• Login
    • Login
    Advanced Search
    View Item 
    •   AMREF IR Home
    • Research Papers
    • School of Medical Sciences - SMS
    • Department of Nursing and Midwifery Sciences
    • View Item
    •   AMREF IR Home
    • Research Papers
    • School of Medical Sciences - SMS
    • Department of Nursing and Midwifery Sciences
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Determinants of Preterm Birth at the Postnatal Ward of Kenyatta National Hospital, Nairobi, Kenya

    Thumbnail
    View/Open
    Determinants of Preterm Birth at the Postnatal.pdf (350.2Kb)
    Publication Date
    2017
    Authors
    Okube, Okubatsion Tekeste
    Sambu, Lillian Moraa
    Type
    Article, Journal
    Item Usage Stats
    2
    views
    0
    downloads
    Metadata
    Show full item record
    Citation

    Okube, O. T., & Sambu, L. M. (2017). Determinants of preterm birth at the postnatal ward of Kenyatta National Hospital, Nairobi, Kenya. Open Journal of Obstetrics and Gynecology, 7(9), 973-988.

    Abstract/Overview

    Background: Preterm birth, delivery prior to 37 completed weeks or 259 days gestation, is a worldwide maternal and perinatal challenge and is a leading cause of neonatal morbidity and mortality. Preterm birth remains the leading cause of perinatal and postnatal mortality and morbidity especially in devel oping countries where the health care services are suffering from limited re sources. Premature babies usually suffer from both immediate and long term consequences. Right after birth, they have difficulties in breathing, tempera ture regulation, bleeding, infection and other problems due to organ imma turity. Their growth and developmental milestones will also be affected lead ing poor physical, mental, educational and psychosocial problems as a long term consequences. Preterm deliveries were responsible for 1 million out of the 6.3 million deaths of children under 5 in 2013 [1]. In Kenyatta National hospital, few studies have been carried out to determine the prevalence and factors associated with preterm birth. Hence the aim of this study is to deter mine the prevalence and factors associated with preterm birth at Kenyatta na tional hospital (KNH), Nairobi, Kenya. Materials and Methods: This was a hospital based descriptive cross-sectional study involving randomly selected respondents (N = 183) from post natal ward of Kenyatta National Hospital. Systematic random sampling method was applied to recruit the study res pondents. A pre-tested semi-structured questionnaire was employed to collect information on the possible determinants of Preterm birth. Data was analysed using SPSS software version 22.0. Descriptive analysis was done using mean and frequency proportion. Inferential analysis using chi-square test was used to establish association different variables. The ethical approval to conduct the study was obtained from KNH-University of Nairobi Ethical Review Com mittee (KNH-UoN ERC). Permission to collect data was sought from the KNH and consent was obtained from the selected respondents before administering the questionnaire. Result: The prevalence rate of preterm birth was 20.2%. History of urinary tract infection during pregnancy [AOR = 4.62; 95% CI = 1.56 - 4.67; P = 0.013], history of preterm birth [AOR = 5.8; 95% CI = 1.18 - 10.30; P = 0.001], history of abortion [AOR = 3.54; 95% CI = 1.18 - 10.41; P = 0.016], history of hypertension during pregnancy [AOR = 2.04; 95% CI = 1.14 - 3.64; P = 0.012], maternal age (≥31 years) [AOR = 2.81; 95% CI = 1.24 - 5.87; P = 0.012] and alcohol consumption during pregnancy [AOR = 2.56; 95% CI = 0.68 - 9.64; P = 0.014] were determined as significant risk fac tors for preterm birth. Conclusion and recommendation: The determinants of preterm birth are multifactorial including history of abortion, preterm birth, urinary tract infection, hypertension and alcohol consumption during pregnancy. Most of these risk factors of preterm birth are controllable if re productive age mothers are educated properly. It is very important for ante natal mothers to adhere to the guidelines of antenatal visits so that those at risk are spotted and close monitoring can done in order to reduce this high rate of preterm birth and its negative consequences. Strategies to avert the high prevalence of preterm birth and its associated morbidity and mortality must be given priority at national, regional and international levels, so that the Millennium Development Goal (MDG) 4 can be achieved

    Subject/Keywords
    Prevalence; Preterm Birth; Risk Factors
    Further Details

    Copyright © 2017 by authors and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0)

    Publisher
    Open Journal of Obstetrics and Gynecology
    Permalink
    https://doi.org/10.4236/ojog.2017.79099
    https://repository.amref.ac.ke/handle/20.500.14173/1032
    Collections
    • Department of Nursing and Midwifery Sciences [28]

    Amref International University. All rights reserved | Copyright © 2021 
    Contact Us | Send Feedback

     

     

    Quick Links
    Amref International UniversityAmref Health AfricaKLISC

    Browse

    All of AMREF IRCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsTypeThis CollectionBy Issue DateAuthorsTitlesSubjectsType

    My Account

    LoginRegister

    Statistics

    View Usage Statistics

    Amref International University. All rights reserved | Copyright © 2021 
    Contact Us | Send Feedback