English

Abstract

Objectives: (1) to find out of aetiological factors of preterm labour. (2) To makea proposed remedy for prevention of preterm lobour. Material and Methods: This study wascarried out at Independent University Hospital. This is located at richly populated area ofFaisalabad, providing health care facilities to poor socioeconomic group. The patient who fitinto inclusion criteria was included in study and a well designed Proforma was used to collectthe sample. Duration of study: One year study from 1 May, 2014 to 30 April, 2015. Studydesign: It is a descriptive study. Sampling technique: A purposive random sample techniquewas used to collect the sample. Sample size: A total of 80 cases ware collected who wereadmitted through antenatal outdoor and emergency of IUH. Inclusion Criteria: All patients withdiagnosed preterm labour who had attended outdoor or emergency of Independent UniversityHospital were included in study. Exclusion Criteria: (1) Patients with Iatrogenic preterminduction of labour due to maternal factors like patients on chemo therapy or any debilitatingillness causing threat to maternal life. (2) Patients with congenitally abnormal foetus & intrauterine death of fetus. Results: A total of 80 cases with preterm labour were included in studyat Independent University Hospital. In current study 30 (37.5%) patients had age between 18 –25 years, 30 (37.5%) patients had age between 26-35 years and rest of the 20 (25%) patientshad age > 35 years. Among 80 patients 25 (31.3%) patients had parity b/w 1-3 while 28 (35%)patients had parity b/w 4-5 and rest of the 27 (33.8%) had parity > 5. More patients i.e 50(62.5%) patients were admitted through emergency while 30 (37.5%) patients were admittedthrough Out Patient Department (OPD). 37 (46.3%) patients had Spontaneous vaginal deliveryand 43 (53.8%) patients underwent lower segment cesarean section. In our study, the mostcommon risk factor associated with preterm labour was bacterial vaginosis 20 (25%) patientshad bacterial vaginosis. 10 (12.5%) patients had chorioamniotis. Previous history of pretermbirth was present in 10 (12.5%) patients. History of Preterm Premature ruptures of membranesin 8 (10%) patients. 11(13.5%) patients has history of previous C-section and impending scardehiscence. History of anti partum hemorrhage and pregnancy induce in hypertension waspresent in 5 (6.5%) patients. FGR with oligohydramnios was present in 6 (7.5%) patients. 3((3.75%) patients presented with preterm breech