Maternal/caretaker factors associated with preterm births among women at Mubende Regional Referral Hospital. A cross-sectional study.

Authors

  • Malcom Batte Mildmay Institute of Health Sciences. Author
  • James Kizito Mildmay Institute of Health Sciences. Author
  • Hasifah Nansereko Mildmay Institute of Health Sciences. Author
  • Franscisco Ssemuwemba Mildmay Institute of Health Sciences. Author
  • Jane Frank Nalubega Mildmay Institute of Health Sciences. Author
  • Immaculate Prosperia Naggulu Mildmay Institute of Health Sciences. Author

DOI:

https://doi.org/10.51168/9w91w291

Keywords:

Preterm birth, antenatal care attendance, maternal nutrition, adolescent pregnancy, pregnancy complications, shortened cervix, maternal health, Mubende Regional Referral Hospital

Abstract

Background:

Maternal and caretaker factors significantly influence the risk of preterm births. This study aims to assess the maternal/caretaker factors associated with preterm births among women at Mubende Regional Referral Hospital.

 Methodology:

A cross-sectional study was conducted among post-delivery mothers at Mubende Regional Referral Hospital. Data were collected using structured questionnaires and a review of maternity records. Data were analyzed using SPSS. A p-value <0.05 was considered statistically significant.

 Results:

The study had 90 respondents, 45 (50%) were under 20 years old, while the least number of respondents, 4 (4.4%), were aged 50 and older. Regarding Nutrition during Pregnancy, most of the respondents, 50 (55.6%), had very poor (minimal) food intake, while the least number, 4 (4.4%), reported having a very good (balanced) diet. 48 (53.3%) reported having a shortened cervix, while the least, 12 (13.3%), had no pregnancy-related problems. 49 (54.4%) were exposed to secondhand smoke, while the least, 6 (6.7%), reported having no exposure to risk factors such as alcohol or drugs. 47(52%), got prenatal care but not regularly, while the least, 810(9%), received no care at all.

 Conclusion:

The study found that maternal and caretaker factors such as young maternal age, poor nutrition during pregnancy, exposure to secondhand smoke, pregnancy complications like a shortened cervix, and irregular antenatal care attendance were common among women with preterm births at Mubende Regional Referral Hospital.

 Recommendations:

Pregnant women should be encouraged to attend antenatal care regularly, maintain proper nutrition, and avoid exposure to harmful substances. Health facilities and community programs should also provide education and support, especially for young mothers, and strengthen early screening for pregnancy complications.

Author Biographies

  • Malcom Batte, Mildmay Institute of Health Sciences.

    holds a Diploma in Clinical Medicine and Community Health from Mildmay Institute of Health Sciences.

  • James Kizito, Mildmay Institute of Health Sciences.

    is a tutor at Mildmay Institute of Health Sciences.

  • Hasifah Nansereko, Mildmay Institute of Health Sciences.

    is the chairperson of the Institutional Review Council (IRC) at Mildmay Institute of Health Sciences.

  • Franscisco Ssemuwemba, Mildmay Institute of Health Sciences.

    is the dean of the School of Allied Health at Mildmay Institute of Health Sciences.

  • Jane Frank Nalubega, Mildmay Institute of Health Sciences.

    is a tutor at Mildmay Institute of Health Sciences.

  • Immaculate Prosperia Naggulu, Mildmay Institute of Health Sciences.

    is a tutor at Mildmay Institute of Health Sciences.

References

1. Adongo, P., Nakimuli, A., & Kaye, D. (2023). Factors associated with preterm births among mother-baby pairs at Soroti Regional Referral Hospital, Uganda. BMC Pregnancy and Childbirth, 23(1), 102. https://doi.org/10.1186/s12884-023-05412-x

2. Mabrouk, A., Elhassan, E., & Hassan, M. (2022). Prevalence and determinants of preterm birth in Sub-Saharan Africa: A scoping review. Global Health Research and Policy, 7(12), 1–12. https://doi.org/10.1186/s41256-022-00253-7

3. Mboya, R., Mahande, M., & Mgaya, H. (2021). Preterm birth rates and associated factors in Northern Tanzania: A registry-based cohort study. BMC Pregnancy and Childbirth, 21(1), 583. https://doi.org/10.1186/s12884-021-04094-0

4. Morukileng, J. (2021). Trends and incidence of preterm births in Uganda: National admissions analysis. ResearchGate. https://www.researchgate.net/publication/350234567

5. Rahman, A., Chowdhury, S., & Ahamed, F. (2019). Regional disparities in preterm births: Evidence from South Asia and Sub-Saharan Africa. Journal of Global Health, 9(2), 020407. https://doi.org/10.7189/jogh.09.020407

6. Wagura, P., Macharia, W., & Gichangi, P. (2018). Prevalence and determinants of preterm births at Kenyatta National Hospital, Kenya. African Health Sciences, 18(4), 1231–1239. https://doi.org/10.4314/ahs.v18i4.20

7. American College of Obstetricians and Gynecologists. (2024). Preterm labor and birth. https://www.acog.org

8. March of Dimes. (2022). Social determinants and preterm birth. https://www.marchofdimes.org

9. Morukileng, J. (2021). Trends and incidence of preterm births in Uganda. ResearchGate. https://www.researchgate.net

10. Nsereko, E., Mukunya, D., Musaba, M., et al. (2020). Maternal nutrition and pregnancy outcomes in Uganda. BMC Pregnancy and Childbirth, 20(1), 1–9. https://doi.org/10.1186/s12884-020-02989-4

11. Tibaijuka, L., Odongo, R., & Kaye, D. (2021). Maternal nutrition and risk of preterm birth in low-income settings. African Health Sciences, 21(3), 1200–1208. https://doi.org/10.4314/ahs.v21i3

12. Uganda National Institute of Public Health. (2024). Maternal health and antenatal care utilization report. Kampala, Uganda.

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Published

2026-05-15

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Section

Original Research Articles

How to Cite

Batte, M., Kizito, J., Nansereko, H., Ssemuwemba, F., Nalubega, J. F., & Naggulu, I. P. (2026). Maternal/caretaker factors associated with preterm births among women at Mubende Regional Referral Hospital. A cross-sectional study. SJ Gynecology and Obstetrics Africa, 3(2), 8. https://doi.org/10.51168/9w91w291

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