Open Access Journal of Disease and Global Health(OAJDGH)
ISSN: 2993-6594 | DOI: 10.33140/OAJDGH
Impact Factor: 0.9
Preterm Delivery and Associated Factors Among Women Who Delivered Live Babies at Muhimbili National Hospital, Dares Salaam, Eastern Tanzania.
Abstract
Paul E. Ndeki*, Ali Said, Amani I. Kikula, Furaha August, John Somi, Jafari B. Lutavi, Matilda Ngarina and Siriel. N. Massawe
Background: Preterm delivery is a major global health concern that continues to be a primary focus in obstetric and pediatric units in Sub-Saharan Africa. It is the leading cause of death in children under the age of five worldwide, with rates greater in sub-Saharan African nations, accounting for 16% of all fatalities and 35% of newborn infant deaths.
Objective: To investigate the magnitude of preterm delivery and its associated factors at Muhimbili National Hospital, a tertiary health facility in Tanzania.
Methodology: A hospital-based cross-sectional study was undertaken at Muhimbili National Hospital's maternity ward. 422 mothers were interviewed using a face-to--to-face structured questionnaire. The strength of association between the independent and dependent variables was determined using a logistic regression model.
Results: In this study, the proportion of mothers who had preterm delivery was 19.91%. Previous preterm delivery (aOR=5.4,95% CI 2.53-11.34),short Interpregnancy interval (aOR=3.0, 95% CI 3.08-9.03), ANC follow-up <4 contacts (aOR = 3.0, 95% CI 1.79-8.38), hypertensive disorders (aOR = 10.8, 95% CI 5.75, 18.33), antepartum hemorrhage (aOR = 14.5, 95% CI 4.92-24.27), preterm rupture of membrane (aOR =5.9,95% CI 1.94-14.12), multiple pregnancy (aOR =10.7,95% CI 10.21-92.69) and urinary tract infection (aOR =3.1, 95% CI 1.94-8.15) were independent factors associated with preterm delivery.
Conclusions: 19.9% of women had preterm delivery. History of previous preterm delivery, short Interpregnancy interval, ANC follow-up <4 contacts, multiple gestation, urinary tract infections, pregnancy, hypertensive disorders, antepartum hemorrhage and preterm rupture of membranes were independent factors associated with preterm delivery.