Prevalence and factors associated with preterm births in Uganda: A case study of Kiryandongo district Referral Hospital

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Kampala International University, School of Health Sciences
The World Health Organization (WHO) estimates the prevalence of preterm birth to be between 5 and 18% across 184 countries. Most countries lack reliable data on the burden of preterm birth. Of the estimated 3 million neonatal deaths occurring globally each year, about 1 million are directly related to prematurity. Despite this, few studies have been carried out locally to determine the prevalence of as well as factors associated with preterm delivery. This study therefore intended to identify the prevalence and factors associated with preterm births in Kiryandongo Hospital. This study utilized a descriptive cross-sectional design on 126 mothers who delivered at Kiryandongo Hospital and their newborns in the last six months before the study. Collected data was entered and analyzed using stata analytic package version 11. Both chi square and binary logistic regression were applied to identify risk factors for preterm births. The prevalence of preterm births was found to be 18.3%. The risk factors were prolonged PROM (AOR=5.315;95%CI=2.320-12.195), pregnancy induced hypertension (AOR 7.085; 95%CI=3.686-16.525) and APH (AOR=4.264;95%CI=1.517-11.96). Based on the above findings, prolonged PROM, PIH and APH were the major risk factors for preterm births. Risk factors identified in this study should be included in future risk prediction models for preterm births
A research report submitted to the Faculty of Clinical Medicine and Dentistry in partial fulfillment of the requirements for the award of a degree of Bachelor of Medicine and Surgery of Kampala International University
Preterm births, Kiryandongo district Referral Hospital, Uganda