J Med Assoc Thai 2002; 85 (12):1251

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Risk Factors for Birth Before Arrival at Siriraj Hospital
Titapant V Mail, Sirimai K , Roongphomchai S

VITAYA TITAPANT,M.D.*,
KORAKOT SIRIMAI, M.D.*,
SOMBOON ROONGPHORNCHAI, M.D.*
Objective : To assess the potential risk factors for birth before arrival at Siriraj Hospital.
Study design: Prospective case-control study.
Setting : Department of Obstetrics
&
Gynecology, Faculty of Medicine Siriraj Hospital,
Mahidol University.
Subjects : The subjects were 320 patients who had delivered at Siriraj Hospital and were
divided into two groups. One hundred and sixty patients, who gave birth before admission to the labor
room of Siriraj Hospital, were assigned as the study group. The control group consisted of 160 patients
who had normal deliveries in the labor room of Siriraj Hospital at the same period of time.
Intervention : Information was obtained by interviewing the patients. Both the interviewer
and the subjects were blinded to each other. The data were analyzed by using logistic regression model
and Epiinfo program.
Main outcome measure : Information of antenatal care, socio-economic data, past obstetric
history and present data of delivery.
Results : The six significant risk factors were identified; education level of the patients (odds
ratio 6.11 ), past history of previous delivery (odds ratio 6.18), past history of preterm delivery (odds
ratio 4.03), no antenatal care (odds ratio 8.55), unawareness of true labor symptoms (odds ratio 1.89)
and present preterm delivery (odds ratio 2.99).
Conclusion : The risk factors identified from this study were low education level, past his-
tory of previous delivery, past history of preterm delivery, no antenatal care, unawareness of symptoms
of true labor and present preterm delivery. The risk factors from this study should have further study
to get more information that can apply to control birth before arrival.
Key word : Risk Factor, Birth Before Arrival

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