Preterm Birth at the Community University Hospital Center (Central African Republic)

Abstract

The preterm Birth is the main cause of hospitalizing in the pathologic pregnancy service because of its deadly and morbidity rate observing into new born. The purpose of this Study: The purpose of this study is to study the epidemiology, clinic and prediction of preterm delivery in the Maternity at the community university hospital Center. Methodology: Over a 12 month period, we conducted a descriptive and analytical cross-sectional study of preterm delivery cases in the obstetrics and gynecology clinic of the community university hospital Center. The data was collected from the survey records and then analyzed by Epi Info version 3.5.4. Results: The preterm delivery rate related to delivery in the pregnancy pathology department was 17.5%. A high proportion was noticed on patients aged from 20 - 24 years old (28.2%), single (95.8%) and pauciparous (39.5%) were observed. Pelvic pain is the main cause of consultation (100%). 83.1% of the cases were cured by Nifedipine. The higher neonatal mortality is in the pregnancy period less than 30 weeks, with statistically significant difference. Conclusion: Preterm birth is a common disease in the Department. It’s more about young unmarried women. Neonatal mortality is higher Among pregnant women less than 30 weeks of pregnancy.