scholarly journals Interpregnancy interval and preterm birth: correlation versus causation debate continued

2016 ◽  
Vol 123 (12) ◽  
pp. 2018-2018 ◽  
Author(s):  
KC Schliep
2019 ◽  
Vol 39 (9) ◽  
pp. 1175-1181 ◽  
Author(s):  
Julia A. Lonhart ◽  
Jonathan A. Mayo ◽  
Amy M. Padula ◽  
Paul H. Wise ◽  
David K. Stevenson ◽  
...  

2009 ◽  
Vol 22 (11) ◽  
pp. 1068-1071 ◽  
Author(s):  
Ishag Adam ◽  
Moslim H. Ismail ◽  
Abubakr M. Nasr ◽  
Martin H. Prins ◽  
Luc J. M. Smits

Author(s):  
Balaji Thanjavur Elumalai ◽  
Vaishnavi Govindarajan

Background: The pregnancy outcomes are influenced by the inter pregnancy intervals. Both short and long inter pregnancy intervals are known to adversely affect the mother and the baby. The main aim of birth spacing was to achieve ideal inter pregnancy intervals and thus to decrease maternal, neonatal morbidity and mortality.Methods: It is a prospective observational study. In this study, about 500 gravida 2 women who has delivered vaginally in the index pregnancy, with gestational age more than 28 weeks of gestation and with known interpregnancy interval were included in the study. They followed up to to delivery and occurance of preterm births in relation to maternal characteristics and interpregnancy interval were analysed.Results: Our study showed that Inter pregnancy intervals of 18-24 months were found to have the least number of preterm births when compared to intervals <18 months and >24 months. This association was found to be statistically significant (p value, Pearson chi square 0.0008). This relationship between inter pregnancy intervals and preterm births persisted when stratified according to maternal age, education, residence and BMI.A previous preterm birth was associated with increased risk of recurrent preterm birth (p value -0.034) and was statistically significant. The history of PROM in present pregnancy associated with preterm birth (p value -0.001) and association was statistically significant.Conclusions: From this study it was found that the 18-24 months birth to pregnancy interval is associated with the least incidence of preterm births. 


2018 ◽  
Vol 4 (2) ◽  
pp. 50 ◽  
Author(s):  
Rebecca J. Baer ◽  
Lauren Lessard ◽  
Marta Jankowska ◽  
James G. Anderson ◽  
Jessica Block ◽  
...  

Preterm birth (PTB, < 37 weeks’ gestation) may impose lifelong sequelae or death. Fresno County reports the highest rate of PTB in California. A place-based approach investigating local risk factors for PTB may provide important opportunities for intervention and prevention. In this study, we examine risk and protective factors for PTB in rural, suburban, and urban Fresno County, California. The sample was drawn from Fresno County, California singleton births 2007-2012 (n = 81,021). Multivariate models of maternal risk and protective factors for PTB were stratified by rural, suburban, and urban residence. Women with diabetes, hypertension, infection, fewer than three prenatal care visits, previous PTB, interpregnancy interval less than six months, or were of Black race/ethnicity were at increased risk of PTB. The risk of PTB was highest for women residing in rural locations with preeclampsia superimposed on preexisting hypertension (adjusted relative risk (aRR) 5.7, 95% confidence interval (CI) 4.4-7.4). For women living in urban residences, maternal birth in Mexico and overweight body mass index (BMI) offered protection from PTB (aRRs 0.9), whereas participation in the Women, Infants and Children program was protective for women in either urban or rural residences (aRRs 0.8). Public insurance, <12 year of education,  underweight BMI, and interpregnancy interval of five years or more were risk factors only for women in urban residences. These findings may provide important opportunities for local intervention. 


2021 ◽  
pp. 68-69
Author(s):  
Punit Hans ◽  
Anjana Sinha

Identication of modiable and non-modiable risk factors for preterm birth before conception or early in pregnancy may help prevent this complication. Aretrospective analysis of interpregnancy interval in women giving preterm birth in a tertiary health centre was done . All records of obstetric patients, from institutional data centre were examined in detail which included demographic information, reproductive history, maternal characteristics, prenatal care, labor management, maternal complications during pregnancy, delivery, and the puerperium, and neonatal outcomes. In this study , among 112 patients 30 percent were having interpregnancy interval of less than 12 months, 50 percent 12 to < 24 months, 11 percent 24 to 48 months and 9 percent > 48 months. Higher occurrence of short interpregnancy interval <24 months and younger age group <19 years were found in association with preterm births.


2016 ◽  
Vol 34 (02) ◽  
pp. 174-182 ◽  
Author(s):  
Esme Kamphuis ◽  
Michel Hof ◽  
Sarah Robertson ◽  
Eva Pajkrt ◽  
Christianne de Groot ◽  
...  

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Jida Ali Hassen ◽  
Mengistu Nunemo Handiso ◽  
Bitiya Wossen Admassu

Background. A preterm birth is the leading cause of death in both neonatal and children under five years of age every year throughout the world, particularly in Sub-Saharan Africa. The causes of a preterm birth are complex and multifactorial; many risk factors that contribute it are not fully understood. The aim of this study was to identify predictors of a preterm birth among mothers who gave birth in Silte Zone Public Hospitals, Southern Ethiopia (2019/20). Methods and Materials. A hospital-based unmatched case-control study design was carried out from July 15th to October 30th, 2019, by assigning mothers who gave preterm births as cases and those with term births as controls. A total of 365 respondents (91 cases and 274 controls) were selected by a consecutive simple random sampling until the required sample size was achieved. For each case, three consecutive controls were included. Data were collected using a structured interview questionnaire complement with record reviewing. The data were entered into Epi Info 7 and exported into SPSS 25 for analysis. Descriptive analysis was computed to obtain summary values for cases and controls separately. All candidate variables in bivariate analysis were entered into the multivariable logistic regression model by using the backward likelihood ratio selection methods. Finally, variables with p value ≤ 0.05 were considered as potential determinants of a preterm birth and reported in the form of adjusted odds ratio with 95% confidence interval. Results. Among a total of 365 mothers who gave live birth, 91 (24.9%) were cases compared to 274 (75.1%) which were controls. The final multivariable logistic regression analysis results showed that having history of a previous preterm birth ( AOR = 3.51 ; 95 % CI = 1.40 − 8.81 ), having shorter interpregnancy interval ( AOR = 4.46 ; 95 % CI = 1.95 − 10.21 ), experiencing obstetric complication ( AOR = 3.82 ; 95 % CI = 1.62 − 9.00 ), and having infant born with low birth weight ( AOR = 5.58 ; 95 % CI = 2.39 − 13.03 ) were found to be independent predictors of a preterm birth. Conclusions. According to this finding, mothers having previous history of a preterm birth, experiencing obstetric complication, having shorter interpregnancy interval, and having infant born with low birth weight were reported as the independent predictors of a preterm birth. Improving the quality of antepartum and intrapartum, counseling on birth space, creating awareness on family planning, and early screening of preterm determinants are mandatory.


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