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EMPHNET 6th Regional Conference 2018: "Innovative approaches: Adapting to the current EMR context" (111)
Risk Factors for Preterm Birth in Morocco, 2017

Risk Factors for Preterm Birth in Morocco, 2017

Risk Factors for Preterm Birth in Morocco, 2017

Authors of this article:

Fadoua Oudrhiri ;   A Barkat ;   A Khattabi ;   B Assarag
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    Abstract

    Corresponding Author:

    Fadoua Oudrhiri


    Background: Preterm birth (PTB) is a delivery that occurs before 37 weeks of gestation. It is the leading cause of newborn deaths in Morocco and worldwide.

    Objective: The aims of our study were to identify the main risk factors of PTB and to propose measures to prevent and improve its management in our context.

    Methods: We conducted case-control study in intensive care unit of neonatal medical service in Rabat university hospital considered as the inter-regional hospital. We included 87 preterm births before 37 gestations weeks and 174 term-controls. Data about the women’s obstetrical and gynecological history, pregnancy complications and behavior during pregnancy was obtained using a structured questionnaire and medical records. The data was analyzed using SPSS version 20. The logistic regression was employed to identify risk factors of preterm birth.

    Results: The PTB incidence was 10.92%,The major factors leading to preterm labor were: herbal medicine use during pregnancy (OR adjusted 20.23, CI 5.39-75.8); Short interpregnancy intervals (OR adjusted 14.62, CI 2.75-77.5), history of preterm delivery (OR adjusted 9.51, CI 1.54-58.6 ); taking medicine during pregnancy (OR adjusted 2.40, CI 0.98-5.91), history of uterine curettage (OR adjusted 7.97, CI 1.63-38.8), having a twin pregnancy (OR adjusted 8.57, CI 1.95-37.7), maternal age less than 20 years old ( OR adjusted 8.32, CI 1.59-43.5); primiparity (OR adjusted 7.31, CI 1.26-42.3); urogenital tract infection(OR adjusted 6.63, CI 2.37-18.4) and insufficient monitoring of pregnancy (OR adjusted 2.78, CI 1.04-7.40).

    Conclusions: Mortality rates of newborn could be reduced if the incidence of prematurity decreases. Therefore, we should improve the prenatal care, the screening and early detection of pregnancies at risk for preterm birth, the screening of urogenital infections. Young women should be aware of risk behaviors during pregnancy.

    iproc 2018;4(1):e10559

    doi:10.2196/10559


    Edited by Y Khader; This is a non–peer-reviewed article. submitted 29.03.18; accepted 29.03.18; published 29.03.18

    Copyright

    ©Fadoua Oudrhiri, A Barkat, A Khattabi, B Assarag. Originally published in Iproceedings (http://www.iproc.org), 29.03.2018.

    This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in Iproceedings, is properly cited. The complete bibliographic information, a link to the original publication on http://www.iproc.org/, as well as this copyright and license information must be included.