Management in Health, Vol 18, No 4 (2014)

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EVALUATION OF PREDICTIVE FACTORS FOR PREMATURE BIRTH DURING 2013

Cosmina Cristina UZUN, Nemes-Nagy ENIKŐ, Szabó BÉLA

Abstract


INTRODUCTION: Premature birth complicates 5-10% of the pregnancies and is the most important cause of perinatal mortality and morbidity in the world. Delivery produced between 26 weeks (the lower limit of fetal viability) and 37 weeks of complete amenorrhoea is considered premature birth. Aim of the study: The purpose of the study was to identify determinant factors of medical behavior in premature birth. Material and METHODS: We carried out a retrospective study on premature live births at the Obstetrics and Gynecology Department of the Clinical Emergency Hospital in Tîrgu Mureş during the period between 1st January – 31st December 2013. Data have been obtained from the Register of new-born babies with low birth weight and the Statistical service of the hospital.

 

RESULTS: In 2013 at the Obstetrics and Gynecology Clinic of the Emergency Hospital in Tîrgu Mureş 172 premature infants were born with gestational age between 25 and 37 completed weeks, representing 15.45 % of the total live births of the clinic.  Global analysis of the pregnant women's group presenting premature delivery in 2013 shows a predominance of preterm birth in case of grand multiparas (66.22 %) and only 33.78% in primiparas. 138 of the 172 premature newborn infants came from monofetal pregnancies, 28 were from complicated twin pregnancies and 6 newborns were triplets. From all pregnant women who presented preterm delivery, 47% were admitted to the emergency unit of the hospital with spontaneous rupture of membranes for at least 1 hour; 31.25% of the women with multiple pregnancy presented early rupture of membranes (PPROM). From the total of 151 pregnant women presenting premature delivery in 116 cases was decided to end the pregnancy for maternal and fetal reasons. The gender of the live newborns was 51% male and 49% female. There have been 4 antepartum deaths.

 

CONCLUSIONS: Analyzing data regarding preterm births during 2013 in the Clinical Hospital of Obstetrics and Gynecology we can conclude: Even if the number of births decreased, premature births did not record the same decreasing tendency; The profile of the pregnant women presenting premature delivery: woman between 30 and 40 years from rural area, average/poor socio-economic conditions, grand multipara who is admitted to the emergency unit with PPROM; Therapeutic behaviour requires in the majority of cases cesarean section of maternal and/or fetal causes; Prevention and treatment of premature birth is important in reducing neonatal adverse reactions and to increase the quality of life in newborns.

 

Keywords: premature birth, cesarean section, pregnancy.


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