Prevalence and Factors Associated with Preterm Births in Uganda: A Case Study of Kiryandongo District Referral Hospital.

Table of Contents

DECLARATION ............................................................................................................................ ii

APPROVAL ..................................................................................................................................iii

ACKNOWLEDGEMENT............................................................................................................. iv

DEDICATION................................................................................................................................ v

DEFINITION OF TERMS ............................................................................................................. x

ABSTRACT.................................................................................................................................... 1

INTRODUCTION .......................................................................................................................... 2

1.1 BACKGROUND INFORMATION.............................................................................. 2

1.1 STATEMENT OF THE PROBLEM............................................................................ 3

1.1.1 GENERAL OBJECTIVE....................................................................................... 4

1.1.2 SPECIFIC OBJECTIVES...................................................................................... 4

1.2 RESEARCH QUESTIONS ........................................................................................... 4

1.3 JUSTIFICATION OR SIGNIFICANCE OF THE STUDY ...................................... 4

1.4 STUDY SCOPE.............................................................................................................. 5

1.6.1 Geographical scope......................................................................................................... 5

1.6.2 Content scope ................................................................................................................. 5

1.6.3 Time scope...................................................................................................................... 6

CHAPTER TWO ............................................................................................................................ 9

LITERATURE REVIEW ............................................................................................................... 9

2.0 INTRODUCTION .................................................................................................................... 9

2.1 CAUSES AND RISK FACTORS AFFECTING PREMATURE BIRTHS............................. 9

2.1.1 MATERNAL SOCIO-DEMOGRAPHIC FACTORS ................................................. 10

2.1.2 Obstetric Risk Factors: ................................................................................................. 12

2.2.3 Fetal Factors ................................................................................................................. 13

vii

CHAPTER 3 ................................................................................................................................. 14

METHODOLOGY ....................................................................................................................... 14

3.0 Introduction ......................................................................................................................... 14

3.1 Study Design ....................................................................................................................... 14

3.2 Study Population ................................................................................................................. 14

3.2.1 Inclusion criteria ........................................................................................................... 14

3.2.2 Exclusion criteria.......................................................................................................... 14

3.3 Sample Size Calculation...................................................................................................... 14

3.4Sampling techniques ............................................................................................................ 15

3.5 Data collection method........................................................................................................ 15

3.6 Data collection tools and procedures .................................................................................. 15

3.7Quality control...................................................................................................................... 15

3.8 Data analysis ....................................................................................................................... 15

3.9 Ethical considerations ......................................................................................................... 16

CHAPTER 4 ................................................................................................................................. 17

Results....................................................................................................................................... 17

4.1 Description of participants............................................................................................... 17

4.2 Prevalence of Preterm Birth ............................................................................................ 20

4.3 Socio-Demographic Factors............................................................................................ 20

4.4 Previous Pregnancy Factors............................................................................................. 22

4.5 Antenatal Factors............................................................................................................. 22

4.6 Delivery Factors .............................................................................................................. 23

4.7 Obstetric Factors.............................................................................................................. 24

4.8. Binary logistic regression analysis of risk factors of PPH ............................................. 25

DISCUSSION, CONCLUSIONS AND RECOMMENDATIONS.......................................... 27

5.1 DISCUSSION OF THE FINDINGS ............................................................................... 27

5.3 RECOMMENDATIONS................................................................................................. 29

5.4 LIMITATIONS OF THE STUDY .................................................................................. 29

APPENDIX................................................................................................................................... 34

APPENDIX I: QUESTIONNAIRE .......................................................................................... 34

APPENDIX II: CONSENT FORM FOR THE PARTICIPANTS............................................ 36