Maternal Comorbidities Associated with Preterm Deliveries in Comparison with Full Term Delivery in Al-Zahraa Teaching Hospital in Al Najaf City
Keywords:Antepartum hemorrhage, Gestational Diabetes mellitus, Gestational Hypertension, Premature rupture of membrane, Preterm birth, maternal comorbidities, fetus outcome, oligohydramnios, abruptio placentae
Background: Preterm birth is one of the major conditions that affect on infant mortality and morbidity,
many of maternal comorbidities effect on the fetus outcome, in this study we evaluate some of maternal
condition that effect on preterm birth and compare them with full term birth to know the most common
factors associated with this condition to decrease the rate of preterm birth and reduce neonatal mortality and
Methods: A case control study was conducted at first of April to thirty of September 2018, in Al Zahra
Teaching Hospital in Al Najaf City, 300 delivered pregnant women were participated divided to 100 cases
as preterm delivery women and 200 controls as full term deliver women enrolled in the study, maternal
comorbidities were recorded and binary regression analysis was used for analysis of the study.
Results: The study show many significant association between preterm birth and maternal risk factors
include, urinary tract infection (OR = 7.32), lower number of antenatal visit (OR=2.52), interval between
pregnancy ?2 year (OR =1.973), premature rupture of membrane (or =6.55), oligohydramnios (OR =6.55),
gestational diabetes (OR =3.45), abruptio placentae (OR = 5.06) and previous preterm labor (OR=3.68).
Conclusion: Based on the results in the study the most determinants that affect on preterm birth were urinary
tract infection, premature rupture of membrane and abruption placenta.
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