FATE & FACTORS OF PREMATURE DELIVERY

Dr. Most. Sufia Begum*, Dr. Samira Arin, Dr. Shamsun Nahar Rikta, Dr. Mahin Rahman and Dr. Nazmun Nahar Mina

ABSTRACT

Background: Preterm labour is one of the challenging problems in obstelics. This unfortunate episode accounts for 50-70% of the perinatal mortality. Methods: A cross sectional study was conducted on 200 pregnant women with preterm labour admitted in a Tertiary hospital in Dhaka From Jan 2015 to June 2017 to study the causes and result of preterm birth. Results: Occurrence of preterm birth was 13.82%; 47.14% occurred between 34-36 weeks of gestation; 33.80% occured 31-33 weeks of gestation and occurred in 28-30 weeks 19.04%. About 22% patients presenting with preterm labour had a past history of abortions and 14.3% had a history of preterm delivery. Premature rupture of membranes was found to be the most common risk factor related with preterm labour in the present pregnancy. Genitourinary tract infection was the next important risk factor of preterm labour; 24.8% (86) patients had either vaginal infection (19.5%) or urinary infection (21.4%) or both. Another important risk factor identified in this study was antepartum haemorrage which was cause in 11.4 % cases. Preterm babies commonly suffered from various complications like jaundice (32.1%), respiratory distress syndrome (22.6%), asphyxia (13.5%), sepsis, hypoglycemia and coagulopathy. Conclusion: Most of the preterm births occured between 34-36 weeks of gestation. Most common risk factors of preterm births are history of abortion and preterm delivery in previous pregnancy; PROM UTI vaginal infection, PIH and APH in current pregnancy. Newborn jaundice, RDS and birth asphyxia are the common neonatal morbidity in preterm labour. Identifying risk factors to prevent the onset of preterm labour and advanced neonatal care unit can help decrease neonatal morbidity and mortality.

Keywords: Preterm labour, Fate/ Result, Factor.