Publication:

Place of the antenatal care in the prevention of a premature delivery

Background Prematurity constitutes a source of morbidity and mortality neonatal. The objective of this study is to determine the place of the antenatal care in the prevention of a premature delivery.

Methods It is an analytical retrospective study, type “cases-controls” realized at CHU GOB, on 01 January to 31 December 2014.

Results The frequency of the premature delivery during the time of study was 6%. The risk factors significantly associated with the premature delivery were the primigestity, the primiparity and the antecedents of miscarriage. About the antenatal care, not followed pregnancy (p=0.01; OR=6.2; [IC 95% 1.3-29]), insufficient antenatal care (p<10-10; OR=6.7; [IC 95% 4.0-15]) and the antenatal care carried out in the basic health center (p=0.00002; OR=3,5; [IC 95% 1.8-6.5] influenced significantly with occurred of a premature delivery. While the realization of antenatal care 4 times and more and the realization of antenatal care at Universities Hospital Center protected the patients in occurred of a premature delivery.

Conclusions The improvement of antenatal care’s quality and the medical infrastructures at basic health center, as well as the sensibilization to the population on the importance of antenatal care constitutes a priority in order to prevent effectively occurred of a premature delivery.