Preterm birth and its associated factors among reproductive aged women in sub-Saharan Africa: evidence from the recent demographic and health surveys of sub-Sharan African countries

Abstract Background Globally, preterm birth is the leading cause of neonatal and under-five children mortality. Sub-Saharan African (SSA) accounts for the majority of preterm birth and death following its complications. Despite this, there is limited evidence about the pooled prevalence and associat...

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Autores principales:	Tesfa Sewunet Alamneh, Achamyeleh Birhanu Teshale, Misganaw Gebrie Worku, Zemenu Tadesse Tessema, Yigizie Yeshaw, Getayeneh Antehunegn Tesema, Alemneh Mekuriaw Liyew, Adugnaw Zeleke Alem
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Preterm birth Premature birth Reproductive age women Sub-Saharan Africa Demographic and health survey Multilevel analysis Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/03ccae42b0564b49856757dc9ecd62c2
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spelling	oai:doaj.org-article:03ccae42b0564b49856757dc9ecd62c22021-11-21T12:32:42ZPreterm birth and its associated factors among reproductive aged women in sub-Saharan Africa: evidence from the recent demographic and health surveys of sub-Sharan African countries10.1186/s12884-021-04233-21471-2393https://doaj.org/article/03ccae42b0564b49856757dc9ecd62c22021-11-01T00:00:00Zhttps://doi.org/10.1186/s12884-021-04233-2https://doaj.org/toc/1471-2393Abstract Background Globally, preterm birth is the leading cause of neonatal and under-five children mortality. Sub-Saharan African (SSA) accounts for the majority of preterm birth and death following its complications. Despite this, there is limited evidence about the pooled prevalence and associated factors of preterm birth at SSA level using nation-wide representative large dataset. Therefore, this study aimed to determine the pooled prevalence and associated factors of preterm birth among reproductive aged women. Methods The recent Demographic and Health Surveys (DHSs) data of 36 SSA countries were used. We included a total weighted sample of 172,774 reproductive-aged women who were giving birth within five years preceding the most recent survey of SSA countries were included in the analysis. We used a multilevel logistic regression model to identify the associated factors of preterm birth in SSA. We considered a statistical significance at a p-value less than 0.05. Results In this study, 5.33% (95% CI: 5.23, 5.44%) of respondents in SSA had delivered preterm baby. Being form eastern Africa, southern Africa, rural area, being educated, substance use, having multiple pregnancy, currently working history, having history of terminated pregnancy, and previous cesarean section delivery, primi-parity, and short birth interval were associated with higher odds of preterm birth among reproductive aged women. However, having better wealth index, being married, wanted pregnancy, and having four or more antenatal care visit were associated with lower odds for a preterm birth among reproductive aged women. Conclusion The prevalence of preterm birth among reproductive-aged women remains a major public health problem in SSA. Preterm birth was affected by various socio-economic and obstetrical factors. Therefore, it is better to consider the high-risk groups during intervention to prevent the short-term and long-term consequences of preterm birth.Tesfa Sewunet AlamnehAchamyeleh Birhanu TeshaleMisganaw Gebrie WorkuZemenu Tadesse TessemaYigizie YeshawGetayeneh Antehunegn TesemaAlemneh Mekuriaw LiyewAdugnaw Zeleke AlemBMCarticlePreterm birthPremature birthReproductive age womenSub-Saharan AfricaDemographic and health surveyMultilevel analysisGynecology and obstetricsRG1-991ENBMC Pregnancy and Childbirth, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Preterm birth Premature birth Reproductive age women Sub-Saharan Africa Demographic and health survey Multilevel analysis Gynecology and obstetrics RG1-991
spellingShingle	Preterm birth Premature birth Reproductive age women Sub-Saharan Africa Demographic and health survey Multilevel analysis Gynecology and obstetrics RG1-991 Tesfa Sewunet Alamneh Achamyeleh Birhanu Teshale Misganaw Gebrie Worku Zemenu Tadesse Tessema Yigizie Yeshaw Getayeneh Antehunegn Tesema Alemneh Mekuriaw Liyew Adugnaw Zeleke Alem Preterm birth and its associated factors among reproductive aged women in sub-Saharan Africa: evidence from the recent demographic and health surveys of sub-Sharan African countries
description	Abstract Background Globally, preterm birth is the leading cause of neonatal and under-five children mortality. Sub-Saharan African (SSA) accounts for the majority of preterm birth and death following its complications. Despite this, there is limited evidence about the pooled prevalence and associated factors of preterm birth at SSA level using nation-wide representative large dataset. Therefore, this study aimed to determine the pooled prevalence and associated factors of preterm birth among reproductive aged women. Methods The recent Demographic and Health Surveys (DHSs) data of 36 SSA countries were used. We included a total weighted sample of 172,774 reproductive-aged women who were giving birth within five years preceding the most recent survey of SSA countries were included in the analysis. We used a multilevel logistic regression model to identify the associated factors of preterm birth in SSA. We considered a statistical significance at a p-value less than 0.05. Results In this study, 5.33% (95% CI: 5.23, 5.44%) of respondents in SSA had delivered preterm baby. Being form eastern Africa, southern Africa, rural area, being educated, substance use, having multiple pregnancy, currently working history, having history of terminated pregnancy, and previous cesarean section delivery, primi-parity, and short birth interval were associated with higher odds of preterm birth among reproductive aged women. However, having better wealth index, being married, wanted pregnancy, and having four or more antenatal care visit were associated with lower odds for a preterm birth among reproductive aged women. Conclusion The prevalence of preterm birth among reproductive-aged women remains a major public health problem in SSA. Preterm birth was affected by various socio-economic and obstetrical factors. Therefore, it is better to consider the high-risk groups during intervention to prevent the short-term and long-term consequences of preterm birth.
format	article
author	Tesfa Sewunet Alamneh Achamyeleh Birhanu Teshale Misganaw Gebrie Worku Zemenu Tadesse Tessema Yigizie Yeshaw Getayeneh Antehunegn Tesema Alemneh Mekuriaw Liyew Adugnaw Zeleke Alem
author_facet	Tesfa Sewunet Alamneh Achamyeleh Birhanu Teshale Misganaw Gebrie Worku Zemenu Tadesse Tessema Yigizie Yeshaw Getayeneh Antehunegn Tesema Alemneh Mekuriaw Liyew Adugnaw Zeleke Alem
author_sort	Tesfa Sewunet Alamneh
title	Preterm birth and its associated factors among reproductive aged women in sub-Saharan Africa: evidence from the recent demographic and health surveys of sub-Sharan African countries
title_short	Preterm birth and its associated factors among reproductive aged women in sub-Saharan Africa: evidence from the recent demographic and health surveys of sub-Sharan African countries
title_full	Preterm birth and its associated factors among reproductive aged women in sub-Saharan Africa: evidence from the recent demographic and health surveys of sub-Sharan African countries
title_fullStr	Preterm birth and its associated factors among reproductive aged women in sub-Saharan Africa: evidence from the recent demographic and health surveys of sub-Sharan African countries
title_full_unstemmed	Preterm birth and its associated factors among reproductive aged women in sub-Saharan Africa: evidence from the recent demographic and health surveys of sub-Sharan African countries
title_sort	preterm birth and its associated factors among reproductive aged women in sub-saharan africa: evidence from the recent demographic and health surveys of sub-sharan african countries
publisher	BMC
publishDate	2021
url	https://doaj.org/article/03ccae42b0564b49856757dc9ecd62c2
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Preterm birth and its associated factors among reproductive aged women in sub-Saharan Africa: evidence from the recent demographic and health surveys of sub-Sharan African countries

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