ArticleArchives of public health = Archives belges de sante publique2020
Incidence, risk factors and consequences of preterm birth - findings from a multi-centric observational study for 14 months in Nepal.
Article in Archives of public health = Archives belges de sante publique, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Exposure to indoor air pollution and adverse pregnancy outcomes in low and middle-income countries: a systematic review and meta-analysis.Frontiers in public health · 2024Pooled it
- Maternal low and high hemoglobin concentrations and associations with adverse maternal and infant health outcomes: an updated global systematic review and meta-analysis.BMC pregnancy and childbirth · 2023Pooled it
- Household polluting cooking fuels and adverse birth outcomes: An updated systematic review and meta-analysis.Frontiers in public health · 2023Pooled it
- Intravenous versus oral iron for anaemia among pregnant women in Nigeria (IVON): an open-label, randomised controlled trial.The Lancet. Global health · 2024Trial
- Stress among parents of preterm infants admitted to neonatal care units of public hospitals in Nepal: a cross-sectional study.BMJ paediatrics open · 2025Article
- Article
- Incidence and predictors of adverse birth outcomes among women who gave birth at Assosa general hospital, Northwest Ethiopia: a retrospective cohort study.BMC pregnancy and childbirth · 2025Article
- Incidence, risk factors and outcomes of preterm live births in a tertiary health facility in Ghana.PloS one · 2025Article
- Article
- Preterm Birth as a Risk Factor for Cerebral Palsy in Children: A Systematic Review and Meta-Analysis.Neurology research international · 2025Review
- Predicting preterm birth using electronic medical records from multiple prenatal visits.BMC pregnancy and childbirth · 2024Article
- Preterm Neonates Admitted to the Neonatal Intensive Care Unit of a Tertiary Care Hospital: A Descriptive Cross-sectional Study.JNMA; journal of the Nepal Medical Association · 2024Article
- Predictive Role of Maternal Laboratory Parameters and Inflammatory Scores in Determining Systemic Inflammatory Response Syndrome in Newborns at Birth.Journal of personalized medicine · 2024Article
- Prediction of preterm birth at St. Mary's Hospital Lacor, Northern Uganda: a prospective cohort study.African health sciences · 2024Article
- The paradoxical influence of the COVID-19 lockdown period on different types of preterm births in Alberta: a provincial study.Paediatrics & child health · 2024Article
- Trends and risk of recurrent preterm birth in pregnancy cohorts in rural Bangladesh, 1990-2019.BMJ global health · 2023Article
- Review
- Development and validation of a prognosis risk score model for preterm birth among pregnant women who had antenatal care visit, Northwest, Ethiopia, retrospective follow-up study.BMC pregnancy and childbirth · 2023Article
- The association between timing in pregnancy of drought and excess rainfall, infant sex, and birthweight: Evidence from Nepal.Environmental epidemiology (Philadelphia, Pa.) · 2023Article
- Association between Parity and Preterm Birth-Retrospective Analysis from a Single Center in Poland.Healthcare (Basel, Switzerland) · 2023Article
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPreterm birth is a worldwide epidemic and a leading cause of neonatal mortality. In this study, we aimed to evaluate the incidence, risk factors and consequences of preterm birth in Nepal.
methodsThis was an observational study conducted in 12 public hospitals of Nepal. All the babies born during the study period were included in the study. Babies born < 37 weeks of gestation were classified as preterm births. For the association and outcomes for preterm birth, univariate followed by multiple regression analysis was conducted.
resultsThe incidence of preterm was found to be 93 per 1000 live births. Mothers aged less than 20 years (aOR 1.26;1.15-1.39) had a high risk for preterm birth. Similarly, education of the mother was a significant predictor for preterm birth: illiterate mothers (aOR 1.41; 1.22-1.64), literate mothers (aOR 1.21; 1.08-1.35) and mothers having basic level of education (aOR 1.17; 1.07-1.27). Socio-demographic factors such as smoking (aOR 1.13; 1.01-1.26), use of polluted fuel (aOR 1.26; 1.17-1.35) and sex of baby (aOR 1.18; 1.11-1.26); obstetric factors such as nulliparity (aOR 1.33; 1.20-1.48), multiple delivery (aOR 6.63; 5.16-8.52), severe anemia during pregnancy (aOR 3.27; 2.21-4.84), antenatal visit during second trimester (aOR 1.13; 1.05-1.22) and third trimester (aOR 1.24; 1.12-1.38), < 4 antenatal visits during pregnancy (aOR 1.49; 1.38-1.61) were found to be significant risk factors of preterm birth. Preterm has a risk for pre-discharge mortality (10.60; 9.28-12.10).
conclusionIn this study, we found high incidence of preterm birth. Various socio-demographic, obstetric and neonatal risk factors were associated with preterm birth. Risk factor modifications and timely interventions will help in the reduction of preterm births and associated mortalities.
trial registrationISRCTN30829654.
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