• Wakgari Mokonin
• Mitiku Getachew
• Elias Mardasa
• Dasalegn Wirtu

Back ground: Preterm birth is major challenge for maternal and prenatal care worldwide and a leading cause of neonatal morbidity and mortality. There are several determinants of preterm birth of which some of them are modifiable. Objective: To identify determinants of preterm birth among women who give birth in West and East wollega zones selected public hospitals during the study period,2018. Method: Case-control study was conducted among randomly selected mothers who gave birth in the selected hospitals from March 1 to April 30, 2018 G. Namely; Nekemte referral, Gimbi and Nedjo hospitals. The hospitals were selected by simple random sampling, case were selected consecutively and controls selected using systematic random sampling technique from selected hospital. The final sample size for cases was 90 and controls were 180. Data was collected from the respondents through face to face interviewing and entered into SPSS version 20 for analysis. Odds ratio with their 95% CI and P value was calculated. Variables with P value < 0.25 in bivariate analysis were entered in to multivariate logistic regression analysis. Statistical significance was declared for these variable P value <0.05. Result: A total of 90 cases and 180 controls were interviewed. Presence of hard work during pregnancy[AOR 4.25, 95% CI= 1.998-9.073], history of preterm birth [AOR 4.8, 95% CI= 2.324-10.037], history of abortion [AOR 3.69, 95% CI= 1.262-10.819], hyper emesis [AOR 4.83, 95% CI= 2.325-10.037], bleeding during pregnancy [AOR 6.96, 95%CI-= 2.217-21.906], urinary tract infection [AOR 3.64, 95% CI= 1.317-10.107], multiple pregnancy [AOR 5.66, 95% CI=1.84-17.419] and pre-eclampsia [AOR 5.41, 95% CI=1.559-18.80] were identified as significant determinants of preterm birth. Conclusion : There are numerous risk factor identified for preterm birth. Early identification of these risk factor during prenatal care and giving emphasis to these determinants with appropriate care during pregnancy is important to reduce preterm birth. Also, advising mothers on adequate rest during pregnancy, community awareness may reduce the risk of preterm birth.

: preterm birth, determinant factor

"Determinants of Preterm Births in West and East Wollega Zones Selected Public Hospitals, West Oromia, Ethiopia", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.6, Issue 6, page no.62-80, June 2019, Available :http://www.jetir.org/papers/JETIR1907914.pdf

"Determinants of Preterm Births in West and East Wollega Zones Selected Public Hospitals, West Oromia, Ethiopia", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.6, Issue 6, page no. pp62-80, June 2019, Available at : http://www.jetir.org/papers/JETIR1907914.pdf