Study on fetomaternal outcome in short interpregnancy interval: case control study

Authors

  • Preeti Lewis Department of Obstetrics and Gynecology, Grant Government Medical College and JJ Group of Hospital, Mumbai, Maharashtra, India
  • Shreya Mor Department of Obstetrics and Gynecology, Grant Government Medical College and JJ Group of Hospital, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20200341

Keywords:

Anemia, Chi square test, Pregnancy-induced hypertension, Premature rupture of membranes, Normal interpregnancy interval, Short interpregnancy interval

Abstract

Background: This study was carried out at a tertiary health centre with the aim of studying the effect of short interpregnancy interval on fetomaternal outcome. The maternal complications and fetal complications of short interpregnancy interval were analysed in comparison to normal interpregnancy interval.

Methods: This is a case control study. 125 women with short interpregnancy interval seeking healthcare at tertiary health care centre were matched with 125 women with normal interpregnancy interval on the basis of demographic characteristics like age, height, weight and socio-economic status. These were included in the case control study.

Results: Short interpregnancy interval is associated with increased risk of anemia, premature rupture of membranes (PROM), scar dehiscence and low birth weight whereas normal interpregnancy interval is associated with increased risk of PIH as compared to short interpregnancy interval.

Conclusions: Short interpregnancy interval is associated with increased risk of anemia, PROM, scar dehiscence and low birth weight whereas normal interpregnancy interval is associated with increased risk of PIH.

References

Eleje GU, Ezebiala IU, Eke NO. Interpregnancy Interval (IPI): What is the ideal? Afrimedic J. 2011;2(1):6-38.

Post M. HTSP 101: Everything you want to know about healthy timing and spacing of pregnancy; 2007.

DaVanzo J, Hale L, Razzaque A, Rahman M. The effects of birth spacing on pregnancy outcomes and infant and child mortality in Matlab Bangladesh. [Unpublished] 2004. Presented at the annual meeting of the Population Association of America Boston Massachusetts; 2004.

Da Vanzo J, Hale L, Razzaque A, Rahman M. 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. Popul Stud (Camb) 2008;62:131-54.

Thoma ME, Copen CE, Kirmeyer S. Short interpregnancy intervals in 2014: differences by maternal demographic characteristics. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics; 2016.

Zilberman B. Influence of short interpregnancy interval on pregnancy outcomes. Harefuah. 2007;146(1):42-7.

Baron J, Weintraub AY, Eshkoli T, Hershkovitz R, Sheiner E. The consequences of previous uterine scar dehiscence and cesarean delivery on subsequent births. Int J Gynaecol Obstet. 2014;126(2):120-2.

Tyagi N, Prabhakar M, Tyagi S. Retrospective study to find predictive factors of scar dehiscence in previous cesarean section to prevent maternal and perinatal morbidity and mortality. Int J Reprod Contracept Obstet Gynecol. 2019;8(2);531-5.

Basic E, Basic-Cetkovic V, Kozaric H, Rama A. Ultrasound evaluation of uterine scar after cesarean section. Acta Informat Medica. 2012;20(3):149-53.

Rao CR, Ruiter LE, Bhat P, Kamath V, Kamath A, Bhat V. A case control study on risk factors for preterm deliveries in a Secondary care hospital, southern India.” Obstet Gynaecol. 2014:Article ID 935982.

Jamal S et al. A retrospective analytical study of the epidemiology and causes of preterm birth. Int J Reprod Contracept Obstet Gynecol. 2017;6(12):5453-7.

Bharati P, Pal M, Bandyopadhyay M, Bhakta A, Chakraborty S, Bharati P. Prevalence and causes of low birth weight in India. Malaysian J Nutrit. 2011;17(3):45-56.

Mignini LE, Carroli G, Betran AP, Fescina R, Cuesta C, Campodonico L, et al. Interpregnancy interval and perinatal outcomes across Latin America from 1990 to 2009: a large multi-country study. BJOG. 2016;123:730-7.

Barron WM, Murphy MB, Lindheimer MD. In: Management of hypertension during pregnancy. 3rd ed. Raven. Laragh GH, Brenner BM, editors. Vol 2. New York: Hypertension pathophysiology, diagnosis and management; 1990;163(2):1691-1712.

Downloads

Published

2020-01-28

Issue

Section

Original Research Articles