Effect of inter-pregnancy interval on pregnancy outcome: a prospective study at Fayoum, Egypt

Mahfouz, Eman; El-Sherbiny, Naglaa A.; Hamed, Wafaa

doi:10.24911/ijmdc.51-1520268317

Cited by 9 publications

(16 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…23 Zhu et al determined that women with short pregnancy intervals had an increased risk of low birth weight in their babies 24. The findings of the researchs which were conducted in Egypt,25 Iran26 and Turkey27 have shown similar results. The present research findings are consistent with the literature.…”

Section: Discussionmentioning

confidence: 95%

The effect of short pregnancy interval on perinatal outcomes in Turkey: A retrospective study

Saral

Ulaş

2019

Pak J Med Sci

View full text Add to dashboard Cite

Objective: The aim of the study was to determine the effect of short pregnancy interval on perinatal outcomes. Methods: The research was a retrospective study. The material consisted of birth records of a state hospital for the last three years in Manisa in the western region of Turkey (2015-2017) (n:8961). The research population included women whose gestational interval was ≤two years and the gestational week was over 22 weeks (n:2089). Perinatal outcomes were assessed through preterm birth, stillbirth, and low birth weight. Results: The mean age of women who are in the research group is 26.7 ± 5.32. According to the perinatal results of women with a pregnancy interval of two years and shorter; 8.2% of women had birth before 37 weeks and 0.3% resulted in stillbirth. It was determined that 4.8% of infants were born with low birth weight. There was no difference between the short pregnancy interval and stillbirth or preterm birth. However, a significant difference was found between the low birth weight and short pregnancy interval. (p>0.05). Conclusions: Pregnancy interval does not affect preterm birth and stillbirth from perinatal outcomes, but has a significant effect on the birth weight of the newborn. doi: https://doi.org/10.12669/pjms.35.5.837 How to cite this:Saral N, Ulas SC. The effect of short pregnancy interval on perinatal outcomes in Turkey: A retrospective study. Pak J Med Sci. 2019;35(5):---------. doi: https://doi.org/10.12669/pjms.35.5.837 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

show abstract

Section: Discussionmentioning

confidence: 95%

The effect of short pregnancy interval on perinatal outcomes in Turkey: A retrospective study

Saral

Ulaş

2019

Pak J Med Sci

View full text Add to dashboard Cite

show abstract

“…Studies have linked the postponement of all higher-order births, including the second birth as a driver of sub-Saharan fertility decline (Lerch, 2017; Moultrie, et al, 2012). Even though sub-optimal inter-birth intervals often have adverse consequences for maternal and child health outcomes (Ball, et al, 2014; Chen, et al, 2014; Mahfouz, et al, 2018; Molitoris, et al, 2019; Stevens, et al, 2018; Zhang, et al, 2017), the risk of second childbirth (and other higher-order births) can be curtailed compared to the risk of first birth. In contemporary South Africa, the transition from first to second birth is a critical segment in fertility change.…”

Section: Introductionmentioning

confidence: 99%

“…Like any other birth interval, SbI could impact on the maternal and child health (Ball et al, 2014; Chen et al, 2014; Stevens et al, 2018; Zhang et al, 2017). Mahfouz et al (2018) submitted that: on the one hand, inter pregnancy interval less than 24 months is attributed to a high risk of preterm birth and low birth weight; on the other hand, an interval higher than 59 months is linked to high likelihood of having a stillbirth and pregnancy-induced hypertension. Likewise, other researchers (Grundy & Kravdal, 2014; Nisha, et al, 2019) have documented that a long birth interval (>59 months) is attributed to poor maternal and child health outcomes.…”

Section: Introductionmentioning

confidence: 99%

Influence of Maternal Education on Second Childbirth Interval Among Women in South Africa: Rural-Urban Differential Using Survival Analysis

Afolabi

Palamuleni

2022

SAGE Open

View full text Add to dashboard Cite

Inter-birth interval lengthening is a key component of fertility decline. Although South Africa fertility rate remains the lowest in sub-Saharan Africa, information on the effect of education on the interval between first- and second-birth across residential contexts is rarely documented. The study investigated the relationship between maternal education and second-birth interval (SbI) by residence among South African women. The study analyzed the 2016 South Africa Demographic and Health Survey data on 6,039 women aged 15 to 49 years who had reported at least one childbirth at the time of survey. Survival analysis methods were applied at 5% significance level. The SbI was significantly longer ( p < 0.001) among urban (76 months) relative to rural (66 months) women. About a fifth of rural women and about a tenth of urban women had at most a primary education. Women who had a secondary education (aHR = 0.86; 95% CI [0.76, 0.96]) were 14% times more likely to delay second-birth compared to those who had at most a primary education in rural setting. Other determinants of SbI included region in rural; age at-first-birth and household wealth in urban; ethnicity, marital status at-first-birth and employment in both residential settings. The length of SbI remains long in both residential contexts, but longer in urban. Findings demonstrated rural-urban differentials in the relationship between maternal education and second birth interval, suggesting contextual impact. Fertility strategies targeted at strengthening health education for improved maternal and child health should be residential-context specific.

show abstract

“…The optimal length of SBI and other inter-birth intervals is usually three to five years, while at least 2 years is ideal before the next conception after birth [ 9 – 13 ]. Non-adherence to the ideal inter-birth intervals often lead to poor maternal and child health.…”

Section: Introductionmentioning

confidence: 99%

“…Like any other birth interval, SBI could impact maternal and child health. Mahfouz and colleagues [ 13 ] submitted that inter-pregnancy interval less than 24 months is associated with a high risk of preterm birth and low birth weight; interval higher than 59 months, high likelihood of having stillbirth and pregnancy-induced hypertension. Similarly, other researchers [ 11 , 14 ] have documented that a long birth interval (> 59 months) is attributed to poor maternal and child health outcomes.…”

Section: Introductionmentioning

confidence: 99%

A comparative analysis of the influence of contraceptive use and fertility desire on the duration of second birth interval in four sub-Saharan African countries

2021

View full text Add to dashboard Cite

Background Fertility decline characterised by inter-birth intervals remains rather slow or stall in many countries of sub-Saharan African (SSA). Non-adherence to optimal inter-birth intervals often occasioned by low prevalence of contraceptive use and high fertility desires often lead to poor maternal and child health outcomes. Additionally, information on the influence of contraception and fertility desire on interval between first and second births (SBI) is rarely available. This study therefore aimed to examine the influence of fertility desire and contraception on SBI among women in four SSA countries. Methods We analysed cross-sectional data on women aged 15–49 years who participated in the recent Demographic and Health Surveys in DR Congo, Ethiopia, Nigeria and South Africa. Semi-parametric Cox proportional hazards regression was employed for the analysis at 5% significance level. Results The median time to second birth was 34 months in DR Congo; 35 months, Nigeria; 42 months, Ethiopia; and 71 months, South Africa. About 70% of the women desired additional child(ren) and two-thirds have never used contraceptive in both Nigeria and DR Congo. The hazard of second birth was significantly lower among women who desired additional child(ren) compared to desired for no more child in DR Congo (aHR = 0.93; CI: 0.89–0.97), Ethiopia (aHR = 0.64; CI: 0.61–0.67) and South Africa (aHR = 0.51; CI: 0.47–0.55). Women who had never used contraceptive were 12%, 20% and 24% more likely to lengthen SBI than those who were current users in DR Congo, Nigeria and South Africa respectively. DR Congo and Nigerian women were about two times more likely to shorten SBI compared with their South African counterparts. Other significant determinants of SBI include ethnicity, rural residential, age and marital status at first birth, wealth and employment status. Conclusion Findings showed differentials in the linkage between second birth interval and the desired fertility and contraception by country, demonstrating the importance of context. The contribution of these factors to second birth interval requires country context-specific attention if further decline in fertility and poor health outcomes associated with sub-optimal inter-birth interval is to be attained in SSA.

show abstract

Effect of inter-pregnancy interval on pregnancy outcome: a prospective study at Fayoum, Egypt

Cited by 9 publications

References 0 publications

The effect of short pregnancy interval on perinatal outcomes in Turkey: A retrospective study

The effect of short pregnancy interval on perinatal outcomes in Turkey: A retrospective study

Influence of Maternal Education on Second Childbirth Interval Among Women in South Africa: Rural-Urban Differential Using Survival Analysis

A comparative analysis of the influence of contraceptive use and fertility desire on the duration of second birth interval in four sub-Saharan African countries

Contact Info

Product

Resources

About