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http://dx.doi.org/10.4069/kjwhn.2018.24.3.233

Risk Factors for Premature Birth among Premature Obstetric Labor Women: A Prospective Cohort Study  

Kim, Yun Kyung (Department of Nursing, Kei-Myung University, Dong-San Medical Center)
Lim, Kyung Hee (College of Nursing.Research Institute of Nursing Science, Keimyung University)
Publication Information
Women's Health Nursing / v.24, no.3, 2018 , pp. 233-242 More about this Journal
Abstract
Purpose: To identify risk factors for premature birth among premature obstetric labor women. Methods: Participants were 129 hospitalized women who were diagnosed with potential premature obstetric labor with 20 weeks to 37 weeks of gestation. Data were analyzed using descriptive statistics, $x^2$ test, t-test, and binary logistic regression. Results: Of 129 women, 78(60.5%) gave premature birth and 51 (39.5%) gave full-term birth. Risk factors for premature birth were education level (${\leq}$bachelor's degree), abnormal bowel condition (constipation or diarrhea), time firstly diagnosed with a premature obstetric labor (below 28 weeks of pregnancy), and multiple pregnancy. There were also increased risks of premature birth for participants with high level of anxiety and high level of prenatal stress. In social support, there was an increased risk of premature birth for participants with low level of social support. Conclusion: Prenatal nursing programs should consider not only psychosocial factors such as anxiety, prenatal stress, and social support, but also some general and obstetric factors such as education level, abnormal bowel condition, time firstly diagnosed with a premature obstetric labor, and multiple pregnancy to increase maternal and child health.
Keywords
Premature birth; Premature obstetric labor;
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