Incidence and Risk Factors of Preterm Birth among Women in Tripoli Hospitals, Libya

Hisham Yousuf Mousay

doi:10.69667/lmj.2517107

Authors

Hisham Yousuf Mousay Pediatric Intensive Care Unit, Alkhadra Hospital, Tripoli, Libya https://orcid.org/0000-0003-2258-9840

DOI:

https://doi.org/10.69667/lmj.2517107

Keywords:

Preterm birth, mortality, morbidity

Abstract

Preterm Birth (PTB) is a leading cause of perinatal mortality and long-term morbidity as well as the long-term health consequences and cognitive outcomes. The present study was conducted to determine incidence and risk factors associated with preterm birth in Tripoli, Libya. The study determined the risk factors of preterm birth in Tripoli. A total of 101 cases from Tripoli Hospitals were included in this study. A retrospective study was conducted from July 2021 to October 2021, by using an E-Questionnaire created by google forms which has been distributed online to women who have been through preterm birth, in addition to papered questionnaires distributed on Al-Jalaa’ Hospital. Out of 101 cases most of preterm birth were observed in age group between 21 - 30 years old and their weights ranged between 60 kg - 79 kg. we reported that stress 64% (p = 0.003), working/standing for a long time 61% (p = 0.021) and exposure to pollutants 94% (p = 0.000) were the most significant risk factor in PTB. Other factors such as social support 54% (p = 0.489) and uterine contractions 58.4% (p = 0.091) were less significantly to cause preterm birth. Based on our results, we suggest prompt identification of all risk factors associated with preterm birth to apply immediate and appropriate specific interventions.

الولادة المبكرة هي أحد الأسباب الرئيسية للوفيات حول الولادة والأمراض طويلة الأمد بالإضافة إلى العواقب الصحية طويلة الأمد والنتائج المعرفية. أجريت الدراسة الحالية لتحديد معدل الإصابة وعوامل الخطر المرتبطة بالولادة المبكرة في طرابلس، ليبيا. حددت الدراسة عوامل الخطر للولادة المبكرة في طرابلس. تم تضمين ما مجموعه 101 حالة من مستشفيات طرابلس في هذه الدراسة. أجريت دراسة بأثر رجعي من يوليو 2021 إلى أكتوبر 2021، باستخدام استبيان إلكتروني تم إنشاؤه بواسطة نماذج جوجل والذي تم توزيعه عبر الإنترنت على النساء اللاتي تعرضن للولادة المبكرة، بالإضافة إلى استبيانات ورقية تم توزيعها على مستشفى الجلاء. من بين 101 حالة، لوحظت معظم حالات الولادة المبكرة في الفئة العمرية بين 21 و 30 عامًا وتراوحت أوزانهم بين 60 كجم و 79 كجم. لقد أفدنا أن الإجهاد بنسبة 64% (ص = 0.003)، والعمل/الوقوف لفترة طويلة بنسبة 61% (ص = 0.021) والتعرض للملوثات بنسبة 94% (ص = 0.000) كانت عوامل الخطر الأكثر أهمية في الإصابة بالسل الرئوي. وكانت عوامل أخرى مثل الدعم الاجتماعي بنسبة 54% (ص = 0.489) وانقباضات الرحم بنسبة 58.4% (ص = 0.091) أقل أهمية في التسبب في الولادة المبكرة. وبناءً على نتائجنا، نقترح التعرف السريع على جميع عوامل الخطر المرتبطة بالولادة المبكرة لتطبيق التدخلات الفورية والمناسبة المحددة

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