20Jan 2017

PRETERM LABOUR: A STUDY OF ETIOLOGICAL RISKFACTORS AND PERINATAL OUTCOME.

  • Associate Professor, NDMC Medical College and Hindu Rao Hospital, Delhi.
  • Senior Resident, NDMC Medical College and Hindu Rao Hospital, Delhi.
  • Professor, NDMC Medical College and Hindu Rao Hospital, Delhi.
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Objective: To study the causes associated with preterm labour and the perinatal outcome in preterm labour. Methods: This prospective observational study was conducted in the department of obstetrics and gynaecology NDMC Medical College and Hindu Rao Hospital over a period of 6 months (Jan to June 2016). All patients presented with preterm labour, preterm premature rupture of membrane and with conditions where labour was iatrogenicallyinduced prematurely were included in the study. All the patients were divided into four groups depending upon the gestational age – less than 28 weeks, 28 to 31 weeks, 32 to 34 weeks and more than 34 weeks. Risk factors and the perinatal outcome were analyzed. Results: Out of 4382 patients delivered 946 were preterm delivery (21.5%).54 out of 946 preterm deliveries had come with intrauterine death. The commonest risk factor of preterm delivery was preterm premature rupture of membrane followed by infection, anemia, preeclampsia and abruption. 73.2% of patients went into spontaneous preterm labour and 26.8% had caesarean section. Maximum perinatal complications and death were seen in group with gestational age less than 28 weeks. Conclusions: The most common associated cause for preterm birth was preterm premature rupture of membrane. Perinatal outcome improves with gestational age. All preterm deliveries should be conducted in tertiarycare hospital where better neonatal care is available.


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[Shilpa Dhingra, Bhumika Shukla and Sudha Salhan. (2017); PRETERM LABOUR: A STUDY OF ETIOLOGICAL RISKFACTORS AND PERINATAL OUTCOME. Int. J. of Adv. Res. 5 (1). 703-707] (ISSN 2320-5407). www.journalijar.com


SHILPA DHINGRA
ASSOCIATE PROFESSOR, Obstetrics & Gynaecology Deptt, NDMC Medical College & Hindu Rao Hospital, Delhi

DOI:


Article DOI: 10.21474/IJAR01/2802       DOI URL: http://dx.doi.org/10.21474/IJAR01/2802


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