Predictors of Premature Rupture of Membranes among Pregnant Women in Rural Uganda: A Cross-Sectional Study at a Tertiary Teaching Hospital.

Autor: Byonanuwe S; Department of Obstetrics and Gynaecology, Kampala International University Teaching Hospital, Uganda., Nzabandora E; Department of Obstetrics and Gynaecology, Kampala International University Teaching Hospital, Uganda., Nyongozi B; Department of Obstetrics and Gynaecology, Kampala International University Teaching Hospital, Uganda., Pius T; Department of Medical Laboratory Science, Kampala International University Teaching Hospital, Uganda., Ayebare DS; Interdisciplinary Research & Development Center Limited, Mbarara, Uganda., Atuheire C; Department of Public Health, Kampala International University-Western Campus, Uganda., Mugizi W; Postgraduate Studies & Research Directorate, Kampala International University-Western Campus, Uganda., Nduwimana M; Department of Paediatrics, Kampala International University Teaching Hospital, Uganda., Okello M; Department of Obstetrics and Gynaecology, Kampala International University Teaching Hospital, Uganda., Fajardo Y; Department of Obstetrics and Gynaecology, Kampala International University Teaching Hospital, Uganda., Ssebuufu R; Department of Surgery, Kampala International University Teaching Hospital, Uganda.
Jazyk: angličtina
Zdroj: International journal of reproductive medicine [Int J Reprod Med] 2020 Mar 02; Vol. 2020, pp. 1862786. Date of Electronic Publication: 2020 Mar 02 (Print Publication: 2020).
DOI: 10.1155/2020/1862786
Abstrakt: Background: Premature rupture of membranes (PROM) is a common condition in developed and developing countries and poses a serious threat to the maternal and fetal well-being if not properly managed. This study delineated the prevalence and predictors of PROM in the western part of Uganda so as to guide specific preventive measures.
Methods: A cross-sectional study design was conducted in the months of September 2019 to November 2019. A total of 334 pregnant women above 28 weeks of gestation admitted at the maternity ward of KIU-TH were consecutively enrolled. Interviewer-administered questionnaires were used to obtain the data. Descriptive statistics followed by binary logistic regression were conducted. All data analyses were conducted using STATA 14.2.
Results: Of the 334 pregnant women enrolled, the prevalence of PROM was found to be 13.8%. The significant independent predictors associated with lower odds of PROM were no history of urinary tract infection (UTI) in the month preceding enrollment into the study (aOR = 0.5, 95% CI: 0.22-0.69, p = 0.038) and gestational age of 37 weeks or more (aOR = 0.3, 95% CI: 0.14-0.71, p = 0.038) and gestational age of 37 weeks or more (aOR = 0.3, 95% CI: 0.14-0.71, p = 0.038) and gestational age of 37 weeks or more (aOR = 0.3, 95% CI: 0.14-0.71.
Conclusions: Majorly urinary tract infections, low gestational age, and abortions influence premature rupture of membranes among women. There is a great need for continuous screening and prompt treatment of pregnant women for UTI especially those with history of 3 or more abortions at less than 34 weeks of gestation.
Competing Interests: The authors declare no conflict of interest with regard to the publication of this work.
(Copyright © 2020 Simon Byonanuwe et al.)
Databáze: MEDLINE
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