ArticleBMC pregnancy and childbirth2023
Maternal, obstetric and gynecological factors associated with preterm birth in Rwanda: findings from a national longitudinal study.
Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Association between prenatal environmental tobacco smoke exposure and preterm birth: A systematic review and meta-analysis.Acta obstetricia et gynecologica Scandinavica · 2025Pooled it
- Prevalence and determinants of low-birth-weight deliveries at four district hospitals in Kigali, Rwanda: a cross-sectional study.BMC pregnancy and childbirth · 2026Article
- Prevalence and determinants of preterm birth at University Teaching Hospital of Kigali: a retrospective study.BMC pregnancy and childbirth · 2026Article
- Effects of a federal smoke-free housing policy on adverse birth outcomes among NYC public-housing residents.Tobacco control · 2025Article
- Machine learning-based prediction of preterm birth risk using methylation changes in neonatal cord blood CpG sites.BMC pregnancy and childbirth · 2025Article
- Prevalence of intraventricular hemorrhage and associated factors to in premature babies in selected teaching hospitals in Rwanda.BMC pediatrics · 2025Article
- Maternal risk factors associated with the birth of preterm infants in the West of Iran: a matched case-control study.BMC pregnancy and childbirth · 2025Article
- Incorporating basic periodontal screening into antenatal care services provided in Rwanda: A policy brief.F1000Research · 2024Article
- Preterm Births and Associated Factors among Women who Delivered in a District Hospital in Eastern Province, Rwanda: A retrospective study.Rwanda journal of medicine and health sciences · 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
5 authors at 4 institutions in 3 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPreterm birth is one of the key causes of morbidity and mortality among neonates in low-income countries. In Rwanda, at least 35,000 babies are born prematurely each year, and 2600 children under the age of five die due to direct complications of prematurity each year. A limited number of studies have been conducted locally, many of which are not nationally representative. Thus, this study determined the prevalence as well as the maternal, obstetric, and gynecological factors associated with preterm birth in Rwanda at the national level.
methodsA longitudinal cohort study was conducted from July 2020 to July 2021 among first-trimester pregnant women. A total of 817 women from 30 health facilities in 10 districts were included in the analysis. A pre-tested questionnaire was used to collect data. In addition, medical records were reviewed to extract relevant data. Ultrasound examination was used to assess and confirm gestational age on recruitment. A multivariable logistic regression analysis was performed to determine the independent maternal, obstetric, and gynecological factors associated with preterm birth.
resultsThe prevalence of preterm births was 13.8%. Older maternal age- 35 to 49 years [Adjusted odds ratio (AOR) = 2.00; 95% Confidence Interval (CI) = 1.13-3.53)], secondhand smoke exposure during pregnancy (AOR = 1.91; 95% CI = 1.04-3.51), a history of abortion (AOR = 1.89; 95% CI = 1.13-3.15), premature membrane rupture (AOR = 9.30; 95% CI = 3.18-27.16), and hypertension during pregnancy (AOR = 4.40; 95% CI = 1.18-16.42) were identified as independent risk factors for preterm birth.
conclusionPreterm birth remains a significant public health issue in Rwanda. The associated risk factors for preterm birth were advanced maternal age, secondhand smoke, hypertension, history of abortion, and preterm membrane rupture. This study therefore recommends routine antenatal screening to identify and closely follow-up of those high-risk groups, in order to avoid the short- and long-term effects of preterm birth.
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