Epidemiology and Health

Brief Communication

Effect of premature rupture of membranes on preterm labor: a case-control study in Cilegon, Indonesia: Ita Marlita Sari, Asri C. Adisasmita, Sabarinah Prasetyo, Dwirani Amelia, Ratih Purnamasari; Epidemiol Health. 2020;42:e2020025. Published online April 10, 2020; DOI: https://doi.org/10.4178/epih.e2020025

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Abstract

OBJECTIVES
The global prevalence of preterm labor is approximately 11.1% of live births. However, preterm labor contributes to 75-80% of neonatal morbidity and mortality. The morbidity experienced by preterm infants may continue to influence their subsequent development, imposing physical, psychological, and economic burdens. Premature rupture of membranes (PROM) is a causal factor that may affect preterm birth. Previous studies have shown an association between PROM and preterm labor, but this association should be investigated in more diverse populations. Therefore, this study was conducted in Cilegon, Indonesia to determine the magnitude of the risk of preterm labor associated with PROM at Cilegon Hospital from July 2014 to December 2015.

METHODS

This case-control study used data from patients’ medical records. The cases were all mothers who delivered at less than 37 weeks of gestation, while the control population comprised all mothers who delivered at greater or equal to 37 weeks. The data were analyzed using logistic regression.

RESULTS

The bivariate analysis yielded an odds ratio (OR) of 2.97 (95% confidence interval [CI], 1.92 to 4.59) before controlling for covariates. The model derived through multiple regression analysis after controlling for education, history of preterm labor, and anemia resulted in an OR of 2.58 (95% CI, 1.68 to 3.98).

CONCLUSIONS

Mothers who experience PROM during pregnancy were at a 2.58 times higher risk of preterm labor after controlling for education, history of preterm labor, and anemia.

Summary

Citations

Citations to this article as recorded by

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Journal of Perinatal Medicine.2024; 52(3): 270. CrossRef
Experience in the use of immunochromatographic test of insulin-like growth factor binding protein-1 in the diagnosis of premature rupture of fetal membranes
S.V. Barinov, T.V. Kadtsyna, Yu.I. Tirskaya, O.V. Lazareva, Yu.I. Chulovskii, I.N. Zyryanova, O.Yu. Zhivotchenko, M.B. Kazakova, A.D. Orlitskaya
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Chuanzhu Lv, Qian Lu, Caihong Zhang, Shijiao Yan, Huanjun Chen, Xiong-Fei Pan, Chao Fu, Rixing Wang, Xingyue Song
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Melissa F. Young, Brietta M. Oaks, Hannah Paige Rogers, Sonia Tandon, Reynaldo Martorell, Kathryn G. Dewey, Amanda S. Wendt
BMC Pregnancy and Childbirth.2023;[Epub] CrossRef
High Apoptotic Index in Amniotic Membrane of Pregnant Women is A Risk Factor for Preterm Labor
Anak Agung Gede Putra Wiradnyana, Anak Agung Ngurah Jaya Kusuma, Anak Agung Ngurah Anantasika, I Made Darmayasa, Ryan Saktika Mulyana, Gde Bagus Rizky Kornia
European Journal of Medical and Health Sciences.2023; 5(3): 79. CrossRef
A Prospective Cohort Study of Etiology and Neonatal Outcome of Preterm Labor in a Tertiary-care Hospital Attached to a Medical College
NS Sreedevi, Srijana Mathai, Rachel Mathew, Suja M Mani
Journal of South Asian Federation of Obstetrics and Gynaecology.2022; 14(3): 253. CrossRef
A Scoping Review of Preterm Births in Sub-Saharan Africa: Burden, Risk Factors and Outcomes
Adam Mabrouk, Amina Abubakar, Ezra Kipngetich Too, Esther Chongwo, Ifedayo M. Adetifa
International Journal of Environmental Research and Public Health.2022; 19(17): 10537. CrossRef

Cohort Profile

Cohort profile: the Kisalaya cohort of mother-infant dyads in rural south India (2008-2012): Smitha Chandrashekarappa, Krupa Modi, Karl Krupp, Kavitha Ravi, Anisa Khan, Vijaya Srinivas, Poornima Jaykrishna, Anjali Arun, Murali Krishna, Purnima Madhivanan; Epidemiol Health. 2020;42:e2020010. Published online March 11, 2020; DOI: https://doi.org/10.4178/epih.e2020010

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Abstract PDF

Abstract

The Kisalaya cohort was established in 2008, providing integrated antenatal care (ANC) and human immunodeficiency virus (HIV) testing in order to reduce adverse birth outcomes and pediatric HIV infections. The program used a mobile clinic model to deliver health education, ANC, and HIV/sexually transmitted infection testing and management to pregnant women in rural communities in southern India. This cohort includes pregnant women residing in 144 villages of the Mysuru taluk (a rural region) who received ANC through the mobile clinic and delivered their infants between 2008 and 2011. Of the 1,940 women registered for ANC at primary healthcare centers during this time period, 1,675 (75.6%) were enrolled in the Kisalaya cohort. Once women enrolled in the Kisalaya cohort gave birth, the cohort expanded to include the mother-infant dyads with a retention rate of 100% at follow-up visits at 15 days and at 6 months post-delivery. The baseline data collected during the Kisalaya study included both questionnaire-based data and laboratory-based investigations. Presently, a study entitled “Early life influences on adolescent mental health: a life course study of the Kisalaya birth cohort in south India” is in the process of data collection (2019-2020).

Summary

Citations

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Vulnerability to Sexually Transmitted Infections (STI) / Human Immunodeficiency Virus (HIV) among adolescent girls and young women in India: A rapid review
Sohini Paul, Anupam Sharma, Radhika Dayal, Mahika Mehta, Sudeshna Maitra, Kuhika Seth, Monal Nagrath, Sowmya Ramesh, Niranjan Saggurti, Ajoke Basirat Akinola
PLOS ONE.2024; 19(2): e0298038. CrossRef

Original Articles

Levels of adherence and factors associated with adherence to option B+ prevention of mother-to-child transmission among pregnant and lactating mothers in selected government health facilities of South Wollo Zone, Amhara Region, northeast Ethiopia, 2016: Delelegn Tsegaye, Leul Deribe, Shambel Wodajo; Epidemiol Health. 2016;38:e2016043. Published online October 13, 2016; DOI: https://doi.org/10.4178/epih.e2016043

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Abstract PDF

Abstract

OBJECTIVES
The aim of this study was to measure the levels of adherence and to identify factors associated with adherence to option B+ prevention of mother-to-child transmission (PMTCT) among pregnant and lactating mothers in selected government health facilities of South Wollo Zone, Amhara Region, northeast Ethiopia.

METHODS

An institution-based cross-sectional quantitative study design was employed from March 1, 2016 to April 14, 2016, using a standard structured data collection instrument. A sample of 191 human immunodeficiency virus (HIV)-positive pregnant and lactating mothers who were receiving PMTCT follow-up in the selected health facilities participated in the study. The data were entered using EpiData 3.1 and analyzed using SPSS version 21. Bivariate and multivariate logistic regression analyses were employed to identify factors associated with adherence. The p-values <0.05 and 95% confidence intervals (CIs) were used to identify associations between independent predictors and the outcome variable.

RESULTS

The level of adherence to option B+ PMTCT drugs was 87.9%. Women who received in-hospital treatment, who lived in rural areas, and faced challenges in initiating lifelong option B+ treatment on the same-day that they were diagnosed with HIV were less likely to adhere to the treatment (adjusted odds ratios [95% CI] of 0.3 [0.11 to 0.82], 0.26 [0.1 to 0.73], and 0.08 [0.02 to 0.37], respectively).

CONCLUSIONS

Collaborative efforts of zonal health departments with health facility administrators and counselors are recommended for effective and efficient interventions focusing on hospitals, rural areas, and patients who face challenges on the day of their diagnosis.

Summary

Citations

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Lucresse Corine Fassinou, Diane Songwa Nkeunang, Thérèse Delvaux, Nicolas Nagot, Fati Kirakoya-Samadoulougou
BMC Public Health.2024;[Epub] CrossRef
Level of adherence to option B+ program and associated factors among HIV-positive women in Ethiopia: A systematic review and meta-analysis
Alemu Degu Ayele, Bekalu Getnet Kassa, Gedefaye Nibret Mihretie, Habtamu Gebrehana Belay, Dagne Addisu Sewyew, Abenezer Melkie Semahegn, Enyew Dagnew Yehuala, Gebrehiwot Ayalew Tiruneh, Lebeza Alemu Tenaw, Abrham Debeb Sendekie, Adanech Getie Teffera, Ede
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Facilitators and Barriers to Adherence to Anti-Retroviral Treatment Among Pregnant or Breastfeeding Women Living with HIV and Perinatally Infected Infants: A Scoping Review
Joanne H. Hunt, Holly L. Peay, Gail E. Henderson
AIDS and Behavior.2024; 28(9): 2910. CrossRef
Level of option B plus drug adherence for preventing mother-to-child transmission of HIV and associated factors among HIV-positive women in the awi zone, amhara region, northwest Ethiopia,2020
Tegegne Wale Belachew, Besfat Berihun Erega, Mesafint Ewunetu, Kihinetu Gelaye, Tigist Seid Yimer, Wassie Yazie Ferede
Heliyon.2024; 10(15): e35319. CrossRef
Poor adherence to the option B+ care and associated factors for the prevention of mother-to-child transmission among pregnant and lactating mothers attending ART clinics of Southwestern Ethiopia: A facility based cross-sectional study
Nuredin Mohammed Guta, Miresa Guteta, Ashanafi Asefa, Sisay Tulu, Biruk Bogale, Gachana Midaksa, Abinet Abebe
International Journal of Africa Nursing Sciences.2024; 21: 100780. CrossRef
Level of option B+PMTCT drug adherence with male partner involvement and associated factors among breastfeeding women until 18 months in North Gojjam Zone, Amhara region, Northwest Ethiopia, 2022: a multicentre cross-sectional study
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Withdrawn: Magnitude of Adherence to Option B plus program and associated factors among women in Eastern African Countries: A Systematic Review and Meta-analysis
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Seroprevalence and associated risk factors of hepatitis B virus among pregnant women in southern Ethiopia: a hospital-based cross-sectional study: Yeshi Metaferia, Walelign Dessie, Ibrahim Ali, Anteneh Amsalu; Epidemiol Health. 2016;38:e2016027. Published online June 19, 2016; DOI: https://doi.org/10.4178/epih.e2016027

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Abstract PDF

Abstract

OBJECTIVES
Hepatitis B virus (HBV) is a major blood-borne and sexually transmitted infectious agent that is a significant global public health issue. The aim of this study was to determine the seroprevalence and risk factors of HBV among pregnant women attending the antenatal clinic of the Hawassa University referral hospital in Ethiopia.

METHODS

A cross-sectional study was conducted from April to May, 2015. A total of 269 consecutive pregnant women attending antenatal consultations were enrolled. Sociodemographic information and data regarding possible risk factors were collected using a structured questionnaire. Hepatitis B surface antigen (HBsAg) screening was performed using an enzyme-linked immunosorbent assay, and the data were analyzed.

RESULTS

The overall seroprevalence of HBsAg among the 269 participants enrolled in the study was 7.8% (n=21). The prevalence of human immunodeficiency virus (HIV) infection was 5.2% (n=14), of whom two participants (14.2%) were also positive for HBsAg. Study participants with no formal education (odds ratio [OR], 3.68; 95% confidence interval [CI], 1.27 to 10.68; p<0.05) were more likely to be infected with HBV than those who had completed at least secondary school. Although HBsAg was detected more often in pregnant women who had multiple exposure factors (8.8%, n=13) than in pregnant women who had not experienced possible risk factors (4%, n=1), this difference was not statistically significant (OR, 2.33; 95%CI, 0.29 to 18.63).

CONCLUSIONS

A high prevalence of HBV infection was detected in the study population. Neither the type of risk factors nor exposure to multiple risk factors was significantly associated with HBV infection. Hence, screening pregnant women regardless of risk factors and improving awareness of the transmission routes of HBV within this group may reduce the risk of HBV infections.

Summary

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Risk Factors for Group B Streptococcus Colonization Among Pregnant Women in Korea: Eun Ju Kim, Kwan Young Oh, Moon Young Kim, Yong Soo Seo, Jung-Hwan Shin, Young Rae Song, Jae-Hyug Yang, Betsy Foxman, Moran Ki; Epidemiol Health. 2011;33:e2011010. Published online November 11, 2011; DOI: https://doi.org/10.4178/epih/e2011010

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Abstract

<sec><title>OBJECTIVES</title>To identify obstetric and maternal factors related to Group B Streptococcus (GBS) colonization in pregnant women in Korea.</sec><sec><title>METHODS</title>The study was conducted between the years 2006-2008 in four hospitals, Cheil and Eulji hospital in Seoul, and Motae and Eulji hospital in Daejeon. We recruited 2,644 pregnant women between 35 to 37 weeks of gestation who had visited for antenatal care. Participants completed a questionnaire, and urine, vaginal and rectal specimens were obtained and cultured using selective broth media. After delivery, medical records were reviewed.</sec><sec><title>RESULTS</title>GBS colonization was significantly associated with hospital, age group, education, frequency of pregnancy, and premature rupture of membranes (PROM, more than 18 hours). After adjustment for other variables, Cheil hospital (odds ratio [OR], 2.05; 95% confidence interval [CI], 1.20-3.52), and the first pregnancy (OR, 2.32; 95% CI, 1.12-4.81) remained significant. History of vaginitis showed marginal significance (OR, 1.50; 95% CI, 0.98-2.29).</sec><sec><title>CONCLUSION</title>To prevent GBS infection of neonates, clinicians should be alert to the potentially higher risk of GBS colonization in pregnant women in their first pregnancy, and women with premature rupture of membranes (PROM) (18 hours+) or who have a history of vaginitis.</sec>

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