Tasneem Azher, Iram Aslam, Saadia Bano, Uzma Shahzad.
Preterm Labour: To Determine The Frequency Of Factors Leading To Preterm Labour.
Professional Med J Jan ;24(9):1376-9.

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

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