Determinants of Preterm Deliveries Associated with Maternal Mortalities at Lady Grigg Maternity, Coast General Hospital, Mombasa County, Kenya.

Abstract

Objective: To determine the determinants of preterm deliveries associated with maternal mortalities in Lady Grigg Maternity of Coast General Hospital, Mombasa County, Kenya Study Design: A descriptive cross-sectional study. Study Setting: Lady Grigg Maternity of Coast General Hospital in Mombasa from September 2020 to August 2021 Subjects/participants: Mothers aged 15-49 years with preterm babies in the NBU, maternity department, Lady Grigg Maternity Hospital. Results: Different social demographic and social economic factors contributed to preterm deliveries associated with maternal mortalities. There were a number of maternal conditions like maternal infections, ante partum hemorrhage, cervical incompetency and others associated with the preterm births. Socio economic factors like the occupations of the mothers also contribute to the chances of preterm births occurring. Conclusion: Most preterm births were as a result of preterm premature rupture of membranes which constitutes 21% of the various medical conditions which included ante partum hemorrhage, cervical incompetency, pre-eclampsia and eclampsia amongst others. In terms of occupations, most preterm births were from housewives and casual laborers who did strenuous jobs for their sustainability, they accounted for 56% of the various occupations and most preterm births were from married women. They account for 715 of the total preterm births.