Maternal factors in pregnancy that contribute to the outcome of preterm delivery

• Main Authors: Tri Nugraha Susilawati, Yohanes Aditya Adhi Satria
• Format: Article
• Language: English
• Published: Universitas Gadjah Mada 2019-07-01
• Series: Journal of the Medical Sciences
• Subjects: pregnancy; preterm delivery; premature birth; premature rupture of membrane; genital tract infection
• Online Access: https://jurnal.ugm.ac.id/bik/article/view/43243

Preterm delivery is associated with higher mortality and morbidity of neonates, also increases their risk of having growth and development impairment. This study aimed to identify maternal factors that might be contributed to preterm delivery. A retrospective study was conducted on medical records of mothers who had preterm delivery in a tertiary hospital in Surakarta, Indonesia during 2017. The data collected were mothers’ age and their gestational age, the history of current pregnancy, the number of previous abortion(s), mothers’ body temperature, the extent of abnormal vaginal discharge, laboratory findings (white blood cell count, platelet count, red blood cell count, hemoglobin count, hematocrit level, urinalysis and microbiology results).  The statistical differences amongst categorical and numerical data were analyzed using the Chi-Square test and the Mann-Whitney test. Based on the patient’s history and the examination results, we suspected genital tract infections in 22.52% (25/111) of mothers who had preterm deliveries. This study found a significant difference in the numbers of mothers with abnormal vaginal discharge, preterm premature rupture of the membrane, ad preeclampsia amongst 2 groups of subjects; i.e., mothers with probable genital tract infection and those without genital tract infection.