Int. J. Biosci.15(2), 70-77, August 2019
Preterm births constitute one of the major causes of neonatal mortality and thus a public health problem. The aim of this study was to evaluate risk factors of preterm births. It was an retrospective study, done from December 2017 to May2018 in west Algeria (Sidi Bel Abbes and Oran). The premature cases were comprised of 1640 neonates with different gestational ages. Data was comprised of the term of the pregnancy, weight, sex, apgar score, beep, socio-demographic and the obstetrical profile of the mother. Data was analyzed with the Stat View software. Out of the 1640 neonates admitted in the neonatology unit during the study period, 486 were born preterm, giving an incidence of 60.75% in Oran and 487 cases or 57.97% in Sidi Bel Abbes. Females were predominant with no statistically significant difference. Medical antecedents, maternal pathologies and the socio-economic level were identified as maternal risk factors for prematurity. Multiple pregnancies and congenital malformations, low birth weights, apgar score, the resuscitation to neonatology service were fetal risk factors. Neonatal mortality in these preterm neonates was 82.05% at Oran and 90.90% at Sidi Bel Abbes. Factors which influenced mortality were gestational age less than 28 and between 28 and 32 SA, birth weight<2500g, 5ths Apgar score less than 3, and resuscitation at birth. In conclusion, we thus recommend information and education of pregnant women and young girls at child bearing age on the importance of family planning and good follow up of pregnancies.
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