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AuthorYounes, Salma
AuthorSamara, Muthanna
AuthorAl-Jurf, Rana
AuthorNasrallah, Gheyath
AuthorAl-Obaidly, Sawsan
AuthorSalama, Husam
AuthorOlukade, Tawa
AuthorHammuda, Sara
AuthorIsmail, Mohamed
AuthorAbdoh, Ghassan
AuthorAbdulrouf, Palli Valapila
AuthorFarrell, Thomas
AuthorAlQubaisi, Mai
AuthorAl Rifai, Hilal
AuthorAl-Dewik, Nader
Available date2021-05-31T05:04:12Z
Publication Date2021-05-29
Publication NameInternational Journal of Environmental Research and Public Health
Identifierhttp://dx.doi.org/10.3390/ijerph18115865
CitationYounes, S.; Samara, M.; Al-Jurf, R.; Nasrallah, G.; Al-Obaidly, S.; Salama, H.; Olukade, T.; Hammuda, S.; Ismail, M.A.; Abdoh, G.; Abdulrouf, P.V.; Farrell, T.; AlQubaisi, M.; Al Rifai, H.; Al-Dewik, N. Incidence, Risk Factors, and Outcomes of Preterm and Early Term Births: A Population-Based Register Study. Int. J. Environ. Res. Public Health 2021, 18, 5865. https://doi.org/10.3390/ijerph18115865
URIhttp://hdl.handle.net/10576/18501
AbstractPreterm birth (PTB) and early term birth (ETB) are associated with high risks of perinatal mortality and morbidity. While extreme to very PTBs have been extensively studied, studies on infants born at later stages of pregnancy, particularly late PTBs and ETBs, are lacking. In this study, we aimed to assess the incidence, risk factors, and feto-maternal outcomes of PTB and ETB births in Qatar. We examined 15,865 singleton live births using 12-month retrospective registry data from the PEARL-Peristat Study. PTB and ETB incidence rates were 8.8% and 33.7%, respectively. PTB and ETB in-hospital mortality rates were 16.9% and 0.2%, respectively. Advanced maternal age, pre-gestational diabetes mellitus (PGDM), assisted pregnancies, and preterm history independently predicted both PTB and ETB, whereas chromosomal and congenital abnormalities were found to be independent predictors of PTB but not ETB. All groups of PTB and ETB were significantly associated with low birth weight (LBW), large for gestational age (LGA) births, caesarean delivery, and neonatal intensive care unit (NICU)/or death of neonate in labor room (LR)/operation theatre (OT). On the other hand, all or some groups of PTB were significantly associated with small for gestational age (SGA) births, Apgar <7 at 1 and 5 minutes and in-hospital mortality. The findings of this study may serve as a basis for taking better clinical decisions with accurate assessment of risk factors, complications, and predictions of PTB and ETB.
SponsorThe study was approved by the Hamad Medical Corporation Institutional Review Board, with a waiver of consent. It was funded by Qatar National Research Fund (Grant no NPRP 6-238-3-059) and was sponsored by the Medical Research Centre, Hamad Medical Corporation. The authors want to thank their respective institutions for their continued support. The publication of this article is funded by the Qatar National Library, Doha, Qatar.
Languageen
PublisherMDPI
Subjectpreterm birth (PTB)
prematurity
late preterm birth (Late PTB)
early term birth (ETB)
incidence
risk factors
outcomes
Qatar
TitleIncidence, Risk Factors, and Outcomes of Preterm and Early Term Births: A Population-Based Register Study
TypeArticle
Issue Number11
Volume Number18
ESSN1660-4601
dc.accessType Open Access


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