A Clinical Epidemiology Study of Spontaneous Preterm Birth in Jazan, Saudi Arabia

作者：Kamel Remah M^*

来源：Journal of Reproductive Medicine, 2010, 55(9-10): 395-403.

• labor
• preterm birth
• risk factors

OBJECTIVE: To determine the prevalence of spontaneous preterm birth (SPTB) in Jazan, Saudi Arabia, and identify related risk factors.
STUDY DESIGN: A case-controlled study was carried out at King Fahd Central Hospital in Jazan consisting of 420 Saudi married pregnant women who were referred with a diagnosis of spontaneous (not induced) preterm birth with or without a preceding preterm premature rupture of membranes and 420 randomly matched controls who were admitted with a diagnosis of full-term birth over a 1-year period. Data were collected by structured interviews with women and review of their medical records using a risk factor checklist.
RESULTS: The prevalence of SPTB in Jazan is high (8.24%) compared to that in other cities in Saudi Arabia and other developing countries. Multiple logistic regression analyses identified 22 significant risk factors.
CONCLUSION: There is a high prevalence of SPTB in Jazan, Saudi Arabia. The risk factor checklist created in this study could be used by health care providers to reduce the rate of SPTB by early identification of women at risk who require further management. This may create a corresponding fall in subsequent neonatal complications and health care expenditure. (J Reprod Med 2010;55: 395-403)

• 出版日期2010-10