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Analysis Study Research Paper | Obstetrics and Gynecology | India | Volume 12 Issue 4, April 2023

Cross Sectional Study to Determine Incidence of Various Phenotypes of Preterm Labour at Tertiary Care Centre

Dr. Vrushali Dadas | Dr Sangeeta Ramteke

Abstract: Preterm birth (PTB) is an important health concern and a leading cause of infant mortality and morbidity worldwide. This review article determined potential risk factor (s) associated with PTB and evaluated the overall trend of PTB prevalence in India. This is one year cross sectional study was conducted on a total of 210 pregnant women who delivered between 24 - 36 weeks and 6/7 days at Department of Obstetrics and Gynaecology, Government Medical College, Nagpur, Maharashtra from July 2021 to June 2022. The maternal and perinatal outcome were assessed. We have taken 70 subjects of each clinical phenotype for comparison study purposefully. At tertiary care centre, in a allotted period of data collection for a study we found that total 10, 200 deliveries done. Out of which 4284 i. e., 40% were preterm deliveries. The maternal and perinatal outcome were assessed. Most of the women 108 (51.42%) were aged 21 to 25 years. Primi para was noted in 88 (41.90%) of the women and low socio economic class were 74 (35.24%) due to poor nutrition, lack of cleanliness which leads to nutritional anemia and infection respectively. We have taken 3 main clinical phenotypes of preterm labour which are spontaneous preterm labour, premature preterm rupture of membrane and induced preterm labour subjects. In those with indicated labour, 155 (73.80%) underwent vaginal delivery while 55 (26.20%) had emergency LSCS. Antepartum eclampsia and postpartum eclampsia were noted in 28 (13.33%). Most of the babies 95 (45.23%) had birth weight between 1 to 1.5 Kgs. There were 160 (76.19 %) of babies who required NICU admission and mortality was observed in 98 (61.25%) which is high rate. Hence managing late preterm births needs judicious decision making to reduce the mortality and morbidity.

Keywords: Induced preterm birth, spontaneous preterm birth, PPROM, IUGR, Neonatal outcome

Edition: Volume 12 Issue 4, April 2023,

Pages: 771 - 775