Interbirth Interval and Pregnancy Complications and Outcomes: Findings from the Pregnancy Risk Assessment Monitoring System
| Autor: | Larissa R. Brunner Huber, Wei Sha, Kenesha Smith, Tara M. Vick |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Fetal Membranes Premature Rupture medicine.medical_specialty Time Factors Adolescent Placenta Previa Prom Risk Assessment Young Adult 03 medical and health sciences 0302 clinical medicine Pregnancy Risk Factors Maternity and Midwifery medicine Humans 030212 general & internal medicine 030219 obstetrics & reproductive medicine business.industry Obstetrics Infant Newborn Pregnancy Outcome Obstetrics and Gynecology Odds ratio medicine.disease Tennessee Placenta previa Pregnancy Complications Gestational diabetes Parity Logistic Models Family Planning Services Fertilization Premature Birth Small for gestational age Female Live birth business Premature rupture of membranes |
| Zdroj: | Journal of Midwifery & Women's Health. 63:436-445 |
| ISSN: | 1526-9523 |
| Popis: | Introduction Although the definition of a short interbirth interval has been inconsistent in the literature, Healthy People 2020 recommends that women wait at least 18 months after a live birth before attempting their next pregnancy. In the United States, approximately 33% of pregnancies are conceived within 18 months of a previous birth. Pregnancies that result from short interbirth intervals can pose serious risks. The objective of this study was to determine the association between interbirth interval and understudied pregnancy complications and outcomes, including small for gestational age (SGA) infants, premature rupture of membranes (PROM), preterm PROM (PPROM), placenta previa, and gestational diabetes, using Pregnancy Risk Assessment and Monitoring System data from Mississippi and Tennessee. Methods This study collected self-reported information from 2212 women on interbirth interval (≤18 months, ie, short; 19-35 months, ie, intermediate; and ≥36 months, ie, long; referent), PPROM, placenta previa, and gestational diabetes. SGA and PROM data were obtained from birth certificates. Logistic regression was used to calculate odds ratios (ORs) and 95% CIs. Results After adjustment, there were no strong associations between interbirth interval and PPROM, gestational diabetes, or SGA infants. However, women with shorter intervals had increased odds of PROM (short: OR, 3.54; 95% CI, 1.22-10.23 and intermediate: OR, 4.09; 95% CI, 1.28-13.03) and placenta previa (short: OR, 2.58; 95% CI, 1.10-6.05 and intermediate: OR, 1.69; 95% CI, 0.94-3.05). Discussion The study's findings provide further support for encouraging women to space their pregnancies appropriately. Moreover, findings underscore the need to provide women with family planning services so that closely spaced pregnancies and unintended pregnancies can be avoided. Additional studies of the role of interbirth interval on these understudied pregnancy complications and outcomes are warranted. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text