Spontaneous Preterm Labor/ Premature Rupture Of Fetal Membranes SPL/PROM: HIGHER ASSOCIATION WITH LOW SOCIOECONOMIC STATUS
Journal Title: UNKNOWN - Year 2018, Vol 2, Issue 1
Abstract
BACKGROUND:Different studies have already shown some form of correlation between low socio-economicstandards and increased rate of spontaneous preterm labor (SPL). The specific incidence ofpremature rupture of fetal membranes (PROM) in these cases is not yet well-defined. The target ofthis work was to investigate the correlation between the socio-economic status and PROM in ourUpper Egyptian Society.MATERIAL/METHODS:Laboring women in three maternity clinics in Upper Egypt between 2013 and 2015 were includedin this cross-sectional study. Rate of PROM and SPL (16 to 36 weeks of gestation) was calculatedfor different socio-economic strata, and the confounding variables were statistically evaluatedusing Poisson regression.RESULTS:Out of the 5003 singleton gravidas included in the study, 313 (6.2%) had PROM and SPL.PROM/SPL was more prevalent in women of low socioeconomic standards, (prevalence ratio [PR]=2.31), lower education level (PR=2.43), hemoglobin level <10g/dl (PR= 1.94), lower genital tractinfection (PR= 2.11) and history of previous PROM or SPL (PR=2.30). There was no preferencefor maternal age or parity.CONCLUSIONS:SPL/PROM tends to be more prevalent amongst women of lower socio-economic standards. Thismight be positively correlated with poor nutritional level and higher incidence of genital infection.These primary and secondary factors are to be considered in the plan for prophylaxis.
Authors and Affiliations
ElmozfarKotoz Ahmed, EmanAbdelhafiz Ahmed, Ahmed TageldinAbdelhafiz, MhamedAbelhafiz Ahmed
Keywords
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- EP ID EP648618
- DOI 10.26415/2572-004X-vol2iss1p195-195
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