The associations of social and behavioural factors on preterm birth in
Singapore were studied using hospital maternity records of 20,723 con
secutive singleton births between January 1986 and November 1991. The
overall proportion of preterm births was 3.6%, the rates for the Chine
se, Malay and Indian groups being 3-2%, 3-8% and 4-9% respectively. Te
enage mothers were at a higher risk of preterm labour compared to wome
n aged 20-29 years. The incidence of preterm labour decreased with inc
reasing educational status. Preterm births were six times more likely
in women who had no antenatal care. Women who had three or more previo
us births were at a higher risk, while those who had one or two previo
us births were at a lower risk compared to women who had none.