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Preterm Birth at the Kalaban-Coro Reference Health Centre: Epidemioclinical Aspect, Management and Maternal-Fetal Prognosis

DOI : https://doi.org/10.36349/easms.2023.v06i06.006
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The aim was to study preterm birth. Materials and methods: This was an analytical cross-sectional study from 1 January 2016 to 31 December 2018. Results: We recorded 325 cases of premature delivery out of 5278 deliveries, a frequency of 6.16%. The mean age was 26± 5 years, primiparous 24.5 years. The gestational age between 32-33SA+6 days was 66% with moderate prematurity. CPN 0 accounted for 52%, pre-eclampsia accounted for 58% of cases. Twin pregnancy occupied 79% of cases. The lower route of delivery was the most represented, accounting for 85% of cases. The weight of the newborn between 1000 to 2000grams was 52.21%, 76.92% had an Apgar score greater than 7 at the 1st minute, maternal complications were immediate postpartum hemorrhage 45.15% and puerperal infection 44.92%. Conclusion: Preterm birth is an obstetric emergency and a common situation in our context. The factors influencing the prognosis of newborns were: non-achievement of NPCs, parity, term of pregnancy.

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Dr. Afroza Begum

Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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