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. 2018 Aug 13;18(1):332.
doi: 10.1186/s12884-018-1957-0.

Factors associated with spontaneous preterm birth in Addis Ababa public hospitals, Ethiopia: cross sectional study

Ababe Tamirat Deressa  1 , Amsale Cherie  2 , Teshome Melese Belihu  3 , Gemechu Ganfure Tasisa  4
Affiliations

Factors associated with spontaneous preterm birth in Addis Ababa public hospitals, Ethiopia: cross sectional study

Ababe Tamirat Deressa et al. BMC Pregnancy Childbirth. .

Abstract

Background: Spontaneous preterm birth is commencement of labor with intact or pre labor rapture of membrane and birth before 37 weeks of gestation. The aim of this study was to identify common factors associated with spontaneous preterm birth in Addis Ababa public hospitals.

Methods: After random selection of three hospitals from the six Addis Ababa's Public hospitals having Neonatal intensive care unit, systematic sampling was employed to select study units from admission log book of the neonates. Data were collected using structured checklist. Finally, data entered to EpiData 3.1 and transported to SPSS 22 for analysis. Bivariate and multivariate logistic regression analysis was done for the variables.

Result: The mean gestational age of preterm birth was 32.45 (±2.903 SD). Majority (66.1%) of preterm births were spontaneous and 33.9% were induced preterm births. Hypertension during pregnancy [P = 0.001, AOR = 0.182, 95% CI: (0.067, 0.493)] and maternal HIV infection [P = 0.041, AOR = 3.408 95% CI: (1.048, 11.079)] significantly associated with spontaneous preterm birth.

Conclusion: Those mothers who were diagnosed with hypertension during pregnancy less likely gave spontaneous preterm birth than who had no history of hypertension during pregnancy and HIV positive mothers gave spontaneous preterm more likely than HIV negative mothers. Thus, giving emphasis to these factors with appropriate care during pregnancy is important to reduce spontaneous preterm birth.

Keywords: Addis Ababa; Factors; Preterm birth; Spontaneous.

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Conflict of interest statement

Ababe Tamirat Deressa is lecturer and researcher at Hawassa University College of medicine and health sciences. He graduated with Bachelor of Science in Nursing, Master of Science in child health and pediatric nursing and fellow in master of art in Organizational leadership. Dr. Amsale Cherie is assistant professor at Addis Ababa University College of medicine and health sciences. She is lecturer and researcher nurse with doctor of philosophy in public health. Teshome Melese Belihu is lecturer and researcher at Hawassa University College of medicine and health sciences. He graduated with Bachelor of Science in Midwifery and Master of Science in maternity and reproductive health nursing. Gemechu Ganfure Tasisa is lecturer and researcher at Madda Walabu University. He graduated with Bachelor of Science in Midwifery and Master of Science in Child health and pediatric nursing.

Institutional review board of Addis Ababa University was ethics committee that handled the approval of this study. Letter of correspondence from Addis Ababa University, school of Allied health sciences department of nursing and midwifery was written to Black lion specialized hospital and Addis Ababa regional health office for permission of both Gandhi and Zewditu memorial hospitals after which cooperation letter was sent for the two hospitals. Besides, information sheet designed to elaborate the study was attached to the data collection tool. However, informed consent was not specifically designed since data was collected from secondary source. After getting permission from the medical director, neonatology and pediatric department of the three hospitals was requested to confirm the applicability of this study and letter was written to NICU and medical record office of the respective hospital from neonatology and pediatric department. Following these, searching and obtaining of the selected samples’ medical record was processed with assigned person. Finally, strict care for the patient’s medical record and confidentiality not to take patient identifications except the identified variables for the neonate was involved throughout the time of data collection up to respect return of medical records on the end of tasks.

The authors had no personal or financial conflict of interest.

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Immediate Previous mode of delivery, Addis Ababa, Ethiopia, April, 2016
Fig. 2
Fig. 2
Maturity classification of preterm births, Addis Ababa, Ethiopia, April, 2016
See this image and copyright information in PMC

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