Preterm Birth at Siriraj Hospital : A Seven-Year Review (2002-2008)

Abstract

Objective:  To determine the preterm birth rate, neonatal body weight and causes of total early neonatal death at Siriraj Hospital for 7-year period (2002-2008).

Materials and Methods:  The medical records of preterm birth and neonatal body weight at Siriraj Hospital during 2002-2008 were collected and analyzed.

Results:  During 7-year period, 2002-2008, the total birth rate was decreased steadily from 2002-2006, but was increased suddenly in 2007 then decreased slightly in 2008. The rate of preterm birth was increased steadily from 2004 to 2008 (9.44%-12.98%). The rate of threatened preterm labor was constantly between 1.20 -1.78%. Among preterm birth, low birth weight infant was mostly found except in the year 2003. Early neonatal death was mostly caused from fetal abnormality while sepsis and chromosome abnormality were the lowest causes of fetal death. Trend of neonatal death from prematurity had continuously decline and no early neonatal death in year 2008. 

Conclusion:  Regarding to 7-year review, the preterm birth rate was consistent during 7 years while premature baby was almost survived. Prematurity was not the common cause of early neonatal death.