The Study of Risk Factors and Perinatal outcome in Preterm Birth
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2018, Vol 6, Issue 5
Abstract
Prevalence of preterm birth is 5-10% of all the pregnancies. Preterm labour is a significant obstetric problem, has a major impact on neonatal mortality and morbidity. It turns a pregnancy into high risk situation which can be detrimental for both mother and the baby. Hence the current study intends to identify the risk factors and the outcome of preterm birth. Objective: 1. To identify the risk factors associated with preterm deliveries. 2. To assess the neonatal morbidity and mortality associated with preterm birth. Materials and Methods: A descriptive study was undertaken at JSS Hospital, Mysore for one year. The data was collected from the subjects satisfying the inclusion criteria. Data regarding general information, associated risk factors, delivery outcome of antenatal women and also morbidities & mortality of all preterm babies were collected. Results: A total of 1748 deliveries in our hospital 148 were preterm deliveries. Incidence of preterm deliveries is 8.5%. The factors significantly associated are preeclampsia (odds ratio [OR] 5.25) uterine anomalies (OR 5.50), cervical incompetence (OR 4.97), preterm premature rupture of membranes (OR 3.73), antepartum haemorrhage (OR 3.54), multiple gestation (3.12), multigravida (OR 1.67), low socioeconomic status (OR 1.73), education status upto high school (OR 0.34). Perinatal morbidity noted is 69% with 80% babies seeking NICU Care. Significantly associated morbidities seen in preterm babies are hyperbilirubinemia (OR 8.14), septicaemia (OR 6.19), respiratory distress syndrome (OR 4.49), intra uterine fetal demise (OR 5.06), intra uterine growth restriction (OR 2.06). It is mostly seen in babies of gestational age 31-34 weeks (35.14%). Perinatal mortality is 11.4%. Discussion & Conclusion: Early identification of risk factors, diagnosis of preterm labour, use of prophylactic pharmacologic therapy to prolong gestation like tocolytic therapy when indicated, and systematic maternal and fetal surveillance and patient education will go a long way in improving outcome of preterm infants.
Authors and Affiliations
Sowmya S.
Keywords
Related Articles
- EP ID EP550148
- DOI 10.21088/ijog.2321.1636.6518.12
- Views 34
- Downloads 0
Assessment of Thyroid Disorder in Pregnancy and Its Effect on Pregnancy Outcome in a Tertiary Healthcare Institute in Soutehrn Maharashtra: A Prospective Study
Context: Thyroid disorders are the second most common endocrinology disorder found in pregnancy. Women with thyroid dysfunction both overt and subclinical are at increased risk of pregnancy-related complications such as...
Role of Foetal Doppler in High Risk Pregnancy with Relation to Perinatal Outcome
Introduction: Doppler ultrasound would be a useful in antenatal fetal well-being and timely intervention. On the basis of abnormal Doppler results, obstetrical decision makingmay improve and prevent intrauterine death be...
Need for Optimal Laparoscopic Ergonomics in Gynaecology
Laparoscopic surgeries are in vogue, with little importance paid to the comfort of the surgeon and the operating team. We conducted a questionnaire basedqualitative study with the following. Objectives: 1. Assess the erg...
Demographic Profile, Mode of Delivery and Birth Weight in Teenage Pregnancy: A Prospective Comparative Study
Background and Aims: Teenage pregnancy is often attributed for poor maternal and neonatal outcome. The incidence is found to be more in certain communities and those with poor socioeconomic and educational status. Preter...
Outcome of Carcinoma Cervix Uteri Patients of Older Than 60 Years versus Less Than 60 Year
Aims and Objectives: Elderly patients of carcinoma cervix uteri are increasing in number. Outcome of cervical cancer with relation to age is controversial. We conducted a retrospective analysis in treated patients of car...