Risk factors leading to preterm births in Morocco: a prospective study at the maternity Souissi in Rabat

Abstract

Introduction: Eminent morbidity and mortality of preterm infants is perceived, especially in developing countries. The aim of the study is to identify the main factors involved in the occurrence of premature births in Morocco.

Methods: This was a descriptive and analytical study conducted at the maternity  Souissi in Rabat, from January 2011 to December 2011. The data were collected using interview with women in the postpartum, and via, the exploitation of obstetric and perinatal records. The data sheet was filled out for each newborn, including sociodemographic, obstetrical, maternal, childbirth and neonatal data, as well as, monitoring and surveillance of pregnancy.

Results: A total of 1015 births were collected. 954 were full term babies and 61 were preterms. The  gestational age was between 33-34 weeks in 57.4%. Relying on Statistical analysis, many risk factors were, significantly, associated with the occurrence of prematurity, namely: low level of maternal  education (p ? 0.004), absence of pregnancy’ monitoring (p < 0.001), multiparity (p < 0.001), maternal  chronic diseases (p < 0.001), and drug taking during pregnancy (p < 0.001).

Conclusion: To reduce the incidence of preterm births, reliable programs must be established, devoting all its interest, to educate the young woman in childbearing age about the appropriate ways of monitoring pregnancy, as well as, the qualitative and quantitative development of health care structures.

Key words: Preterm infants, risk factors, mortality