage and medical disorders were studied. Information on all births that occurred was extracted from maternity case notes and delivery registers. Results: During the study period, there were 685 singleton live births. Among these 78(11.4%) were low birth weight and 47(6.9%) were preterm birth. The mean birth weight was 2950 ± 488 gm. The mean weight of female was statistically less compared to male babies (p=0.032). The significant risk factors for LBW were primiparity (OR 2.12; 95%CI 1.25-3.58), Indo-Aryan ethnicity (OR 1.97; 95%CI 1.12-3.45) and history of medical disorder (OR 3.08; 95%CI 1.17-8.12). As for PTB antepartum hemorrhage (OR 8.63; 95%CI 1.99-37.30) and history of medical disorder (OR 3.20; 95%CI 1.04-9.89) were significant risk factors. Conclusions: Parity, ethnicity, and medical disorders were the main risk factors for low birth weight. Antepartum hemorrhage and medical disorders were significant risk factors for preterm birth. Keywords: low birth weight; preterm birth; risk factors.

Download Full-text

Risk Factors for Maternal Readmission with Sepsis

American Journal of Perinatology ◽

10.1055/s-0039-1696721 ◽

2019 ◽

Vol 37 (05) ◽

pp. 453-460

Author(s):

Megan E. Foeller ◽

Lillian Sie ◽

Timothy M. Foeller ◽

Anna I. Girsen ◽

Suzan L. Carmichael ◽

...

Keyword(s):

Risk Factors ◽

Preterm Birth ◽

Primary Objective ◽

Birth Certificates ◽

Gram Negative Bacteria ◽

Maternal Risk Factors ◽

Discharge Data ◽

Maternal Risk ◽

Acute Organ Dysfunction ◽

Infecting Organisms

Abstract Objective Our primary objective was to identify risk factors for maternal readmission with sepsis. Our secondary objectives were to (1) assess diagnoses and infecting organisms at readmission and (2) compare early (<6 weeks) and late (6 weeks to 9 months postpartum) maternal readmission with sepsis. Study Design We identified our cohort using linked hospital discharge data and birth certificates for California deliveries from 2008 to 2011. Consistent with the 2016 sepsis classification, we defined sepsis as septicemia plus acute organ dysfunction. We compared women with early or late readmission with sepsis to women without readmission with sepsis. Results Among 1,880,264 women, 494 (0.03%) were readmitted with sepsis, 61% after 6 weeks. Risk factors for readmission with sepsis included preterm birth, hemorrhage, obesity, government-provided insurance, and primary cesarean. For both early and late sepsis readmissions, the most common diagnoses were urinary tract infection and pyelonephritis, and the most frequently identified infecting organism was gram-negative bacteria. Women with early compared with late readmission with sepsis shared similar obstetric characteristics. Conclusion Maternal risk factors for both early and late readmission with sepsis included demographic characteristics, cesarean, hemorrhage, and preterm birth. Risks for sepsis after delivery persist beyond the traditional postpartum period of 6 weeks.

Download Full-text

Health Advantages and Disparities in Preterm Birth Among Immigrants Despite Disparate Sociodemographic, Behavioral, and Maternal Risk Factors in San Diego, California

Maternal and Child Health Journal ◽

10.1007/s10995-019-02836-y ◽

2019 ◽

Vol 24 (2) ◽

pp. 153-164 ◽

Cited By ~ 1

Author(s):

Maria Rosario G. Araneta ◽

Rebecca J. Baer ◽

Louis J. Muglia ◽

Kelli K. Ryckman ◽

Julie Ryu ◽

...

Keyword(s):

Risk Factors ◽

Preterm Birth ◽

San Diego ◽

Maternal Risk Factors ◽

Maternal Risk

Download Full-text

Understanding the multidimensional trajectory of psychosocial maternal risk factors causing preterm birth: A systematic review

Asian Journal of Psychiatry ◽

10.1016/j.ajp.2020.102436 ◽

2020 ◽

Vol 54 ◽

pp. 102436

Author(s):

Kavita Batra ◽

Jennifer Pharr ◽

John O. Olawepo ◽

Patricia Cruz

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Preterm Birth ◽

Maternal Risk Factors ◽

Maternal Risk

Download Full-text

Maternal risk factors and pregnancy complications associated with low birth weight neonates in preterm birth

Journal of Obstetrics and Gynaecology Research ◽

10.1111/jog.14830 ◽

2021 ◽

Author(s):

Weiqi Liu ◽

Qiaoling Liu ◽

Weiling Liu ◽

Cuiqing Qiu

Keyword(s):

Risk Factors ◽

Birth Weight ◽

Preterm Birth ◽

Low Birth Weight ◽

Pregnancy Complications ◽

Maternal Risk Factors ◽

Maternal Risk

Download Full-text

MATERNAL RISK FACTORS ASSOCIATED WITH PRETERM BIRTH IN A TERTIARY RURAL CARE CENTER

10.36106/ijsr/9825395 ◽

2021 ◽

pp. 38-42

Author(s):

Rohan Yadav ◽

P. Sunil Kumar ◽

Mahendrappa K. B. ◽

G.M. Kumar ◽

Channabasavanna N

Keyword(s):

Risk Factors ◽

Preterm Birth ◽

Observational Study ◽

Care Center ◽

Economic Stress ◽

Multiple Gestation ◽

Maternal Risk Factors ◽

Maternal Risk ◽

Factors Associated ◽

Preterm Babies

Introduction. In India, according to 2010 data 3.5 million babies are born premature out of 27 million babies born every year which constitutes to 23.6% of world total preterm births. Preterm morbidity is not only limited to neonatal period but also extends to later life resulting in continuous physical, psychological and economic stress to the individual and family. Since few studies have been done on preterm babies in a rural setup to assess the common maternal risk factors responsible for preterm birth this observational study of maternal risk factors associated with preterm birth has been taken up. Material and methods. st st This is a prospective observational study done from 1 August 2019 - 31 July 2020 in Adichunchanagiri Institute of Medical sciences, Mandya. Study sample comprised of 100 preterm babies born in the study period. Data was collected on a preformed Performa, it was compiled and entered in MS excel sheet. Results. In this study majority of women who delivered prematurely were primigravida (53.8%). Majority of women in this study belonged to age group 19-22 years (43.9%). More babies were delivered via LSCS (52%) when compared to vaginal route. Majority of women belonged to class III socio economic status (54.9%). Common maternal risk factors were PROM (30.8%), preeclampsia (20.9%), APH (13.2%) and Anemia (6.6%).19.8% of women had previous BOH of which most common was abortion (14.2%). Common fetal risk factors were Breech (11%), Multiple gestation (9.9%). Conclusion. Identication of maternal risk factors and early intervention can reduce the number of preterm deliveries and their associated morbidity and mortality.

Download Full-text