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Maternal Risk Factors Associated with Preterm Births among Pregnant Women in Mogadishu, Somalia

Background: Premature birth impacts millions of newborns annually. Sixty percent of the world’s preterm births occur in Sub-Saharan Africa and South Asia. Somalia’s premature birth rates and maternal risk factors are poorly studied; hence, this study aims to identify maternal risk factors related to...

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Autores principales: Omar, Abdifetah Ibrahim, Mohamed, Amina Dahir, Farah, Mohamed Garad, Mahad, Ismail Abukar, Mohamed, Suban Abdullahi, Dimbil, Abyan Hassan, Mohamud, Nadifo Salad, Abshir, Fowziya Ahmed, Abdulkadir, Umayma Abdinasir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9600974/
https://www.ncbi.nlm.nih.gov/pubmed/36291454
http://dx.doi.org/10.3390/children9101518
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author Omar, Abdifetah Ibrahim
Mohamed, Amina Dahir
Farah, Mohamed Garad
Mahad, Ismail Abukar
Mohamed, Suban Abdullahi
Dimbil, Abyan Hassan
Mohamud, Nadifo Salad
Abshir, Fowziya Ahmed
Abdulkadir, Umayma Abdinasir
author_facet Omar, Abdifetah Ibrahim
Mohamed, Amina Dahir
Farah, Mohamed Garad
Mahad, Ismail Abukar
Mohamed, Suban Abdullahi
Dimbil, Abyan Hassan
Mohamud, Nadifo Salad
Abshir, Fowziya Ahmed
Abdulkadir, Umayma Abdinasir
author_sort Omar, Abdifetah Ibrahim
collection PubMed
description Background: Premature birth impacts millions of newborns annually. Sixty percent of the world’s preterm births occur in Sub-Saharan Africa and South Asia. Somalia’s premature birth rates and maternal risk factors are poorly studied; hence, this study aims to identify maternal risk factors related to premature births in Mogadishu, Somalia. Methods: This unmatched case-control study was conducted at four maternity hospitals in Mogadishu, Somalia. The cases were newborns with gestational ages of less than 37 weeks; controls were newborns with gestational ages of 37 to 42 weeks. All were live singletons. Cross-tabulation and binary logistic regression were used to analyze the data; a p-value of 0.05 was deemed statistically significant. Result: Of the total of 499 newborns, 70 were cases, and 429 were controls. Adequate prenatal care, maternal urine analysis, tetanus toxoid (TT) vaccination, hemoglobin (Hb) measurement, ultrasound monitoring, intake of iron + folic acid (IFA) supplement, blood pressure (BP) measurement during the current pregnancy, as well as partograph usage during labor all significantly decreased risk of having premature births. A prior history of preterm delivery and preeclampsia, obstetric complications, and female genital mutilation (FGM) significantly increased the risk of preterm births. Conclusion: The utilization of antenatal care services, use of a partograph, obstetric complications, and prior history of premature birth and preeclampsia had a substantial effect on preterm birth rates. This study identifies female genital mutilation (FGM) as a previously unidentified risk factor for preterm birth that needs additional investigation.
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spelling pubmed-96009742022-10-27 Maternal Risk Factors Associated with Preterm Births among Pregnant Women in Mogadishu, Somalia Omar, Abdifetah Ibrahim Mohamed, Amina Dahir Farah, Mohamed Garad Mahad, Ismail Abukar Mohamed, Suban Abdullahi Dimbil, Abyan Hassan Mohamud, Nadifo Salad Abshir, Fowziya Ahmed Abdulkadir, Umayma Abdinasir Children (Basel) Article Background: Premature birth impacts millions of newborns annually. Sixty percent of the world’s preterm births occur in Sub-Saharan Africa and South Asia. Somalia’s premature birth rates and maternal risk factors are poorly studied; hence, this study aims to identify maternal risk factors related to premature births in Mogadishu, Somalia. Methods: This unmatched case-control study was conducted at four maternity hospitals in Mogadishu, Somalia. The cases were newborns with gestational ages of less than 37 weeks; controls were newborns with gestational ages of 37 to 42 weeks. All were live singletons. Cross-tabulation and binary logistic regression were used to analyze the data; a p-value of 0.05 was deemed statistically significant. Result: Of the total of 499 newborns, 70 were cases, and 429 were controls. Adequate prenatal care, maternal urine analysis, tetanus toxoid (TT) vaccination, hemoglobin (Hb) measurement, ultrasound monitoring, intake of iron + folic acid (IFA) supplement, blood pressure (BP) measurement during the current pregnancy, as well as partograph usage during labor all significantly decreased risk of having premature births. A prior history of preterm delivery and preeclampsia, obstetric complications, and female genital mutilation (FGM) significantly increased the risk of preterm births. Conclusion: The utilization of antenatal care services, use of a partograph, obstetric complications, and prior history of premature birth and preeclampsia had a substantial effect on preterm birth rates. This study identifies female genital mutilation (FGM) as a previously unidentified risk factor for preterm birth that needs additional investigation. MDPI 2022-10-04 /pmc/articles/PMC9600974/ /pubmed/36291454 http://dx.doi.org/10.3390/children9101518 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Omar, Abdifetah Ibrahim
Mohamed, Amina Dahir
Farah, Mohamed Garad
Mahad, Ismail Abukar
Mohamed, Suban Abdullahi
Dimbil, Abyan Hassan
Mohamud, Nadifo Salad
Abshir, Fowziya Ahmed
Abdulkadir, Umayma Abdinasir
Maternal Risk Factors Associated with Preterm Births among Pregnant Women in Mogadishu, Somalia
title Maternal Risk Factors Associated with Preterm Births among Pregnant Women in Mogadishu, Somalia
title_full Maternal Risk Factors Associated with Preterm Births among Pregnant Women in Mogadishu, Somalia
title_fullStr Maternal Risk Factors Associated with Preterm Births among Pregnant Women in Mogadishu, Somalia
title_full_unstemmed Maternal Risk Factors Associated with Preterm Births among Pregnant Women in Mogadishu, Somalia
title_short Maternal Risk Factors Associated with Preterm Births among Pregnant Women in Mogadishu, Somalia
title_sort maternal risk factors associated with preterm births among pregnant women in mogadishu, somalia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9600974/
https://www.ncbi.nlm.nih.gov/pubmed/36291454
http://dx.doi.org/10.3390/children9101518
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