Abstract

Preterm birth comprises 11% of all live births worldwide and its complications are estimated to cause 35% of world’s neonatal deaths, which represents 3.1 million deaths annually. Children who are born prematurely also have higher rates of cardiovascular disorders, respiratory distress syndrome, neurodevelopmental disabilities and learning difficulties compared with children born at term. Methods: It was a tertiary hospital based observational prospective study, was carried out at Department of Obstetrics and Gynaecology, S.S. Medical College and Associated G.M.H., REWA (M.P.) in collaboration with Microbiology department, over a period of 15 months 1st January 2021 to 31st March 2022. Antenatal cases coming in the department of obstetrics and gynaecology with complaint of premature pain were selected for study. Cases were randomly selected, who had given informed written consent. Results: Total deliveries were 6346, among them 5428 had normal deliveries and 918 had cesarean section; in comparison to the usual figures deliveries were somewhat less due to covid pandemic. Total 472 cases presented with preterm pain, so incidence of preterm in our institute was 8.7%, among 472 cases 172 were true preterm who got delivered, so the incidence of true preterm was 3.4% and 286 cases were threatened preterm that were conservatively managed, so the incidence of threatened preterm was 5.3%. Conclusion: Preterm birth is significant toll for neonatal health, hence if we take measures to early identify the cases especially with risk factor of preterm birth at around 24-28 weeks with routine per speculum examination, their treatment empirically/evidence based with these causative agents may help in reduction of this entity of preterm birth

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