Pregnancy spacing and maternal morbidity in Matlab, Bangladesh

Razzaque, Abdur; Vanzo, Julie Da; Rahman, Mohammad Masudur; Gausia, Kaniz; Hale, Lauren; Khan, Mehrab Ali; Mustafa, Abu Haider Mohammad Golam

doi:10.1016/j.ijgo.2005.01.003

Cited by 68 publications

(58 citation statements)

References 9 publications

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“…This is not a consequence of intervening non-livebirth outcomes because we see it for inter-outcome intervals as well as for interbirth intervals. Our companion analyses of maternal morbidity (Razzaque et al 2005), pregnancy outcomes (DaVanzo et al 2007), and maternal mortality (DaVanzo et al 2004) in Matlab and analyses of Latin American data (Conde-Agudelo and Belizá n 2000) show that long intervals are often associated with adverse outcomes for women, and these are similar in magnitude to those for first pregnancies. One possibility is that the physiology of a mother who becomes pregnant after a long interval is similar to that of a woman who is pregnant for the first time (Conde-Agudelo and Belizá n 2000).…”

Section: Discussionmentioning

confidence: 90%

The effects of pregnancy spacing on infant and child mortality in Matlab, Bangladesh: How they vary by the type of pregnancy outcome that began the interval

et al. 2008

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Using high-quality longitudinal data on 125,720 singleton live births in Matlab, Bangladesh, we assessed the effects of duration of intervals between pregnancy outcomes on infant and child mortality and how these effects vary over subperiods of infancy and childhood and by the type of outcome that began the interval. Controlling for other correlates of infant and child mortality, we find that shorter intervals are associated with higher mortality. Interval effects are greater if the interval began with a live birth than with another pregnancy outcome. In the first week of the child's life, the effects of short intervals are greater if the sibling born at the beginning of the interval died; after the first month, the effects are greater if that sibling was still alive. Many relationships found are consistent with the maternal depletion hypothesis, and some with sibling competition. Some appear to be due to correlated risks among births to the same mother.

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Section: Discussionmentioning

confidence: 90%

The effects of pregnancy spacing on infant and child mortality in Matlab, Bangladesh: How they vary by the type of pregnancy outcome that began the interval

et al. 2008

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“…9 Interpregnancy or interbirth intervals have additionally been associated with short-term maternal outcomes, again with some indication of a U-shaped association. [10][11][12] The causal mechanisms underlying these associations are hypothesised to include pathways through maternal nutrition, particularly folate status. [12][13][14][15] Lack of sufficient time to return to the normal prepregnancy metabolic state before the next pregnancy may also initiate processes with longer term implications; for example, a prospective US study found that risks of maternal obesity increased with each interpregnancy interval of <12 months.…”

Section: Introductionmentioning

confidence: 99%

Do short birth intervals have long-term implications for parental health? Results from analyses of complete cohort Norwegian register data

Grundy

Kravdal

2014

J Epidemiol Community Health

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BackgroundShort and very long interbirth intervals are associated with worse perinatal, infant and immediate maternal outcomes. Accumulated physiological, mental, social and economic stresses arising from raising children close in age may also mean that interbirth intervals have longer term implications for the health of mothers and fathers, but few previous studies have investigated this.MethodsDiscrete-time hazards models were estimated to analyse associations between interbirth intervals and mortality risks for the period 1980–2008 in complete cohorts of Norwegian men and women born during 1935–1968 who had had two to four children. Associations between interbirth intervals and use of medication during 2004–2008 were also analysed using ordinary least-squares regression. Covariates included age, year, education, age at first birth, parity and change in coparent since the previous birth.ResultsMothers and fathers of two to three children with intervals between singleton births of less than 18 months, and mothers of twins, had raised mortality risks in midlife and early old age relative to parents with interbirth intervals of 30–41 months. For parents with three or four children, longer average interbirth intervals were associated with lower mortality. Short intervals between first and second births were also positively associated with medication use. Very long intervals were not associated with raised mortality or medication use when change of coparent since the previous birth was controlled.ConclusionsClosely spaced and multiple births may have adverse long-term implications for parental health. Delayed entry to parenthood and increased use of fertility treatments mean that both are increasing, making this a public health issue which needs further investigation.

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“…11,[13][14][15][16] During 1996-2002, 58% of pregnant women in the MCH-FP area received at least one antenatal checkup, and 52% received a checkup in the third trimester. 17 Recently, institutional deliveries have increased remarkably in the MCH-FP area. 13 In the early 1990s, only a few births occurred in health facilities; by 2005, the percentage of such births had increased to more than 30%, which had further increased to 66% by 2008.…”

Section: Datamentioning

confidence: 99%

The Role of Pregnancy Outcomes in the Maternal Mortality Rates of Two Areas in Matlab, Bangladesh

Rahman

DaVanzo²,

Razzaque³

2010

IPSRH

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Pregnancy spacing and maternal morbidity in Matlab, Bangladesh

Abstract: Short and long inter-pregnancy intervals are associated with increased incidence of some maternal morbidities.

Cited by 68 publications

References 9 publications

The effects of pregnancy spacing on infant and child mortality in Matlab, Bangladesh: How they vary by the type of pregnancy outcome that began the interval

The effects of pregnancy spacing on infant and child mortality in Matlab, Bangladesh: How they vary by the type of pregnancy outcome that began the interval

Do short birth intervals have long-term implications for parental health? Results from analyses of complete cohort Norwegian register data

The Role of Pregnancy Outcomes in the Maternal Mortality Rates of Two Areas in Matlab, Bangladesh

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