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Omar AI, Mohamed AD, Farah MG, Mahad IA, Mohamed SA, Dimbil AH, Mohamud NS, Abshir FA, Abdulkadir UA. Maternal Risk Factors Associated with Preterm Births among Pregnant Women in Mogadishu, Somalia. CHILDREN (BASEL, SWITZERLAND) 2022; 9:children9101518. [PMID: 36291454 PMCID: PMC9600974 DOI: 10.3390/children9101518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Revised: 09/24/2022] [Accepted: 10/01/2022] [Indexed: 11/06/2022]
Abstract
Background: Premature birth impacts millions of newborns annually. Sixty percent of the world’s preterm births occur in Sub-Saharan Africa and South Asia. Somalia’s premature birth rates and maternal risk factors are poorly studied; hence, this study aims to identify maternal risk factors related to premature births in Mogadishu, Somalia. Methods: This unmatched case-control study was conducted at four maternity hospitals in Mogadishu, Somalia. The cases were newborns with gestational ages of less than 37 weeks; controls were newborns with gestational ages of 37 to 42 weeks. All were live singletons. Cross-tabulation and binary logistic regression were used to analyze the data; a p-value of 0.05 was deemed statistically significant. Result: Of the total of 499 newborns, 70 were cases, and 429 were controls. Adequate prenatal care, maternal urine analysis, tetanus toxoid (TT) vaccination, hemoglobin (Hb) measurement, ultrasound monitoring, intake of iron + folic acid (IFA) supplement, blood pressure (BP) measurement during the current pregnancy, as well as partograph usage during labor all significantly decreased risk of having premature births. A prior history of preterm delivery and preeclampsia, obstetric complications, and female genital mutilation (FGM) significantly increased the risk of preterm births. Conclusion: The utilization of antenatal care services, use of a partograph, obstetric complications, and prior history of premature birth and preeclampsia had a substantial effect on preterm birth rates. This study identifies female genital mutilation (FGM) as a previously unidentified risk factor for preterm birth that needs additional investigation.
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Affiliation(s)
- Abdifetah Ibrahim Omar
- Faculty of Medicine and Health Sciences, Jamhuriya University of Science and Technology, Mogadishu 2526, Somalia
- Advance Medical Research Unit, Jamhuriya Research Center, Jamhuriya University of Science and Technology, Mogadishu 2526, Somalia
- Correspondence: ; Tel.: +252-618684545
| | - Amina Dahir Mohamed
- Faculty of Medicine and Health Sciences, Jamhuriya University of Science and Technology, Mogadishu 2526, Somalia
| | - Mohamed Garad Farah
- Faculty of Medicine and Health Sciences, Jamhuriya University of Science and Technology, Mogadishu 2526, Somalia
| | - Ismail Abukar Mahad
- Faculty of Medicine and Health Sciences, Jamhuriya University of Science and Technology, Mogadishu 2526, Somalia
| | - Suban Abdullahi Mohamed
- Faculty of Medicine and Health Sciences, Jamhuriya University of Science and Technology, Mogadishu 2526, Somalia
| | - Abyan Hassan Dimbil
- Faculty of Medicine and Health Sciences, Jamhuriya University of Science and Technology, Mogadishu 2526, Somalia
| | - Nadifo Salad Mohamud
- Faculty of Medicine and Health Sciences, Jamhuriya University of Science and Technology, Mogadishu 2526, Somalia
| | - Fowziya Ahmed Abshir
- Faculty of Medicine and Health Sciences, Jamhuriya University of Science and Technology, Mogadishu 2526, Somalia
| | - Umayma Abdinasir Abdulkadir
- Faculty of Medicine and Health Sciences, Jamhuriya University of Science and Technology, Mogadishu 2526, Somalia
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