After delivery, a trained research nurse interviewed each mother in her native language using a structured data collection form and following procedures defined in a manual. Shortly after the mother’s discharge, the research nurse reviewed the maternal chart using a second structured data collection form. The medical record was relied on for events following admission. The clinical circumstances that led to preterm delivery were operationally defined using both data from the maternal interview and data abstracted from the medical record.13 Each mother/infant pair was assigned to the category that described the primary reason for the preterm delivery.13
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