Prevalence and Factors Associated with Preterm Birth at Kiryandongo General Hospital

Table of Contents

DECLARATION ................................................................................Error! Bookmark not defined.

APPROVAL..........................................................................................................................................ii

DEDICATION.....................................................................................................................................iv

ACKNOWLEDGEMENT ....................................................................................................................v

LIST OF TABLES...............................................................................................................................ix

LIST OF FIGURES .............................................................................................................................ix

LIST OF ABBREVIATIONS...............................................................................................................x

OPERATIONAL DEFINITIONS........................................................................................................xi

ABSTRACT........................................................................................................................................xii

CHAPTER ONE: INTRODUCTION...................................................................................................1

1.1 Background .................................................................................................................................1

1.2 Problem statement.......................................................................................................................2

1.3 Justification .................................................................................................................................2

1.4 Broad objective ...........................................................................................................................3

1.4.1 Specific objectives of the study ...............................................................................................3

CHAPTER TWO: LITERATURE REVIEW.......................................................................................4

2.1 Introduction.................................................................................................................................4

2.2 Causes and Risk Factors .............................................................................................................4

2.2.1 Maternal Socio-Demographic Factors.....................................................................................5

2.2.2 Obstetric Risk Factors..............................................................................................................6

2.2.3 Fetal Factors.............................................................................................................................7

CHAPTER THREE: METHODOLOGY .............................................................................................9

3.1 Study Design...............................................................................................................................9

3.2 Study Area...................................................................................................................................9

3.3 Study Population.........................................................................................................................9

3.4 Sample Size Calculation .............................................................................................................9

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3.5 Eligibility Criteria .....................................................................................................................10

3.5.1 Inclusion criteria ....................................................................................................................10

3.5.2 Exclusion criteria ...................................................................................................................10

3.6 Sampling Method......................................................................................................................10

3.7 Data collection, analysis and presentation ................................................................................10

3.8 Ethical Considerations ..............................................................................................................10

CHAPTER FOUR: RESULTS ...........................................................................................................11

4.1 Description of participants characteristics................................................................................11

4.1.1 Characteristics of mothers......................................................................................................11

4.1.2 Neonatal Characteristics ........................................................................................................12

4.1.2.1 Birth Weights......................................................................................................................12

4.1.2.2 Gestational Age...................................................................................................................12

4.1.2.3 Sex of the Babies.................................................................................................................13

4.2 Prevalence of Preterm Birth......................................................................................................14

4.3 Socio-Demographic Factors......................................................................................................14

4.4 Previous Pregnancy Factors......................................................................................................15

4.5 Antenatal Factors ......................................................................................................................16

4.6 Delivery Factors........................................................................................................................17

4.7 Obstetric Factors.......................................................................................................................18

4.8. Independent Determinants of Preterm Birth ............................................................................19

CHAPTER FIVE.................................................................................................................................21

DISCUSSION, CONCLUSIONS AND RECOMMENDATIONS....................................................21

5.1 DISCUSSION OF THE FINDINGS.........................................................................................21

5.1.1 Prevalence of preterm birth....................................................................................................21

5.1.2 Factors associated with preterm birth ....................................................................................21

5.2 CONCLUSIONS.......................................................................................................................24

5.3 RECOMMENDATIONS..........................................................................................................24

5.4 LIMITATIONS OF THE STUDY............................................................................................24

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REFERENCES....................................................................................................................................24

APPENDIX I: CONSENT FORM......................................................................................................28

APPENDIX II: QUESTIONNAIRE...................................................................................................29

APENDIXIII: INTRODUCTORY LETTER:……………………………………………………….32

APPENDIX IV:THE MAP OF KIRYANDONGO DISTRICT:……………………………………33

APPENDIX V: MAP OF UGANDA SHOWING KIRYANDONGO DISTRICT............................34