Local understandings and current barriers to optimal birth intervals among recently delivered women in Sylhet District, Bangladesh

Lehnertz, Nicholas; Alam, Ashraful; Ali, Nabeel Ashraf; Henry, Elizabeth G.; Williams, Emma; Rahman, Syed Moshfiqur; Ahmed, Salahuddin; Arifeen, Shams El; Baqui, Abdullah H; Winch, Peter J.

doi:10.1093/inthealth/iht031

Cited by 4 publications

(4 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent study from rural Bangladesh has demonstrated that incorporating post-partum family planning into the maternal and newborn care packages can significantly improve birth spacing and reduce the risk of preterm birth. Formative research in Sylhet, Bangladesh, has shown that even though there is an understanding of the benefits of healthy spacing, women are not able to make their own pregnancy spacing decisions [57]. Interventions that are suitable for the local culture and that take gender inequalities into account are needed.…”

Section: Resultsmentioning

confidence: 99%

Pregnancy intervals after stillbirth, neonatal death and spontaneous abortion and the risk of an adverse outcome in the next pregnancy in rural Bangladesh

Norton

Begum

Shah

et al. 2019

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundStudies have revealed associations between preceding short and long birth-to-birth or birth-to-pregnancy intervals and poor pregnancy outcomes. Most of these studies, however, have examined the effect of intervals that began with live births. Using data from Bangladesh, we examined the effect of inter-outcome intervals (IOI) starting with a non-live birth or neonatal death, on outcomes in the next pregnancy. Pregnancy spacing behaviors in rural northeast Bangladesh have changed little since 2004.MethodsWe analyzed pregnancy histories for married women aged 15-49 years who had outcomes between 2000 and 2006 in Sylhet, Bangladesh. We examined the effects of the preceding outcome and the IOI length on the risk of stillbirth, neonatal death and spontaneous abortion using multinomial logistic regression models.ResultsData included 64,897 pregnancy outcomes from 33,495 mothers. Inter-outcome intervals of 27-50 months and live births were baseline comparators. Stillbirths followed by IOI’s <=6 months, 7-14 months or overall <=14 months had increased risks for spontaneous abortion with adjusted relative risk ratios (aRRR) and 95% confidence intervals = 29.6 (8.09, 108.26), 1.84 (0.84, 4.02) and 2.53 (1.19, 5.36), respectively. Stillbirths followed by IOIs 7-14 months had aRRR 2.00 (1.39, 2.88) for stillbirths.Neonatal deaths followed by IOIs <=6 months had aRRR 28.2 (8.59, 92.63) for spontaneous abortion. Neonatal deaths followed by IOIs 7-14 and 15-26 months had aRRRs 3.08 (1.82, 5.22) and 2.32 (1.38, 3.91), respectively, for stillbirths; and aRRRs 2.81 (2.06, 3.84) and 1.70 (1.24, 3.84), respectively, for neonatal deaths.Spontaneous abortions followed by IOIs <=6 months and 7-14 months had, respectively, aRRRs 23.21 (10.34, 52.13) and 1.80 (0.98, 3.33) for spontaneous abortion.ConclusionIn rural northeast Bangladesh, short inter-outcome intervals after stillbirth, neonatal death and spontaneous abortion were associated with a high risk of a similar outcome in the next pregnancy. These findings are aligned with other studies from Bangladesh. Two studies from similar settings have found benefits of waiting six months before conceiving again, suggesting that incorporating this advice into programs should be considered. Further research is warranted to confirm these findings.Electronic supplementary materialThe online version of this article (10.1186/s12884-019-2203-0) contains supplementary material, which is available to authorized users.

show abstract

Section: Resultsmentioning

confidence: 99%

Pregnancy intervals after stillbirth, neonatal death and spontaneous abortion and the risk of an adverse outcome in the next pregnancy in rural Bangladesh

Norton

Begum

Shah

et al. 2019

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…Focus groups with husbands and mothers/mothers-in-law were also included with the understanding that decisions about contraceptive use are not necessarily taken by the woman alone. Formative research conducted at the outset of HFS identified husbands and mothers/mothers-in-law as key influencers of FP decisions [10]. Few studies have examined perceptions around return to fecundity and pregnancy risk after delivery in low resource settings [6,11] or have used behavior change frameworks to identify processes influencing postpartum contraceptive uptake.…”

Section: Introductionmentioning

confidence: 99%

Findings from the use of a narrative story and leaflet to influence shifts along the behavior change continuum toward postpartum contraceptive uptake in Sylhet District, Bangladesh

Cooper¹,

Ahmed

Winch

et al. 2014

Patient Education and Counseling

View full text Add to dashboard Cite

show abstract

“…The roles of information, education, and communication campaigns and interpersonal communication played important roles in higher use of contraceptives and birth spacing (Sebastian et al 2010). And to increase the effectiveness of birth spacing programs, the promotions should be done into antenatal and newborn care interventions by providing biomedically correct and culturally appropriate information on modern contraceptive methods to the entire family (Lehnertz et al 2013). The role of such interventions with community and groups by the community-based family planning worker, from female relatives, peers, and the media, played important roles in family planning and birth spacing (Mita and Simmons 1995;Bawah et al 1999).…”

Section: Researches and Studies In Birth Spacing And Related Areasmentioning

confidence: 99%

Birth Spacing: Achieving Gender Equality Under Sustainable Development Goals

Rizvi¹,

Tirkey²

2021

Encyclopedia of the UN Sustainable Development Goals

View full text Add to dashboard Cite

On a global perspective, approximately 225 million women in the world have no access to family planning and therefore little control over whether and when they become pregnant. Providing women across the world with the choice to use effective contraception and to space their babies by 24 months or more, would prevent 54 million unintended pregnancies, 79,000 maternal deaths and 1.1 million infant deaths. The findings of these results stress the importance of birth spacing plans for optimal child health. Family planning is a key international priority that should not only be regarded as an intervention for improving health, but also as a human right.-Professor Lesley Regan, Royal College of Obstetricians and Gynaecologists Definition Birth spacing: It is commonly understood as the practice of waiting between pregnancies and practiced when the couples want to reduce the

show abstract

Local understandings and current barriers to optimal birth intervals among recently delivered women in Sylhet District, Bangladesh

Cited by 4 publications

References 23 publications

Pregnancy intervals after stillbirth, neonatal death and spontaneous abortion and the risk of an adverse outcome in the next pregnancy in rural Bangladesh

Pregnancy intervals after stillbirth, neonatal death and spontaneous abortion and the risk of an adverse outcome in the next pregnancy in rural Bangladesh

Findings from the use of a narrative story and leaflet to influence shifts along the behavior change continuum toward postpartum contraceptive uptake in Sylhet District, Bangladesh

Birth Spacing: Achieving Gender Equality Under Sustainable Development Goals

Contact Info

Product

Resources

About