Threatened preterm labor in N’djamena mother and child university hospital (Chad)

Abstract

Introduction: Threatened preterm labor (TPB) is defined as uterine contractions associated with cervical modifications. It is an incident during pregnancy that in the lack of, or despite appropriate treatment will result in a birth occurring between 22 and 37 weeks of amenorrhoea. The aim of this study was to improve the management of preterm delivery. Patients and method: This was a prospective descriptive study covering a period of 1 year from June 2021 to May 2022 carried out in the gynaecology-obstetrics department of N’Djamena Mother and child University hospital. All patients admitted (NMCUH) for TPB and who consented to participate in the study were included. Data were collected and analyzed using SPSS and Excel. Results: The frequency of Threatened preterm labor was 11.1%. The mean age was 23.42 years. Main risk factor was low socioeconomic status with 20.5%. Reported etiologies were malaria (55.7%) and urinary tract infection (7.3%). Twenty-seven pregnant women (27.8%) had presented severe or moderate PAD were hospitalized. All patients received strict rest and tocolysis. Lung maturation was achieved in 87.7%. Sixty-six pregnant women (54.1%) delivered before term. Conclusion: threatened preterm labor is a common condition in our context. Prevention requires quality ante natal cares.