Prevalence and Factors Associated with Preterm Birth in Urban Areas: Case-Control Study
Background: Preterm birth (PTB) is a significant global health issue, with the majority of preterm births occurring in low and middle-income countries (LMICs), including Iran. This study aimed to determine the prevalence of PTB and its associated factors in urban areas of Iran.Methods: Over one year...
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Shiraz University of Medical Sciences
2025-01-01
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| Series: | Journal of Health Sciences and Surveillance System |
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| Online Access: | https://jhsss.sums.ac.ir/article_50673_d8e75014ab9ecfc224bc721358675b1d.pdf |
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| author | Rozhan Khezri Shaker Salarilak Sepideh Jahanian |
| author_facet | Rozhan Khezri Shaker Salarilak Sepideh Jahanian |
| author_sort | Rozhan Khezri |
| collection | DOAJ |
| description | Background: Preterm birth (PTB) is a significant global health issue, with the majority of preterm births occurring in low and middle-income countries (LMICs), including Iran. This study aimed to determine the prevalence of PTB and its associated factors in urban areas of Iran.Methods: Over one year, this case-control study included 387 pregnant women (129 cases and 258 controls) in Sardashat, Iran. Data were extracted from medical records. Gestational age was estimated through ultrasound in the first trimester. Statistical analyses were performed using logistic regression.Results: The prevalence of PTB was 7.43%. Multivariable logistic regression analysis revealed a significant association between PTB and the following factors: education levels, antenatal care (ANC) visits [Adjusted Odds Ratio (AOR)=7.91 (95% CI: 2.43–25.71)], premature rupture of membranes (PROM) [AOR=5.25 (95% CI: 2.01–13.74)], gestational diabetes mellitus (GDM) [AOR=5.27 (95% CI: 1.49–18.58)], and preeclampsia [AOR=9.47 (95% CI: 3.02–29.73)].Conclusion: Identifying pregnant women at risk of preterm birth is crucial, and treatments are available to reduce the risk. Our research suggests that factors such as education level, ANC visits, PROM, GDM, and preeclampsia predispose pregnant women to preterm birth. |
| format | Article |
| id | doaj-art-2c3a909c638a42faa6390b5a0d2a3d6c |
| institution | Kabale University |
| issn | 2345-2218 2345-3893 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Journal of Health Sciences and Surveillance System |
| spelling | doaj-art-2c3a909c638a42faa6390b5a0d2a3d6c2025-02-02T06:03:20ZengShiraz University of Medical SciencesJournal of Health Sciences and Surveillance System2345-22182345-38932025-01-01131758210.30476/jhsss.2024.100371.183450673Prevalence and Factors Associated with Preterm Birth in Urban Areas: Case-Control StudyRozhan Khezri0Shaker Salarilak1Sepideh Jahanian2Student Research Committee, Iran University of Medical Sciences, Tehran, IranDepartment of Public Health, Tabriz Branch, Islamic Azad University, Tabriz, IranDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MNBackground: Preterm birth (PTB) is a significant global health issue, with the majority of preterm births occurring in low and middle-income countries (LMICs), including Iran. This study aimed to determine the prevalence of PTB and its associated factors in urban areas of Iran.Methods: Over one year, this case-control study included 387 pregnant women (129 cases and 258 controls) in Sardashat, Iran. Data were extracted from medical records. Gestational age was estimated through ultrasound in the first trimester. Statistical analyses were performed using logistic regression.Results: The prevalence of PTB was 7.43%. Multivariable logistic regression analysis revealed a significant association between PTB and the following factors: education levels, antenatal care (ANC) visits [Adjusted Odds Ratio (AOR)=7.91 (95% CI: 2.43–25.71)], premature rupture of membranes (PROM) [AOR=5.25 (95% CI: 2.01–13.74)], gestational diabetes mellitus (GDM) [AOR=5.27 (95% CI: 1.49–18.58)], and preeclampsia [AOR=9.47 (95% CI: 3.02–29.73)].Conclusion: Identifying pregnant women at risk of preterm birth is crucial, and treatments are available to reduce the risk. Our research suggests that factors such as education level, ANC visits, PROM, GDM, and preeclampsia predispose pregnant women to preterm birth.https://jhsss.sums.ac.ir/article_50673_d8e75014ab9ecfc224bc721358675b1d.pdfinfantsiranpregnant womenprematurity |
| spellingShingle | Rozhan Khezri Shaker Salarilak Sepideh Jahanian Prevalence and Factors Associated with Preterm Birth in Urban Areas: Case-Control Study Journal of Health Sciences and Surveillance System infants iran pregnant women prematurity |
| title | Prevalence and Factors Associated with Preterm Birth in Urban Areas: Case-Control Study |
| title_full | Prevalence and Factors Associated with Preterm Birth in Urban Areas: Case-Control Study |
| title_fullStr | Prevalence and Factors Associated with Preterm Birth in Urban Areas: Case-Control Study |
| title_full_unstemmed | Prevalence and Factors Associated with Preterm Birth in Urban Areas: Case-Control Study |
| title_short | Prevalence and Factors Associated with Preterm Birth in Urban Areas: Case-Control Study |
| title_sort | prevalence and factors associated with preterm birth in urban areas case control study |
| topic | infants iran pregnant women prematurity |
| url | https://jhsss.sums.ac.ir/article_50673_d8e75014ab9ecfc224bc721358675b1d.pdf |
| work_keys_str_mv | AT rozhankhezri prevalenceandfactorsassociatedwithpretermbirthinurbanareascasecontrolstudy AT shakersalarilak prevalenceandfactorsassociatedwithpretermbirthinurbanareascasecontrolstudy AT sepidehjahanian prevalenceandfactorsassociatedwithpretermbirthinurbanareascasecontrolstudy |