PRETERM LABOUR:

TO DETERMINE THE FREQUENCY OF FACTORS LEADING TO PRETERM LABOUR.

Abstract

Objectives: (1) to find out of aetiological factors of preterm labour. (2) To make
a proposed remedy for prevention of preterm lobour. Material and Methods: This study was
carried out at Independent University Hospital. This is located at richly populated area of
Faisalabad, providing health care facilities to poor socioeconomic group. The patient who fit
into inclusion criteria was included in study and a well designed Proforma was used to collect
the sample. Duration of study: One year study from 1 May, 2014 to 30 April, 2015. Study
design: It is a descriptive study. Sampling technique: A purposive random sample technique
was used to collect the sample. Sample size: A total of 80 cases ware collected who were
admitted through antenatal outdoor and emergency of IUH. Inclusion Criteria: All patients with
diagnosed preterm labour who had attended outdoor or emergency of Independent University
Hospital were included in study. Exclusion Criteria: (1) Patients with Iatrogenic preterm
induction of labour due to maternal factors like patients on chemo therapy or any debilitating
illness causing threat to maternal life. (2) Patients with congenitally abnormal foetus & intra
uterine death of fetus. Results: A total of 80 cases with preterm labour were included in study
at Independent University Hospital. In current study 30 (37.5%) patients had age between 18 –
25 years, 30 (37.5%) patients had age between 26-35 years and rest of the 20 (25%) patients
had age > 35 years. Among 80 patients 25 (31.3%) patients had parity b/w 1-3 while 28 (35%)
patients had parity b/w 4-5 and rest of the 27 (33.8%) had parity > 5. More patients i.e 50
(62.5%) patients were admitted through emergency while 30 (37.5%) patients were admitted
through Out Patient Department (OPD). 37 (46.3%) patients had Spontaneous vaginal delivery
and 43 (53.8%) patients underwent lower segment cesarean section. In our study, the most
common risk factor associated with preterm labour was bacterial vaginosis 20 (25%) patients
had bacterial vaginosis. 10 (12.5%) patients had chorioamniotis. Previous history of preterm
birth was present in 10 (12.5%) patients. History of Preterm Premature ruptures of membranes
in 8 (10%) patients. 11(13.5%) patients has history of previous C-section and impending scar
dehiscence. History of anti partum hemorrhage and pregnancy induce in hypertension was
present in 5 (6.5%) patients. FGR with oligohydramnios was present in 6 (7.5%) patients. 3
((3.75%) patients presented with preterm breech