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Determinants of prematurity in urban Indonesia: a meta-analysis

  • Putri Maharani Tristanita Marsubrin , Naufal Arkan Abiyyu Ibrahim ORCID logo EMAIL logo , Mohammad Adya Firmansha Dilmy , Yulia Ariani , Budi Wiweko , Rima Irwinda , Achmad Kemal Harzif , Badriul Hegar and Ray Wagiu Basrowi
Published/Copyright: December 27, 2023
Journal of Perinatal Medicine
From the journal Journal of Perinatal Medicine Volume 52 Issue 3

Abstract

Objectives

Indonesia is the fifth country with the highest number of preterm births worldwide. More than a third of neonatal deaths in Indonesia were attributed to preterm birth. Residential areas affected the occurrence of preterm birth due to differing socioeconomic and environmental conditions. Many studies have investigated the determinants of prematurity in Indonesia, however, most of them were performed in rural areas. This study is the first meta-analysis describing the determinants of preterm birth in urban Indonesia, which aimed to become the foundation upon implementing the most suitable preventative measure and policy to reduce the rate of preterm birth.

Methods

We collected all published papers investigating the determinants of preterm birth in urban Indonesia from PubMed MEDLINE and EMBASE, using keywords developed from the following key concepts: “preterm birth”, “determinants”, “risk factors”, “Indonesia” and the risk factors, such as “high-risk pregnancy”, “anemia”, “pre-eclampsia”, and “infections”. Exclusion criteria were multicenter studies that did not perform a specific analysis on the Indonesian population or did not separate urban and rural populations in their analysis, and articles not available in English or Indonesian. The Newcastle Ottawa Scale was used to assess the risk of bias. This systematic review was registered in PROSPERO.

Results

Sixteen articles were included in the analysis and classified into five categories: genetic factors, nutrition, smoking, pregnancy characteristics or complications, and disease-related characteristics.

Conclusions

Our meta-analysis revealed adolescent pregnancy, smoking, eclampsia, bacterial vaginosis, LC-PUFA, placental vitamin D, and several minerals as the significant determinants of preterm birth in urban Indonesia.

Keywords: premature birth; risk factors; high-risk pregnancy; urban population; Indonesia; meta-analysis
Corresponding author: Naufal Arkan Abiyyu Ibrahim, Faculty of Medicine, Universitas Indonesia, Jalan Salemba Raya No. 6, Jakarta, 10430, Indonesia, E-mail:

Acknowledgments

The authors would like to thank Tony Sundjaya, MD; Angela Grace, MD; and Shoffi Hanifa for their contribution in data collection and editing the English version of this manuscript.

  1. Research ethics: Not applicable.

  2. Informed consent: Not applicable.

  3. Author contributions: All authors created the study concept. YA and NAAI analyzed the data and wrote the first draft of the manuscript. PM reviewed the included data and the analysis. All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  4. Competing interests: Authors state no conflict of interest.

  5. Research funding: This study is supported by Danone Specialized Nutrition Indonesia.

  6. Data availability: Not applicable.

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Supplementary Material

This article contains supplementary material (https://doi.org/10.1515/jpm-2023-0151).

Received: 2023-04-13
Accepted: 2023-10-26
Published Online: 2023-12-27
Published in Print: 2024-03-25

© 2023 Walter de Gruyter GmbH, Berlin/Boston

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https://doi.org/10.1515/jpm-2023-0151
Keywords for this article
premature birth; risk factors; high-risk pregnancy; urban population; Indonesia; meta-analysis

Articles in the same Issue

  1. Frontmatter
  2. Opinion Paper
  3. The importance of professional responsibility and fetal viability in the management of abortion
  4. Corner of Academy
  5. Multifetal pregnancy reductions and selective fetocide in a tertiary referral center – a retrospective cohort study
  6. Original Articles – Obstetrics
  7. Cervical length as a screening tool for preterm birth in twin pregnancies: a systematic review and critical evaluation of quality clinical practice guidelines
  8. Determinants of prematurity in urban Indonesia: a meta-analysis
  9. Predictors of planned home birth before and during the COVID-19 pandemic
  10. Sensitivity of antenatal ultrasound in diagnosing posterior placenta accreta spectrum disorders
  11. The prognostic role of CRL discordance in first trimester ultrasound
  12. Evaluation of postpartum shock index in hypertensive diseases of pregnancy: a case-control study from a tertiary reference center
  13. Original Articles – Fetus
  14. Prenatal diagnosis of right aortic arch: associated anomalies and fetal prognosis according to different subtypes
  15. Fetal brain development in pregnancies complicated by gestational diabetes mellitus
  16. The association between parental SARS-CoV-2 infection in pregnancy and fetal growth restriction
  17. Subclinical cardiac impairments in fetuses conceived through assisted reproductive technology by speckle tracking echocardiography
  18. Original Articles – Neonates
  19. Coagulation assessment of severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) infected pregnant women and their offspring by using rotational thromboelastometry (ROTEM)
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