Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2018

Open Access 01-12-2018 | Research article

Factors associated with spontaneous preterm birth in Addis Ababa public hospitals, Ethiopia: cross sectional study

Authors: Ababe Tamirat Deressa, Amsale Cherie, Teshome Melese Belihu, Gemechu Ganfure Tasisa

Published in: BMC Pregnancy and Childbirth | Issue 1/2018

Login to get access

Abstract

Background

Spontaneous preterm birth is commencement of labor with intact or pre labor rapture of membrane and birth before 37 weeks of gestation. The aim of this study was to identify common factors associated with spontaneous preterm birth in Addis Ababa public hospitals.

Methods

After random selection of three hospitals from the six Addis Ababa’s Public hospitals having Neonatal intensive care unit, systematic sampling was employed to select study units from admission log book of the neonates. Data were collected using structured checklist. Finally, data entered to EpiData 3.1 and transported to SPSS 22 for analysis. Bivariate and multivariate logistic regression analysis was done for the variables.

Result

The mean gestational age of preterm birth was 32.45 (±2.903 SD). Majority (66.1%) of preterm births were spontaneous and 33.9% were induced preterm births. Hypertension during pregnancy [P = 0.001, AOR = 0.182, 95% CI: (0.067, 0.493)] and maternal HIV infection [P = 0.041, AOR = 3.408 95% CI: (1.048, 11.079)] significantly associated with spontaneous preterm birth.

Conclusion

Those mothers who were diagnosed with hypertension during pregnancy less likely gave spontaneous preterm birth than who had no history of hypertension during pregnancy and HIV positive mothers gave spontaneous preterm more likely than HIV negative mothers. Thus, giving emphasis to these factors with appropriate care during pregnancy is important to reduce spontaneous preterm birth.
Literature
1.
2.
Blencowe H, Cousens S, Chou D, Oestergaard M, Say L, Moller A, et al. Born too Soon : the global epidemiology of 15 million preterm births. Reprod Health. 2013;10(Suppl 1):1–14.CrossRef
3.
Seyom E, Abera M, Tesfaye M, Fentahun N. Maternal and fetal outcome of pregnancy related hypertension in Mettu Karl referral hospital. Journal of Ovarian Research. 2015:4–10.
4.
Anthony C, Ilechukwu G, Nkwo PO, Mba SG, Asinobi IN. Prevalence and perinatal mortality associated with preterm births in a tertiary medical center in south East Nigeria. Int J Women's Health. 2014;62014:881–8.
5.
Adane AA, Ayele TA, Ararsa LG, Bitew BD. Adverse birth outcomes among deliveries at Gondar University Hospital , Northwest Ethiopia. BMC Pregnancy and Childbirth. 2014;14(1):1–8.CrossRef
6.
Crump C, Sundquist K, Sundquist J, Winkleby MA. Gestational age at birth and mortality in young adulthood. JAMA. 2011;306:1233–40.CrossRefPubMed
7.
Crump C, Sundquist K, Winkleby MA, Sundquist J. Early-term birth (37–38 weeks) and mortality in young adulthood. Epidemiology. 2013;24:270–6.CrossRefPubMed
8.
Beck S, Wojdyla D, Say L, Betran AP, Merialdi M, et al. The world wide incidence of preterm birth: a systematic review of maternal mortality and morbidity. Bull World Health Organ. 2010;88:31–8.CrossRefPubMed
9.
Blencowe H, Cousens S, Oestergaard MZ, Chou D, Moller AB, et al. National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic analysis and implications. Lancet. 2013;379:2162–72.CrossRef
10.
Lee ACC, Katz J, Birth CS. National and regional estimates of term and preterm babies born small for gestational age in 138 low-income and middle-income countries in 2010. Lancet Glob Health. 1(1):2010, e26–36.
11.
Van den Broek N, Ntonya C, Kayira E, White S, Neilson JP. Preterm birth in rural Malawi: high incidence in ultrasound-dated population. PLOS Medicine. 2011;20:3235–7.
12.
EURO-PERISTAT project in collaboration with SCPE, EUROCAT and EURONEOSTAT. Better statistics for better health for pregnant women and their babies in 2004. In: European Perinatal Health Report; 2008.
13.
Debelew GT, Afework MF, Yalew AW. Determinants and Causes of Neonatal. Mortality in Jimma Zone , Southwest Ethiopia : A Multilevel Analysis of Prospective Follow Up Study. PLOS ONE. 2014;9(9):e107184.CrossRefPubMedPubMedCentral
14.
Weng Y, Yang C, Chiu Y. Risk assessment of adverse birth outcomes in relation to maternal age. PLoS One. 2014;9(12):1–16.CrossRef
15.
16.
Gladstone M, White S, Kafulafula G, Neilson JP, Van Den Broek N. Post neonatal Mortality, Morbidity , and Developmental Outcome after Ultrasound- Dated Preterm Birth in Rural Malawi : A Community-Based Cohort Study. PLoS Med. 2011;8(11):1–11.CrossRef
17.
NIH Public Access. Risk of spontaneous preterm birth in relation to maternal exposure to intimate partner violence during pregnancy in Peru. Maternal Child Health J. 2014;17(3):485–92.
18.
Santos IS, Matijasevich A, Domingues MR, Barros AJD, Victora CG, Barros FC. Late preterm birth is a risk factor for growth faltering in early childhood : a cohort study. BMC Pediatr. 2009;8:1–8.
19.
Pfinder M, Kunst AE, Feldmann R, Van Eijsden M, Vrijkotte TGM. Preterm birth and small for gestational age in relation to alcohol consumption during pregnancy : stronger associations among vulnerable women ? Results from two large western-European studies. BMC Pregnancy and Childbirth. 2013;13(1):1.CrossRef
20.
Kozuki N, Lee ACC, Silveira MF, Victora CG, Adair L, Humphrey J, et al. The associations of birth intervals with small-for- gestational-age , preterm , and neonatal and infant mortality : a meta-analysis. BMC Public Health. 2013;13(Suppl 3):S3.CrossRefPubMedPubMedCentral
21.
Kariuki S, Kuile F, Marchant T, Willey B, Katz J, Lusingu J, et al. Neonatal Mortality Risk Associated with Preterm Birth in East Africa , Adjusted by Weight for Gestational Age : Individual Participant Level Meta-Analysis. PLOS MEDICINE. 2012;9(8):e1001292.CrossRefPubMedPubMedCentral
22.
Barros FC, Bhutta A, Batra M, Hansen TN, Victora CG, Rubens CE. Global report on preterm birth and stillbirth ( 3 of 7 ): evidence for effectiveness of interventions. BMC Pregnancy and Childbirth 2010:10(Suppl1):1–36.
23.
Joseph KS, Fahey J, Shankardass K, Allen VM, Campo PO, Dodds L, et al. Effects of socioeconomic position and clinical risk factors on spontaneous and iatrogenic preterm birth. BMC Pregnancy and Childbirth. 2014;14(1):1–9.CrossRef
24.
Kozuki N, Lee ACC, Silveira MF, Sania A, Vogel JP, Adair L, et al. The associations of parity and maternal age with small-for-gestational-age, preterm, and neonatal and infant mortality: a meta-analysis. BMC Public Health. 2013;13
25.
Zack RM, Golan J, Aboud S, Msamanga G, Spiegelman D, Fawzi W. Risk Factors for Preterm Birth among HIV-Infected Tanzanian Women: A Prospective Study. Hindawi Publishing Corporation. 2014.
Metadata
Title
Factors associated with spontaneous preterm birth in Addis Ababa public hospitals, Ethiopia: cross sectional study
Authors
Ababe Tamirat Deressa
Amsale Cherie
Teshome Melese Belihu
Gemechu Ganfure Tasisa
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2018
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-018-1957-0

Other articles of this Issue 1/2018

BMC Pregnancy and Childbirth 1/2018 Go to the issue

Study protocol

A longitudinal, multi-centre, superiority, randomized controlled trial of internet-based cognitive behavioural therapy (iCBT) versus treatment-as-usual (TAU) for negative experiences and posttraumatic stress following childbirth: the JUNO study protocol

Research article

Quality medicines in maternal health: results of oxytocin, misoprostol, magnesium sulfate and calcium gluconate quality audits

Research article

Smoking during pregnancy and harm reduction in birth weight: a cross-sectional study

Research article

The impact of postpartum psychosis on partners

Research article

Feasibility and acceptability of expressive writing with postpartum women: a randomised controlled trial

Research article

Magnitude and determinants of surgical site infecion among women underwent cesarean section in Ayder comprehensive specialized hospital Mekelle City, Tigray region, Northern Ethiopia, 2016