• Deeshah M Deelchand and Thinagrin D Naidoo.
• Department of Obstetrics and Gynaecology, Grey's Hospital, Pietermaritzburg and University of Kwazulu-Natal, South Africa.
• Afr Health Sci. 2022 Dec 1; 22 (4): 686694686-694.

BackgroundThe preterm birth rate is rising mainly because of the marked increase in late preterm deliveries.ObjectivesTo evaluate the indications for LPTB and the factors associated with the short term maternal and neonatal outcomes.MethodsThis retrospective study was conducted at a tertiary health care institution. The study sample included 191 women who delivered between October 2019 to November 2020.ResultsThe majority (81%) were medically indicated LPTB, and mainly for maternal indications (77%). The most common maternal indication for LPTB was for hypertensive disease of pregnancy (HDP) (82.5%). There was a significant increase in the high care/ ICU admission for maternal indication of LPTB, maternal age < 20 years, and patients with HDP. There was 1 maternal death and 1 neonatal death. 48% of the neonates were admitted to NICU and 53% had neonatal complications. Neonates born by caesarean delivery were more likely to have respiratory complications and be admitted to NICU.ConclusionThese maternal/ neonatal factors should be used to identify patients at risk of adverse maternal and neonatal outcomes.© 2022 Deelchand DM et al.

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