ArticleInternational journal of women's health2014
Prevalence and perinatal mortality associated with preterm births in a tertiary medical center in South East Nigeria.
Article in International journal of women's health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 38 citations in OpenAlex.
- Intravenous versus oral iron for anaemia among pregnant women in Nigeria (IVON): an open-label, randomised controlled trial.The Lancet. Global health · 2024Trial
- Association between preterm birth and cigarette smoking among pregnant women in Africa: Systematic review and Meta-analysis.Journal of public health research · 2025Review
- Incidence and predictors of preterm neonatal mortality at public hospitals in Eastern Ethiopia: A prospective follow-up study.PloS one · 2025Article
- Treatment outcomes and its associated factors among neonates admitted with sepsis in Hiwot Fana Comprehensive Specialized University Hospital, Harar, Ethiopia.Frontiers in pediatrics · 2024Article
- Prevalence of preterm birth and associated factors among mothers who gave birth in public hospitals of east Gojjam zone, Ethiopia.BMC pregnancy and childbirth · 2023Article
- Article
- Maternal factors and child health conditions at birth associated with preterm deaths in a tertiary health facility in Ghana: A retrospective analysis.Frontiers in public health · 2023Article
- Causes, survival rates, and short-term outcomes of preterm births in a tertiary hospital in a low resource setting: An observational cohort study.Frontiers in global women's health · 2022Article
- Fetal Fibronectin as a Predictor of Preterm Delivery: A Nigerian Cohort Study.BioMed research international · 2022Article
- The bayesian approach of factors associated with preterm birth among mothers delivered at public hospitals in Southeast Ethiopia.Frontiers in public health · 2022Article
- Magnitude of spontaneous preterm birth and its associated factors among preterm birth in NICU wards in Asella Teaching and Referral Hospital, Asella, Oromia, Ethiopia.The Journal of international medical research · 2021Article
- Incidence and predictors of preterm neonatal mortality at Mbarara Regional Referral Hospital in South Western Uganda.PloS one · 2021Article
- Determinants of perinatal mortality in public secondary health facilities, Abuja Municipal Area Council, Federal Capital Territory, Abuja, Nigeria.The Pan African medical journal · 2020Article
- Preterm Neonatal Mortality and Its Determinants at a Tertiary Hospital in Western Uganda: A Prospective Cohort Study.Pediatric health, medicine and therapeutics · 2020Article
- Factors associated with spontaneous preterm birth in Addis Ababa public hospitals, Ethiopia: cross sectional study.BMC pregnancy and childbirth · 2018Article
- Characteristics and risk factors of preterm births in a tertiary center in Lagos, Nigeria.The Pan African medical journal · 2016Article
- Prevalence and determinants of preterm birth among women of reproductive age in Kenya: a multilevel analysis of the 2022 Demographic Health Survey.Therapeutic advances in reproductive healthArticle
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPreterm birth is a high risk condition associated with significant mortality and morbidity in the perinatal, neonatal, and childhood periods, and even in adulthood. Knowledge of the epidemiology of preterm births is necessary for planning appropriate maternal and fetal care.
objectiveThe objective of this study was to determine the prevalence, pattern, and perinatal mortality associated with preterm births at the University of Nigeria Teaching Hospital, Enugu, South East Nigeria.
methodsThis was a review of prospectively collected routine delivery data involving preterm deliveries that occurred between 1 January 2009 and 31 December 2013. Data analysis involved descriptive and inferential statistics at 95% level of confidence using SPSS version 17.0 for Windows.
resultsThere were 3,760 live births over the 5-year study period out of which 636 were preterm births, giving a prevalence rate of 16.9%. Spontaneous preterm births occurred in approximately 57% of preterm births while provider-initiated births occurred in 43%. The mean gestational age at preterm deliveries was 32.6±3.2 weeks while the mean birth weight was 2.0±0.8 kilograms. Approximately 89% of preterm births involved singleton pregnancies. Sixty-eight percent of preterm births were moderate to late preterm. The male:female ratio of preterm babies born during the period was 1.2:1. The adjusted perinatal mortality rate for preterm babies in the study center was 46.1% (236/512). The stillbirth rate for preterm babies was 22.0% (149/678) and the adjusted early neonatal death rate was 24.0% (87/363).
conclusionThe prevalence of preterm births and associated perinatal mortality were high which may be a reflection of suboptimal prenatal and newborn care. An urgent improvement in prenatal and newborn care is therefore needed in the study center in order to improve the capacity to prevent or abate preterm labor, and preterm premature rupture of membranes; and to reduce avoidable stillbirths. Further upgrading of personnel and facilities in the newborn special care unit is also required to minimize early neonatal deaths.
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