Preterm delivery and its associated factors among mothers in Bangladesh: Survey in Rajshahi district

Hossain, Md Aslam and Al Mamun, Abu Sayed M. and Aik, Saw and Karim, Md Reazul and Zeshan, Mahir Hossain Labib and Sabiruzzaman, Md and Islam, Md Shariful and Ahmed, Sharmin and Hossain, Md Golam (2022) Preterm delivery and its associated factors among mothers in Bangladesh: Survey in Rajshahi district. BMJ Open, 12 (10). ISSN 2044-6055, DOI

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Objectives Preterm delivery (PD) is a worldwide health burden particularly in low-income and middle-income countries such as Bangladesh. It is a key indicator of neonatal mortality and a risk of morbidity in later life. This study aimed to determine the prevalence of PD and its associated factors among mothers in Northern region of Bangladesh. Setting and participants Multistage sampling technique was used to select samples covering all the population from 9 Upazilas in Rajshahi district with 233 community clinics. A total of 540 mothers and their under-5 children were enrolled for the study. Descriptive statistics, chi(2) test and logistic regression model were used to analyse the data. Results Among all live births, the prevalence of PD was found to be 14.6%. Multiple binary logistic regression model suggested five factors of PD: (1) mothers who used contraceptive pill had lower chance of PD (p<0.05); (2) mothers with high fever during pregnancy period were more likely to have PD (p<0.05); (3) mothers who did not receive antenatal care service less than four times during pregnancy period had higher chance of PD (p<0.01); (4) mothers first married before 18 years who were more likely to have PD (p<0.01); (5) PD delivered mothers had more chance to get low birth weight children (p<0.05). In addition, unadjusted model demonstrated that mothers delivered first baby before their age<20 years were more risk to get PD (p<0.05). Conclusion Approximately one in seven infants was born preterm in our study area. Family planning method, number of antenatal care visit, mothers' age at marriage and high fever during pregnancy were the most important predictors of PD, these factors could be considered to reduce PD among Bangladeshi mothers. PD risk could be reduced by counselling and encouraging women to take antenatal care facilities from trained health providers.

Item Type: Article
Uncontrolled Keywords: Epidemiology; Public health; Gynaecology
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Medicine > Orthopaedic Surgery Department
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 17 Aug 2023 03:26
Last Modified: 26 Jun 2024 01:35

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