ArticleAJOG global reports2021
Trends and risk factors in tribal vs nontribal preterm deliveries in Gujarat, India.
Article in AJOG global reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 6 citations in OpenAlex.
- Patterns of preterm admission, morbidity, and mortality in a tribal-district neonatal intensive care unit: A retrospective cohort study.World journal of clinical pediatrics · 2026Article
- Current Perspectives on Health Status and Non-Communicable Diseases among Tribals in Chhota Udepur District of Gujarat.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026Article
- Linking DNA damage and senescence to gestation period and lifespan in placental mammals.Frontiers in cell and developmental biology · 2024Article
- Myc promotes polyploidy in murine trophoblast cells and suppresses senescence.Development (Cambridge, England) · 2023Article
- Comparative pulmonary function test parameters in non-tribal and tribal women in singleton first, second, and the third trimester of pregnancy.Journal of family medicine and primary care · 2022Article
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5 authors at 2 institutions in 2 countries.
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Abstract
backgroundAlthough risk factors of preterm deliveries across the world have been extensively studied, the trends and risk factors of preterm deliveries for the population of rural India, and specifically tribal women, remain unexplored.
objectiveThe aim of this study was to assess and compare the preterm delivery rates among women from a rural area in Gujarat, India, based on socioeconomic and clinical factors. The second aim of the study was to assess and identify predictors or risk factors for preterm deliveries. STUDY
designThis was a retrospective medical record review study investigating deliveries that took place at the Kasturba Maternity Hospital in Jhagadia, Gujarat, from January 2012 to June 2019 (N=32,557). We performed odds ratio and adjusted odds ratio analyses of preterm delivery risk factors. Lastly, we also considered the neonatal outcomes of preterm deliveries, both overall and comparing tribal and nontribal mothers.
resultsFor the study period, the tribal preterm delivery rate was 19.7% and the nontribal preterm delivery rate was 13.9%; the rate remained consistent for both groups over the 7-year study period. Adjusted odds ratios indicated that tribal status (adjusted odds ratio, 1.16; 95% confidence interval, 1.08-1.24), maternal illiteracy ((adjusted odds ratio, 1.29, 95% confidence interval, 1.18-1.42), paternal illiteracy (adjusted odds ratio, 1.27; 95% confidence interval, 1.15-1.410), hemoglobin <10 g/dL (adjusted odds ratio, 1.41; 95% confidence interval, 1.32-1.51), and a lack of antenatal care (adjusted odds ratio, 2.15; 95% confidence interval, 1.94-2.37) are significantly associated with higher odds of preterm delivery. The overall stillbirth rate among tribal women was 3.06% and 1.73% among nontribal women; among preterm deliveries, tribal women have a higher proportion of stillbirth outcomes (11.77%) than nontribal women (8.86%).
conclusionConsistent with existing literature, risk factors for preterm deliveries in rural India include clinical factors such as a lack of antenatal care and low hemoglobin. In addition, sociodemographic factors, such as tribal status, are independently associated with higher odds of delivering preterm. The higher rates of preterm deliveries among tribal women need to be studied further to detail the underlying reasons of how it can influence a woman's delivery outcome.
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