Table of Contents
DECLARATION ............................................................................................................................ ii
APPROVAL ..................................................................................................................................iii
ACKNOWLEDGEMENT............................................................................................................. iv
DEDICATION................................................................................................................................ v
DEFINITION OF TERMS ............................................................................................................. x
ABSTRACT.................................................................................................................................... 1
INTRODUCTION .......................................................................................................................... 2
1.1 BACKGROUND INFORMATION.............................................................................. 2
1.1 STATEMENT OF THE PROBLEM............................................................................ 3
1.1.1 GENERAL OBJECTIVE....................................................................................... 4
1.1.2 SPECIFIC OBJECTIVES...................................................................................... 4
1.2 RESEARCH QUESTIONS ........................................................................................... 4
1.3 JUSTIFICATION OR SIGNIFICANCE OF THE STUDY ...................................... 4
1.4 STUDY SCOPE.............................................................................................................. 5
1.6.1 Geographical scope......................................................................................................... 5
1.6.2 Content scope ................................................................................................................. 5
1.6.3 Time scope...................................................................................................................... 6
CHAPTER TWO ............................................................................................................................ 9
LITERATURE REVIEW ............................................................................................................... 9
2.0 INTRODUCTION .................................................................................................................... 9
2.1 CAUSES AND RISK FACTORS AFFECTING PREMATURE BIRTHS............................. 9
2.1.1 MATERNAL SOCIO-DEMOGRAPHIC FACTORS ................................................. 10
2.1.2 Obstetric Risk Factors: ................................................................................................. 12
2.2.3 Fetal Factors ................................................................................................................. 13
vii
CHAPTER 3 ................................................................................................................................. 14
METHODOLOGY ....................................................................................................................... 14
3.0 Introduction ......................................................................................................................... 14
3.1 Study Design ....................................................................................................................... 14
3.2 Study Population ................................................................................................................. 14
3.2.1 Inclusion criteria ........................................................................................................... 14
3.2.2 Exclusion criteria.......................................................................................................... 14
3.3 Sample Size Calculation...................................................................................................... 14
3.4Sampling techniques ............................................................................................................ 15
3.5 Data collection method........................................................................................................ 15
3.6 Data collection tools and procedures .................................................................................. 15
3.7Quality control...................................................................................................................... 15
3.8 Data analysis ....................................................................................................................... 15
3.9 Ethical considerations ......................................................................................................... 16
CHAPTER 4 ................................................................................................................................. 17
Results....................................................................................................................................... 17
4.1 Description of participants............................................................................................... 17
4.2 Prevalence of Preterm Birth ............................................................................................ 20
4.3 Socio-Demographic Factors............................................................................................ 20
4.4 Previous Pregnancy Factors............................................................................................. 22
4.5 Antenatal Factors............................................................................................................. 22
4.6 Delivery Factors .............................................................................................................. 23
4.7 Obstetric Factors.............................................................................................................. 24
4.8. Binary logistic regression analysis of risk factors of PPH ............................................. 25
DISCUSSION, CONCLUSIONS AND RECOMMENDATIONS.......................................... 27
5.1 DISCUSSION OF THE FINDINGS ............................................................................... 27
5.3 RECOMMENDATIONS................................................................................................. 29
5.4 LIMITATIONS OF THE STUDY .................................................................................. 29
APPENDIX................................................................................................................................... 34
APPENDIX I: QUESTIONNAIRE .......................................................................................... 34
APPENDIX II: CONSENT FORM FOR THE PARTICIPANTS............................................ 36
ABSTRACT Background: 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. Methods: 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. Results: 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). Conclusion: 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.
