Risk Factors Of Preterm Birth of Neonates Attended Al- Mukalla Maternity and Childhood Hospital ,Yemen

Abstract

The preterm birth continues to be the leading cause of prenatal morbidity and mortality. Neonates born preterm are known to have a certain added risk of death, disease, and disability.The aim of the present study is to identify risk factors associated with preterm birthof neonatesinAl-Mukalla Maternity and Childhood Hospital (MCH).Retrospectivecase-control study at a ratio of 1 1 was conducted in the neonatal unit of Pediatric Ward from October 2012 to October 2013, cases and controls data were collected from medical records.A total of 104 cases and 104 controls were included in the study. The results showed severalrisk factorssignificantly associated with preterm birth of neonateswhich are:bad obstetric history (BOH) ,with p value 0 .014, present maternal diseases including hypertension, pre or/and - eclampsia, urinary tract infection and genital infection(p value= 0.003, 0.002, 0.045, 0.002 respectively) as well aspresentof twins and antipartum hemorrhage (p value= 0 .000, 0.028respectively).We Concluded that the most common risk factors of preterm birth of neonate were BOH, Maternal diseases in current pregnancy as well as present of twins and antipartum hemorrhage. It is necessary to improve prenatal care for pregnant women which may decrease the potential of preterm birth of neonates.