scholarly journals Effects of Short Birth Interval on Birth Outcomes among Term Pregnant Mothers in Labor

2021 ◽  
Vol 3 (1) ◽  
pp. 55-74
Author(s):  
Ebba KORSA ◽  
Fozia IBRAHİM ◽  
Kifle Woldemichael HAJİTO
Keyword(s):  
Birth Outcomes ◽  
Birth Interval ◽  
Short Birth Interval ◽  
Pregnant Mothers

scholarly journals Determinants of short birth interval among women in South Gondar, Ethiopia: community-based unmatched case-control study

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Gedefaye Nibret Mihretie ◽  
Fentahun Yenealem Beyene ◽  
Bekalu Getnet Kassa ◽  
Alemu Degu Ayele ◽  
Tewachew Muche Liyeh ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Birth Interval ◽  
Case Control Study ◽  
Birth Spacing ◽  
Case Control ◽  
Community Based ◽  
Short Birth Interval ◽  
South Gondar ◽  
Control Study

Abstract Background The effect of short birth interval on socio-economic, negative maternal and child health outcomes remains common in developing countries. This study aimed to assess determinants of short birth interval among reproductive age women, who gave birth in health institution for last six-month in South Gondar, Ethiopia 2019. Methods Community-based unmatched case control study design was conducted from February 1 to March 30, 2019. Sample size of 150 was included by simple random sampling technique. The data was collected by semi-structured and pre-tested face to face interviewer-administered questionnaire from selected respondent. The collected data was entered with Epi-Data version 3.1 and analyzed by using SPSS version 23 software. Bivariate and multivariable analyses were used to examine the association. Odds ratio, 95% CI and P-value < 0.05 were used to determine the statistical association. Result The mean age of the respondents was 32.42 (SD ± 5.14) and 35.12 (SD ± 5.86) for cases and controls, respectively. Mothers not used contraceptives (AOR = 6.29, 95% CI (1.95, 20.24)), participants who had ≤2 alive children (AOR = 5.57, 95% CI (1.47, 21.13)), mothers who breast fed less than 24 months (AOR = 3.42, 95% CI (1.38, 8.46)), husband decision on contraceptives utilization (AOR = 2.69,95% CI (1.05,6.88)) and mothers who did not have history of antenatal care follow up (AOR = 3.52, 95% CI (1.27, 9.75)) were associated with short birth interval. Conclusion The optimum birth spacing plays a vital role in decreasing fertility and the morbidity and mortality of mothers and children. Thus, providing health information on the benefit of breast feeding, follow-up of antenatal care during pregnancy, use of contraceptives after delivery and encouraging mothers to make decisions about their own health and use of contraceptives to optimize birth spacing for rural communities.

Assessing Risk Factors for Short Birth Interval Hot Spots using Geographically Weighted Regression: Findings from a Nationally Representative Survey Data

2021 ◽  
Author(s):  
Mohammad Zahidul Islam ◽  
Md. Mostafizur Rahman ◽  
Md. Nuruzzaman Khan ◽  
M Mofizul Islam
Keyword(s):  
Spatial Variation ◽  
Birth Interval ◽  
Hot Spots ◽  
Protective Factor ◽  
Public Health Problem ◽  
Least Square ◽  
Weighted Regression ◽  
Geographic Variations ◽  
Explanatory Variables ◽  
Short Birth Interval

Abstract Background Short Birth Interval (SBI) is a public health problem in most low- and lower-middle-income countries. Understanding geographic variations in SBI, particularly SBI hot spots and associated factors, may help intervene with tailored programs. This study identified the geographical hot spots of SBI in Bangladesh and the factors associated with them. `Methods We analyzed women’s data extracted from the 2017/18 Bangladesh Demographic and Health Survey and the healthcare facility data extracted from the 2017 Service Provision Assessment. Moran’s I was used to examine the spatial variation of SBI in Bangladesh whereas the Getis-Ord G*i (d) was used to determine the hot spots of SBI. The Geographical Weighted Regression (GWR) was used to explore the spatial variation of SBI on explanatory variables. The explanatory variables included in the GWR were selected using the exploratory regression and ordinary least square regression model. Results Data of 5941 women were included in the analyses. Around 26% of the total births in Bangladesh had occurred in short intervals. A majority of the SBI hot spots were found in the Sylhet division, and almost all SBI cold spots were in the Rajshahi and Khulna divisions. No engagement with formal income-generating activities, high maternal parity, and history of experiencing the death of a child were significantly associated with SBI in the Sylhet region. Women’s age of 34 years or less at the first birth was a protective factor of SBI in the Rajshahi and Khulna divisions. Conclusion The prevalence of SBI in Bangladesh is highly clustered in the Sylhet division. We recommend introducing tailored reproductive health care services in the hot spots instead of the existing uniform approach across the country.

Subsequent pregnancy affects morbidity of previous child

1995 ◽  
Vol 27 (4) ◽  
pp. 431-442 ◽  
Author(s):  
Erik Bøhler ◽  
Staffan Bergström
Keyword(s):  
Birth Interval ◽  
Subsequent Pregnancy ◽  
Skin Infections ◽  
Matched Cohort ◽  
Previous Child ◽  
Subsequent Birth ◽  
Study Child ◽  
A Prospective Study ◽  
First Time ◽  
Pregnant Mothers

SummaryA prospective study of 113 children in rural Bhutan registered their morbidity and weight and their mothers' subsequent pregnancies, monthly for 32 months during the children's first 3 years of life. Children whose mothers had a subsequent birth interval of 18–30 months had an incidence of diarrhoea during the subsequent pregnancy 50% higher than their matched cohort whose mothers did not become pregnant (p=0·02). The relative risk for diarrhoea calculated from pooled child months was 1·51. Children whose mothers became pregnant also tended to have a higher incidence of skin infections.Children, whose mothers were pregnant when they terminated breastfeeding, experienced an increased incidence of diarrhoea around weaning (p=0·01). Children weaned at the same age from non-pregnant mothers did not show increased morbidity.This study, for the first time, relates observations of children's morbidity directly in time to the occurrence of the mother's subsequent pregnancy, and provides evidence of a causal relationship between a moderately short subsequent birth interval and a concurrent increase in morbidity for the study child.

scholarly journals Prevalence and risk factors of short birth interval in Bangladesh: Evidence from the linked data of population and health facility survey

2021 ◽  
Author(s):  
Mohammad Zahidul Islam ◽  
M Mofizul Islam ◽  
Md Mostafizur Rahman ◽  
Md Nuruzzaman Khan
Keyword(s):  
Health Facility ◽  
Rural Women ◽  
Birth Interval ◽  
Wealth Quintile ◽  
World Health ◽  
Short Intervals ◽  
Live Births ◽  
Factors Associated ◽  
Modern Contraceptives ◽  
Short Birth Interval

Background: The Sustainable Development Goals target significant reductions in maternal and under-five deaths by 2030. The prevalence of these deaths is significantly associated with short birth interval (SBI). Identification of factors associated with SBI is pivotal for intervening with appropriate programmes to reduce these adverse consequences. This study aimed to determine the factors associated with SBI in Bangladesh. Methods: The Bangladesh Demographic and Health Survey 2017/18 and Bangladesh Health Facility Data 2017 were linked and analysed. SBI was defined as an interval between consecutive births of 33 months or less, as recommended by the World Health Organization. We used descriptive statistics to summarise characteristics of respondents and multilevel Poisson regression to assess the predictors of SBI. Results: Around 26% of live births occurred in short intervals, with a further higher prevalence among younger, uneducated, or rural women. The likelihoods of SBI were lower among women aged 20-34 years (PR, 0.14, 95% CI, 0.11-0.17) and more than or equal to 35 years (PR, 0.03, 95% CI, 0.02-0.05) as compared to the women aged 19 years or less. Women from households with the richest wealth quintile experienced lower odds of SBI (PR, 0.61, 95% CI, 0.45-0.85) compared to those from the poorest wealth quintile. The prevalences of SBI were higher among women for whom the children born from the second most pregnancies died (PR, 5.23, 95% CI, 4.18-6.55), those who were living in Chattogram (PR, 1.52, 95% CI, 1.12-2.07) or Sylhet (PR, 2.83, 95% CI, 2.08-3.86) divisions. Availability of modern contraceptives at the nearest healthcare facilities was 66% protective to the occurrence of SBI (PR, 0.34, 95% CI, 0.22-0.78). Also, the prevalence of SBI increased around 85% (PR, 1.85, 95% CI, 1.33-2.18) for every kilometer increase in the distance of nearby health facilities from homes of women. Conclusion: More than a quarter of live births in Bangladesh occurred in short intervals. This relatively high prevalence is a challenge for Bangladesh in reducing pregnancy-related adverse consequences, including maternal and child mortality. Policies and programmes are needed to increase awareness of SBI and associated adverse health outcomes and expand access to modern contraceptives.

scholarly journals “Kunika women are always sick”: views from community focus groups on short birth interval (kunika) in Bauchi state, northern Nigeria

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Umaira Ansari ◽  
Juan Pimentel ◽  
Khalid Omer ◽  
Yagana Gidado ◽  
Muhd Chadi Baba ◽  
...  
Keyword(s):  
Focus Groups ◽  
Birth Interval ◽  
Northern Nigeria ◽  
Short Birth Interval

scholarly journals Short birth interval and associated factors among women of child bearing age in northern Ethiopia, 2016

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Solomon Weldemariam Gebrehiwot ◽  
Gedamu Abera ◽  
Kidist Tesfay ◽  
Weyzer Tilahun
Keyword(s):  
Birth Interval ◽  
Associated Factors ◽  
Northern Ethiopia ◽  
Short Birth Interval ◽  
Child Bearing

scholarly journals Determinants of short birth interval among ever married reproductive age women: A community based unmatched case control study at Dessie city administration, Northern Ethiopia

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243046
Author(s):  
Habtamu Shimels Hailemeskel ◽  
Tesfaye Assebe ◽  
Tadesse Alemayehu ◽  
Demeke Mesfin Belay ◽  
Fentaw Teshome ◽  
...  
Keyword(s):  
Birth Interval ◽  
Contraceptive Use ◽  
Case Control Study ◽  
Case Control ◽  
Reproductive Age ◽  
Age At First Birth ◽  
Community Based ◽  
Reproductive Age Women ◽  
Short Birth Interval ◽  
Control Study

Background Short birth interval is a universal public health problem resulting in adverse fetal, neonatal, child and maternal outcomes. In Ethiopia, more than 50% of the overall inter birth spacing is short. However, prior scientific evidence on its determinants is limited and even then findings are inconsistent. Methods A community -based unmatched case-control study was employed on 218 cases and 436 controls. Cases were ever married reproductive age women whose last delivery has been in the past five years with birth interval of less than 3 years between the latest two successive live births whereas those women with birth interval of 3–5 years were taken as controls. A multistage sampling technique was employed on 30% of the kebeles in Dessie city administration. A pre-tested interviewer based questionnaire was used to collect data by 16 trained diploma nurses and 8 health extension workers supervised by 4 BSc nurses. The collected data were cleaned, coded and double entered into Epi-data version 4.2 and exported to SPSS version 22. Binary logistic regression model was considered and those variables with P<0.25 in the bivariable analysis were entered in to final model after which statistical significance was declared at P< 0.05 using adjusted odds ratio at 95% CI. Result In this study, contraceptive use (AOR = 11.2, 95% CI: 5.95–21.15), optimal breast feeding for at least 2 years (AOR = 0.098, 95% CI:0.047–0.208), age at first birth <25 years (AOR = 0.36, 95% CI: 0.282–0.761), having male preceding child (AOR = 0.46, 95% CI: 0.166–0.793) and knowing the duration of optimum birth interval correctly (AOR = 0.45, 95% CI: 0.245–0.811) were significant determinants of short birth interval. Conclusion Contraceptive use, duration of breast feeding, age at first birth, preceding child sex and correct understanding of the duration of birth interval were significant determinants of short birth interval. Fortunately, all these significant factors are likely modifiable. Thus, the existing efforts of optimizing birth interval should be enhanced through proper designation and implementation of different strategies on safe breastfeeding practice, modern contraceptive use and maternal awareness about the health merits of optimum birth interval.

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