Incidence and risk factors of preterm birth in a rural Bangladeshi cohort
| Autor: | Luke C. Mullany, Radwanur Rahman Talukder, Syed Moshfiqur Rahman, Ishtiaq Mannan, Rashed Shah, Nazma Begum, Gary L. Darmstadt, Jennifer A. Applegate, Dipak Kumar Mitra, Abdullah H Baqui, Shams El Arifeen |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Adult
Rural Population Pediatrics medicine.medical_specialty Iron Population Gestational Age Abortion Young Adult Folic Acid Pregnancy Risk Factors medicine Humans Pediatrics Perinatology and Child Health Prospective Studies education Prospective cohort study 2. Zero hunger education.field_of_study Bangladesh business.industry Incidence Malnutrition Infant Newborn Gestational age Preterm birth Prenatal Care medicine.disease Community-based program 3. Good health Trace Elements Abortion Spontaneous Pregnancy Complications Premature birth Pediatrics Perinatology and Child Health Cohort Dietary Supplements Vitamin B Complex Gestation Educational Status Premature Birth Female Pregnancy Multiple business Research Article |
| Zdroj: | BMC Pediatrics |
| ISSN: | 1471-2431 |
| Popis: | Background Globally, about 15 million neonates are born preterm and about 85% of global preterm birth occurs in Asia and Africa regions. We aimed to estimate the incidence and risk factors for preterm birth in a rural Bangladeshi cohort. Methods Between June 2007 and September 2009, community health workers prospectively collected data from 32,126 mother-live-born baby pairs on household socio-demographic status, pregnancy history, antenatal care seeking and newborn gestational age determined by recall of date of last menstrual period. Results Among all live births, 22.3% were delivered prior to 37 weeks of gestation (i.e. preterm); of which 12.3% were born at 35–36 weeks of gestation (late preterm), 7.1% were born at 32–34 weeks (moderate preterm), and 2.9% were born at 28–31 weeks of gestation (very preterm). Overall, the majority of preterm births (55.1%) were late preterm. Risk of preterm birth was lower among women with primary or higher level of education (RR: 0.92; 95% CI: 0.88, 0.97), women who sought antenatal care at least once during the index pregnancy (RR: 0.86; 95% CI: 0.83, 0.90), and women who had completed all birth preparedness steps (RR: 0.32; 95% CI: 0.30, 0.34). In contrast, risk of preterm birth was higher among women with a history of child death (RR: 1.05; 95% CI: 1.01, 1.10), who had mid-upper arm circumference (MUAC) ≤250 mm, indicative of under nutrition (for women having MUAC |
| Databáze: | OpenAIRE |
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