Pregnancy Spacing

Keyword(s):  
Author(s):  
Margo S Harrison

Abstract Background A secondary analysis was conducted of two separate datasets to observe the association between maternal age and interpregnancy interval (IPI). Methods The IPI in a middle-income country (Guatemala) was compared with that of a very-high-income country (USA) among women with two pregnancies. Results A regression model found that with each increasing year of age, the IPI increases by 1.26 months (p<0.001) in Guatemala. A regression model found that IPI decreased as women aged in the USA. Conclusions It is hypothesized that as countries progress in their development indices, women may delay childbearing, which may result in reduced IPI, as was the case in the USA compared with Guatemala in these datasets.


Author(s):  
Sara J. Newmann ◽  
Jennifer Monroe Zakaras ◽  
Shari L. Dworkin ◽  
Mellissa Withers ◽  
Louisa Ndunyu ◽  
...  

AbstractMale partner resistance is identified as a key factor that influences women’s contraceptive use. Examination of the masculine norms that shape men’s resistance to contraception—and how to intervene on these norms—is needed. To assess a gender-transformative intervention in Kenya, we developed and evaluated a masculinity-informed instrument to measure men’s contraceptive acceptance—the Masculine Norms and Family Planning Acceptance (MNFPA) scale. We developed draft scale items based on qualitative research and administered them to partnered Kenyan men (n = 150). Item response theory-based methods were used to reduce and psychometrically evaluate final scale items. The MNFPA scale had a Cronbach’s α of 0.68 and loaded onto a single factor. MNFPA scores were associated with self-efficacy and intention to accept a female partner’s use of contraception; scores were not associated with current contraceptive use. The MNFPA scale is the first rigorously developed and psychometrically evaluated tool to assess men’s contraceptive acceptance as a function of male gender norms. Future work is needed to test the MNFPA measure in larger samples and across different contexts. The scale can be used to evaluate interventions that seek to shift gender norms to increase men’s positive engagement in pregnancy spacing and prevention.


1983 ◽  
Vol 15 (1) ◽  
pp. 35-46 ◽  
Author(s):  
Barbara Janowitz ◽  
Douglas J. Nichols

SummaryUsing data collected over a 12-month period (1977–78) from more than 15,000 hospital deliveries at a single maternity hospital in Tehran, Iran, we have examined the effects of previous pregnancy outcomes, breast-feeding and contraceptive use on birth spacing. The outcomes of previous pregnancies, particularly the most recent, significantly affect the length of the pregnancy interval, and so does breast-feeding. Pregnancy outcomes influence both breast-feeding and subsequent contraceptive behaviour, and breast-feeding adds to the degree of protection against pregnancy afforded by conventional contraception. Improved survivorship increases the length of pregnancy intervals most when it results in increased use of contraception and when breast-feeding is commonly practised for extended periods.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tania Dehesh ◽  
Elaheh Salarpour ◽  
Neda Malekmohammadi ◽  
Sepideh Arjomand Kermani

Abstract Background Optimal pregnancy spacing is an important incidence in reproductive women’s health. Short or long pregnancy spacing leads to the greatest health, social and economic problems such as increase in maternal and infant mortality and morbidity, and adverse pregnancy outcomes. The aim of this study is to assess the mean of pregnancy spacing and associated factors of pregnancy spacing among women of reproductive age group with recurrent event analysis. Methods The fertility history of 1350 women aged 15–49 years was collected in this cross-sectional study. The women were selected through multistage random sampling method from a list of clinics in 2018. Some predictors were collected from their records and others were collected by face-to-face interview. The recurrent event survival analysis was used to explore the effect of predictors on pregnancy spacing. The R software program was used for analysis. Results There were nine predictors that had significant effect on pregnancy spacing. These predictors included the age of mother at marriage, mother’s BMI, contraception use, breast feeding duration of the previous child, the education level of husband, the sex preference of the mother, presence of abortion or stillbirth in the preceding pregnancies, income sufficiency, and mother’s awareness of optimum pregnancy interval. The most influential predictors; contraception use (HR = 2.34, 95%CI = 1.23 to 2.76, P < 0.001) and income sufficiency (HR = 2.046, 95%CI = 1.61 to 3.02, P = 0.018) lead to longer and son preference of mother (HR = 2.231, 95%CI = 1.24 to 2.81, P = 0.023) lead to shorter pregnancy spacing. Conclusion The up to date contraception tool should be at hand for couples to manage their pregnancy intervals. The unfavorable economic situation of a family leads to long pregnancy spacing. Despite the relative equality of the status of girls and boys in today’s societies, the desire to have a son child is still an important factor in shorter pregnancy spacing. The benefit of optimal pregnancy spacing should be more announced.


2020 ◽  
Vol 2 (3) ◽  
pp. 88-100
Author(s):  
Erlin Syahril ◽  
Nasrudin Andi Mappaware ◽  
Marliyanti Akib ◽  
Muhammad Mursyid

Introduction: Toddlerhood is a period that is very sensitive to the environment so more attention is needed especially the adequacy of nutrition. Nutrition problems, especially stunting in a toddler can inhibit the growth and development of the children. This study aimed to identify various obstetric medical characteristics and determine the obstetric medical determinant factors that most influence pregnant women with the incidence of stunting in Mamuju Regency, West Sulawesi. Methods: This study was conducted from June until August 2019 in Mamuju Regency, West Sulawesi. The total samples in this study were 88 people who were taken from mothers who had stunting toddlers aged 2-5 years old in Mamuju Regency, West Sulawesi. A total sampling method was used. A cross-sectional with the retrospective approach with a regression test. Data instruments were used questionnaires, observation sheets, and checklists. Results: The result of the stunting study was found from the toddler nutrient data from January until June 2020  in West Sulawesi by using total sampling. The researchers found a sufficient influence for the complication during childbirth factor, while the weak relation of the stunting based on the ages, parity, pregnancy spacing, poor obstetric history, comorbid disease, maternal surface, neonatal surface, hemoglobin levels, and the history of Sectio Caesarea (SC). Conclusion: One of the obstetric medical factors that have a sufficient relationship for causing the stunting for children is the complication during childbirth, while other obstetric medical factors have a very weak relation to the stunting case.


Author(s):  
Tirta Anggraini Tirta Anggraini

ABSTRACT According to WHO abortion the percentage of births ranges between 750-1000 per 100,000 live births, whereas in developed countries maternal mortality ranges between 5-10 per 100,000 live births. Abortion in developing countries the majority (over 90%) do not secure, thus contributing to about 11-13% of maternal deaths in the world. In Indonesia, an estimated 2-2.5% miscarriage every year, so it can significantly reduce the birth rate to 1.7 per year. Maternal mortality in South Sumatra as much as 5% and 5 maternal deaths are caused by bleeding in the year 2010. At the on General Hospital Dr. Mohammad Hoesin Palembang in 2011 the incidence of abortion amounted to 318 people. The purpose of this study was to determine the employment relationship with the mother and the incidence of abortion of pregnancy spacing on General Hospital Dr. Mohammad Hoesin Palembang in 2011. This research uses descriptive analytical method by crosss sectional approach. The study population was all pregnant women who experience bleeding with gestational age less than 20 weeks as many as 482 people. The research was conducted in May-June 2012. The samples taken by simple random sampling method. Analysis of data using a statistical test Chi - Square. The results of this univariate analysis showed that 178 (81.3%) of respondents who experienced abortion, and 41 (18.7%) of respondents who had not had abortions. 133 (60.7%) of respondents with a mother who worked and 86 (39.3%) of respondents whose mothers did not work. 132 (60.3%) of respondents with a distance of pregnant women <2 years old and 87 (39.7%) of respondents with a distance of pregnant women ≥ 2 years, so the bivariate analysis showed no significant association between maternal employment with the incidence of abortion with a P value = 0.005 and there is a relationship a significant association between the incidence of abortion pregnancy spacing with P value = 0.017. Advice for health workers to seek and improve health education on the prevention and treatment of abortion.   ABSTRAK Menurut WHO persentase terjadinya abortus berkisar  antara 750-1000 per kelahiran 100.000 kelahiran hidup, sedangkan di Negara maju angka kematian maternal berkisar antara 5-10 per 100.000 kelahiran hidup. Abortus di Negara berkembang sebagian besar (lebih dari 90%) dilakukan tidak aman, sehingga berkontribusi sekitar 11- 13% terhadap kematian maternal di dunia. Di Indonesia, diperkirakan sekitar 2–2,5% mengalami keguguran setiap tahun, sehingga secara nyata dapat menurunkan angka kelahiran menjadi 1,7 pertahunnya. Kematian ibu di Sumatera Selatan sebanyak 5% dan 5 orang kematian ibu disebabkan oleh pendarahan pada tahun 2010. Di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2011 angka kejadian abortus berjumlah 318 orang. Tujuan Penelitian ini adalah untuk mengetahui hubungan pekerjaan ibu dan jarak kehamilan dengan kejadian Abortus di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang  Tahun 2011. Penelitian ini menggunakan metode deskriptif analitik dengan pendekatan crosss sectional. Populasi penelitian ini adalah semua ibu hamil yang mengalami perdarahan dengan usia kehamilan kurang dari 20 minggu sebanyak 482 orang. Penelitian ini dilakukan pada bulan Mei – Juni 2012. Sampel penelitian diambil dengan metode simple random sampling. Analisa data menggunakan uji statistik Chi – Square. Hasil penelitian analisis univariat ini menunjukkan bahwa 178 (81,3%) responden yang mengalami abortus, dan 41 (18,7%) responden yang tidak mengalami abortus. 133 (60,7%) responden dengan ibu yang bekerja dan 86 (39,3%) responden dengan ibu tidak bekerja. 132 (60,3%)  responden dengan ibu yang jarak kehamilannya < 2 tahun dan 87 (39,7%) responden dengan ibu yang jarak kehamilannya ≥ 2 tahun, sehingga analisa bivariat menunjukkan ada hubungan yang bermakna antara pekerjaan ibu dengan kejadian abortus dengan P value = 0,005 dan ada hubungan yang bermakna antara jarak kehamilan dengan kejadian abortus dengan P value = 0,017. Saran bagi tenaga kesehatan untuk mengupayakan dan meningkatkan penyuluhan kesehatan tentang pencegahan dan penanganan abortus. 


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