Korean J Women Health Nurs.  2018 Sep;24(3):233-242. 10.4069/kjwhn.2018.24.3.233.

Risk Factors for Premature Birth among Premature Obstetric Labor Women: A Prospective Cohort Study

• Kim YK
• Lim KH

• KMID: 2420845
• DOI: http://doi.org/10.4069/kjwhn.2018.24.3.233

Abstract

PURPOSE
To identify risk factors for premature birth among premature obstetric labor women.
METHODS
Participants were 129 hospitalized women who were diagnosed with potential premature obstetric labor with 20 weeks to 37 weeks of gestation. Data were analyzed using descriptive statistics, χ2 test, t-test, and binary logistic regression.
RESULTS
Of 129 women, 78(60.5%) gave premature birth and 51 (39.5%) gave full-term birth. Risk factors for premature birth were education level (≤bachelor's degree), abnormal bowel condition (constipation or diarrhea), time firstly diagnosed with a premature obstetric labor (below 28 weeks of pregnancy), and multiple pregnancy. There were also increased risks of premature birth for participants with high level of anxiety and high level of prenatal stress. In social support, there was an increased risk of premature birth for participants with low level of social support.
CONCLUSION
Prenatal nursing programs should consider not only psychosocial factors such as anxiety, prenatal stress, and social support, but also some general and obstetric factors such as education level, abnormal bowel condition, time firstly diagnosed with a premature obstetric labor, and multiple pregnancy to increase maternal and child health.

Keyword

Premature birth; Premature obstetric labor

MeSH Terms

Anxiety
Child Health
Cohort Studies*
Education
Female
Humans
Logistic Models
Nursing
Obstetric Labor, Premature*
Parturition
Pregnancy
Pregnancy, Multiple
Premature Birth*
Prospective Studies*
Psychology
Risk Factors*

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