An evaluation of preterm deliveries in a developing country

Preterm delivery is the leading cause of perinatal mortality accounting for up to 40-60% of perinatal deaths. These have been attributed to a variety of factors, though in some cases the direct cause is not readily apparent. Materials: Information required was obtained from folders of preterm babies admitted into special care baby unit in the study center for a period of five years (2005-2010). Results: In this study, there was a significant association between birth weight, uptake of antenatal care and marital status, (likelihood ratio; 0.03, 0.000 and 0.001) respectively. The poor outcomes (Left against Medical Advice and death) were higher among babies of single mothers. Eight out of 12 lama and 16 out of 25 deaths met with statistical significance, p = 0.001. Conclusion: Compulsory female education and early identification of women at risk of preterm delivery will reduce perinatal deaths. Referral to appropriate health centers as well as the use of cheap and cost-effective care would go a long way to reduce these deaths.