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- Title
Impact Of Interpregnancy Interval On Perinatal Outcome.
- Authors
Firdous, Nighat; Qureshi, Ambreen; Manzoor, Rehina; Pandit, Basharat
- Abstract
Optimal birth intervals are associated with reduced risk for Low birth weight, preterm birth, small for gestation age babies, all categories of infant/child mortality. This study conducted in Government LallaDedHospita, a 500 bedded lone tertiary care Gynaecology& Obstetric Hospital of the valleyfrom August 2010 to August 2011. One thousand multiparous women, belonging to Kashmiri race in the age group of 20 -35 years, delivering a singleton baby, having delivered previous full term baby, having a reasonable information & records of previous & index pregnancy & having at least three antenatal visits during the index pregnancy were included in this study.Women with interpregnancy interval of <18months and >48 months were found to be at increased risk for preterm birth: Odds ratio 2.2 (95% CI of 1.3-3.8) and 1.96 (95% CI of 1.1 - 3.4) respectively; p value <0.05. Association for preterm birth of gestational age 28-32weeks was found to be more strong, Odds ratio of 4.2 (95% CI of 1.2-13.7) and 3.7 (95%CI of 1.03- 13.3) for interpregnancy interval of <18 months and >48 months, respectively. Similarly women with interpregnancy interval of <18months and >48 months were found to be at increased risk for low birth weight babies, odds ratio 2.1(95%CI of 1.3 - 3.5) and 1.88 (95% CI of 1.1 - 3.1), respectively; p value <0.05. Again there was a stronger association between Preterm low birth weight babies and short (<18 months) interpregnancy interval, OR 2.6(95%CI 1.2 - 5.4). Similar statistically significant association was observed between short (<18months) and long (>48 months) interpregnancy interval and small for gestational age babies. Odds ratio and 95% CI for women with interpregnancy interval of <18 months and small for gestational age babies was 2.3 (95% CI of 1.4- 3.8); p value <0.05. Odds ratio and 95% confidence interval for women with long interpregnancy interval (>48months) and small for gestational age babies was 2.08 (95%CI of 1.2-3.6); p value <0.05.An interpregnancy interval of 18 - 48 months was found to be the optimal interval carrying the least risk of adverse perinatal outcomes in a homogeneous population of Kashmir Valley.
- Subjects
LOW birth weight; PREMATURE labor; PREMATURE infants; GESTATIONAL age; DURATION of pregnancy; KASHMIRI (South Asian people)
- Publication
JK Practitioner, 2014, Vol 19, Issue 3/4, p75
- ISSN
0971-8834
- Publication type
Article