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Epidemiological and chronological profile of preterm birth in the region of Monastir (Tunisia) between 1994 and 2012.

Identifieur interne : 000540 ( Main/Exploration ); précédent : 000539; suivant : 000541

Epidemiological and chronological profile of preterm birth in the region of Monastir (Tunisia) between 1994 and 2012.

Auteurs : S. El Mhamdi [Tunisie] ; M. El Ghardallou [Tunisie] ; A Ben Salah [Tunisie] ; I. Bouanene [Tunisie] ; A. Sriha [Tunisie] ; K Ben Salem [Tunisie] ; R. Falah [Tunisie] ; M S Soltani [Tunisie]

Source :

RBID : pubmed:25907188

Descripteurs français

English descriptors

Abstract

Data about the profile and risk factors of premature births in Tunisia are scarce. The objective of this study was to describe the epidemiological profile of preterm births in Monastir, Tunisia, and to study the chronological trends of associated factors over the years 1994-2012. A population-based study was conducted using data from the regional births database on all deliveries in public maternity units. The overall prevalence of preterm births among the 161 116 deliveries in the 19-year period was 5.60% (95% CI: 5.13%-6.07%). The rate of preterm births and of adequate prenatal care increased significantly over the study period. Extremes of maternal age (≤ 19 and ≥ 35 years), having a twin pregnancy and the occurrence of complications during pregnancy were significant predictors of prematurity in the final regression model. Efforts should be made to improve the quality of health care in the region, especially for high-risk pregnancies.

DOI: 10.26719/2015.21.1.13
PubMed: 25907188


Affiliations:


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Le document en format XML

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<div type="abstract" xml:lang="en">Data about the profile and risk factors of premature births in Tunisia are scarce. The objective of this study was to describe the epidemiological profile of preterm births in Monastir, Tunisia, and to study the chronological trends of associated factors over the years 1994-2012. A population-based study was conducted using data from the regional births database on all deliveries in public maternity units. The overall prevalence of preterm births among the 161 116 deliveries in the 19-year period was 5.60% (95% CI: 5.13%-6.07%). The rate of preterm births and of adequate prenatal care increased significantly over the study period. Extremes of maternal age (≤ 19 and ≥ 35 years), having a twin pregnancy and the occurrence of complications during pregnancy were significant predictors of prematurity in the final regression model. Efforts should be made to improve the quality of health care in the region, especially for high-risk pregnancies. </div>
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<AbstractText>Data about the profile and risk factors of premature births in Tunisia are scarce. The objective of this study was to describe the epidemiological profile of preterm births in Monastir, Tunisia, and to study the chronological trends of associated factors over the years 1994-2012. A population-based study was conducted using data from the regional births database on all deliveries in public maternity units. The overall prevalence of preterm births among the 161 116 deliveries in the 19-year period was 5.60% (95% CI: 5.13%-6.07%). The rate of preterm births and of adequate prenatal care increased significantly over the study period. Extremes of maternal age (≤ 19 and ≥ 35 years), having a twin pregnancy and the occurrence of complications during pregnancy were significant predictors of prematurity in the final regression model. Efforts should be made to improve the quality of health care in the region, especially for high-risk pregnancies. </AbstractText>
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<AbstractText>البروفيل الوبائي والزمني للولادة المبتسرة في إقليم موناستير (تونس) بين عامي 1994 و2012.</AbstractText>
<AbstractText>سناء المحمدي، مريم الغردلّو، أروى بن صالح، إيناس بوعينين، أسماء سريحا، كامل بن سالم، رجاء فلاح، محمد سوسي سلطاني.</AbstractText>
<AbstractText>هناك نُدرة في البيانات المتعلقة ببروفيل الولادة المبتسرة وعوامل الاختطار المرتبطة بها في تونس. وكان الهدف من هذه الدراسة وصف البروفيل الوبائي للولادات المبتسرة في موناستير بتونس، ودراسة الاتجاهات الزمنية للعوامل المرتبطة بها خلال السنوات 1994-2012. فأجريَت دراسة سكانية - باستخدام بيانات أخذت من قاعدة بيانات ولادات الإقليم - على جميع الولادات التي تمَّت في وحدات الأمومة العمومية. فكان الانتشار الكلي لحالات الولادة المبتسرة بين الـ 116 161 ولادة في فترة الـ 19 عاماً: 5.60% (CI:%95 %6.07-%5.13). وقد ازداد معدَّل الولادات المبتسرة ومعدَّل الرعاية الكافية السابقة للولادة بشكل ملحوظ خلال فترة الدراسة. وإن العمر الحدِّي للأم (≤ 19 و ≥ 35 عاماً)، ووجود حمل توأمي، وحدوث مضاعفات أثناء الحمل، كانت منبِّئات مهمّة بالابتسار (الخداج) في نموذج التحوُّف النهائي. وخلصت الدراسة إلى أنه ينبغي بذل جهود لتحسين جودة الرعاية الصحية في الإقليم، لاسيَّما في حالات الحمل ذات الخطورة العالية.</AbstractText>
</OtherAbstract>
<OtherAbstract Type="Publisher" Language="fre">
<AbstractText>Caractéristiques épidémiologiques et chronologiques des naissances prématurées dans la région de Monastir (Tunisie) entre 1994 et 2012.</AbstractText>
<AbstractText>Les données sur les caractéristiques des naissances prématurées et leurs facteurs de risque sont rares en Tunisie. La présente étude avait pour objectif de décrire les caractéristiques épidémiologiques des naissances prématurées à Monastir (Tunisie), et d'étudier les tendances chronologiques des facteurs associés entre 1994 et 2012. Une étude en population a été menée à l'aide de données issues de la base de données des naissances régionale incluant tous les accouchements ayant eu lieu dans des maternités publiques. La prévalence globale des naissances prématurées pour 161 116 accouchements sur cette période de 19 ans était de 5,60 % (IC à 95 % : 5,13 %–6,07 %). Le taux de naissances prématurées et de soins prénatals adéquats a augmenté de manière significative au cours de la période de l'étude. L'âge extrême de la mère (≤ 19 ans ou ≥ 35 ans), une grossesse gémellaire et la survenue de complications pendant la grossesse étaient des facteurs prédictifs importants de prématurité dans le modèle de régression final. Des actions devraient être menées pour améliorer la qualité des soins de santé dans la région, notamment pour les grossesses à haut risque.</AbstractText>
</OtherAbstract>
</MedlineCitation>
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<PubMedPubDate PubStatus="received">
<Year>2014</Year>
<Month>04</Month>
<Day>16</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2014</Year>
<Month>10</Month>
<Day>02</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2015</Year>
<Month>4</Month>
<Day>25</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="pubmed">
<Year>2015</Year>
<Month>4</Month>
<Day>25</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2015</Year>
<Month>6</Month>
<Day>3</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PublicationStatus>epublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">25907188</ArticleId>
<ArticleId IdType="doi">10.26719/2015.21.1.13</ArticleId>
</ArticleIdList>
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<affiliations>
<list>
<country>
<li>Tunisie</li>
</country>
</list>
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<country name="Tunisie">
<noRegion>
<name sortKey="El Mhamdi, S" sort="El Mhamdi, S" uniqKey="El Mhamdi S" first="S" last="El Mhamdi">S. El Mhamdi</name>
</noRegion>
<name sortKey="Bouanene, I" sort="Bouanene, I" uniqKey="Bouanene I" first="I" last="Bouanene">I. Bouanene</name>
<name sortKey="El Ghardallou, M" sort="El Ghardallou, M" uniqKey="El Ghardallou M" first="M" last="El Ghardallou">M. El Ghardallou</name>
<name sortKey="Falah, R" sort="Falah, R" uniqKey="Falah R" first="R" last="Falah">R. Falah</name>
<name sortKey="Salah, A Ben" sort="Salah, A Ben" uniqKey="Salah A" first="A Ben" last="Salah">A Ben Salah</name>
<name sortKey="Salem, K Ben" sort="Salem, K Ben" uniqKey="Salem K" first="K Ben" last="Salem">K Ben Salem</name>
<name sortKey="Soltani, M S" sort="Soltani, M S" uniqKey="Soltani M" first="M S" last="Soltani">M S Soltani</name>
<name sortKey="Sriha, A" sort="Sriha, A" uniqKey="Sriha A" first="A" last="Sriha">A. Sriha</name>
</country>
</tree>
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