Prevalence and Risk Factors Associated with Preterm Delivery among Postnatal Women in Selected Public Hospitals in Western Region of Kenya

Rosebenter Awuor Owuor, Joseph Ngerecia, Linda Mogambi, Indra Onwong'a, Gladys Seroney, Stephen Wandei


Introduction: Preterm birth is one of the largest unmet medical needs contributing to the global burden of disease. This study assessed the prevalence and risk factors associated with preterm birth among postnatal women aged 15 to 49 years in selected public hospitals in the Western region of Kenya.


Methods: A cross-sectional study design was employed. 353 postnatal mothers were sampled for the study. Chi-square test and logistic regressions were used to identify significant factors associated with preterm birth among the respondents.


Findings: Fifty-six (15.9%) of the postnatal women had preterm births during their last delivery. Chi-square test and Regression analysis indicated that the history of abortion (p=0.000), was the most significant in the determination of the risk of preterm births. However, the history of hypertension (p=0.007), and multiple pregnancies (p=0.015), were also strongly associated with preterm births.


Conclusion and recommendations: Midwives should carry out effective antenatal care interventions such as early screening and management of pregnant women with a previous history of abortion, multiple pregnancies, and hypertension in pregnancy. They should also intensify health education in pregnancy to reduce the prevalence of preterm births.


Keywords: Preterm Birth, Postnatal Women


















Preterm Birth, Postnatal Women

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