Vol. 1 (2026): MATERNAL RISK FACTORS ASSOCIATED WITH PRETERM BIRTH: EVIDENCE FROM A HOSPITAL SURYA INSANI - BASED STUDY IN DISTRICT ROKAN HULU, INDONESIA

Preterm birth is a leading cause of neonatal morbidity and mortality, yet maternal determinants in local settings remain insufficiently documented. This study aimed to identify maternal risk factors associated with preterm birth at Surya Insani Hospital, Rokan Hulu District. A medical record–based case–control design was applied to evaluate maternal clinical and reproductive factors. Multivariate analysis identified five significant maternal predictors of preterm birth. A history of abortion showed the strongest association (OR 7.31; 95% CI: 2.12–25.16), followed by anemia (OR 5.43; 95% CI: 1.84–15.98), low educational level (OR 4.18; 95% CI: 1.4312.24), high-risk parity (OR 3.96; 95% CI: 1.33–11.77), and high-risk maternal age (OR 3.03; 95% CI: 0.99–9.24). History of abortion and anemia emerged as the strongest predictors of preterm birth, supported by additional contributions from education, parity, and maternal age. These findings underscore the dominant role of maternal clinical and reproductive factors and indicate that local risk patterns differ from widely reported global evidence. The study provides a scientific basis for developing

Published: 2026-02-26