ABSTRACT
The intent of this study was to explore the relationship of patient knowledge about
the signs and symptoms of preterm labor and low birth weight. To this end, 538 women
were interviewed in the postpartum period. Five aspects of preterm labor knowledge
(abdominal tightness, vaginal discharge, cramping, diarrhea, and bleeding) were sought,
along with standard demographic information. Data were analyzed as dichotomous variables
and compared using odds ratios. Logistic regression was chosen to calculate adjusted
odds ratios, including only those factors found to be associated with low birth weight.
Patient knowledge of each varied from 46 to 87% for the five items. Only one third
knew all five areas. Knowledge of the importance of abdominal tightness, vaginal discharge,
and cramping were associated with a reduction in low birth weight, as was knowledge
of all five aspects. However, regression analysis failed to support a significant
association with any of the five areas alone or when considered as a group. The low
sensitivity of the relationship between patient knowledge and low birth weight and
the lack of correlation after regression suggest that programs focusing on enhanced
patient education may have limited benefits.
Keywords
Preterm labor - low birth weight - prenatal care
